Salvage Completion Pancreatectomies as Damage Control for Post-pancreatic Surgery Complications: A Single-Center Retrospective Analysis

2015 ◽  
Vol 39 (6) ◽  
pp. 1550-1556 ◽  
Author(s):  
Michael F. Nentwich ◽  
Alexander T. El Gammal ◽  
Torben Lemcke ◽  
Tarik Ghadban ◽  
Eugen Bellon ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Pancreatic Surgery ◽  
Damage Control ◽  
Surgery Complications ◽  
Single Center

scholarly journals Difference Between Delayed Anastomosis and Early Anastomosis in Damage Control Laparotomy Affecting the Infusion Volume and NPWT Output volume: Is Infusion Restriction Necessary in Delayed Anastomosis? A Single-Center Retrospective Analysis

2021 ◽  
Author(s):  
Yohta Tanahashi ◽  
Hisaho Sato ◽  
Akiko Kawakami ◽  
Shusaku Sasaki ◽  
Yu nishinari ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Emergency Surgery ◽  
Damage Control ◽  
Fascial Closure ◽  
Temporary Abdominal Closure ◽  
Artificial Anus ◽  
Single Center ◽  
Damage Control Laparotomy ◽  
Second Look ◽  
Output Volume

Abstract Background: Delayed anastomosis is a treatment strategy used in damage control laparotomy (DCL). During temporary abdominal closure (TAC) with DCL, infusion volume, and negative-pressure wound therapy (NPWT) output volume are associated with the success and prognosis of primary fascial closure (PFC). The same may also hold true for anastomosis. The aim of this research is to evaluate whether the difference between early anastomosis and delayed anastomosis in DCL is related to infusion volume and NPWT output volume.Methods: This single-center retrospective analysis targeted patients managed with TAC during emergency surgery for trauma or intra-abdominal sepsis between January 2011 and December 2019. It included patients who underwent repair/anastomosis/artificial anus construction in the first surgery and patients who underwent intestinal resection in the first surgery followed by delayed anastomosis with no intestinal continuity. The main outcomes were infusion volume, NPWT output volume and complications.Results: One hundred nine patients who underwent emergency surgery were evaluated. Seventy-three patients were managed with TAC using NPWT. In 16 patients with early anastomosis and 21 patients with delayed anastomosis, there was no difference in the infusion volume (p=0.2318) or NPWT output volume (p=0.7128) 48 hours after surgery. Additionally, there was no difference in the occurrence of surgical site infection (p=0.315) and suture failure (p=0.8428). During the second-look surgery after 48 hours, the anastomosis was further postponed for 48% of the patients who underwent delayed anastomosis. There was no difference in the infusion volume (p=0.0783) up to the second-look surgery between the patients whose delayed anastomosis was postponed and those who underwent delayed anastomosis, but there was a tendency toward a large NPWT output volume (p=0.024) in the postponed delayed anastomosis group. Anastomosis and PFC were achieved for all patients whose delayed anastomosis was postponed.Conclusions: The presence or absence of anastomosis during TAC management does not affect NPWT output volume. Delayed anastomosis may be managed with the same infusion volume as that used for early anastomosis. There is also the option of postponing anastomosis if the planned delayed anastomosis is complicated.Trial RegistrationThe retrospective protocol of this study was approved by our institutional review board (MH2018-611).

A Retrospective Analysis of Oral Mucosa Pathologies: A Single-Center Trial

2018 ◽  
Vol 1 (34) ◽  
pp. 11-17
Author(s):  
hilal erinanç ◽  
özgül topal
Keyword(s):  
Retrospective Analysis ◽  
Oral Mucosa ◽  
Single Center

Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy

2021 ◽  
pp. 107815522199431
Author(s):  
Jennifer P Booth ◽  
Julie M Kennerly-Shah ◽  
Amber D Hartman
Keyword(s):  
Cancer Therapy ◽  
Medication Error ◽  
Retrospective Analysis ◽  
Error Reporting ◽  
Single Center ◽  
Medication Error Reporting ◽  
Anti Cancer ◽  
Secondary Endpoints ◽  
Type Frequency

Introduction To describe pharmacist interventions as a result of an independent double check during cognitive order verification of outpatient parenteral anti-cancer therapy. Methods A single-center, retrospective analysis of all individual orders for outpatient, parenteral anti-cancer agents within a hematology/oncology infusion center during a 30 day period was conducted. The primary endpoint was error identification rates during first and second verification. Secondary endpoints included the type, frequency, and severity of errors identified during second verification using a modified National Coordinating Council for Medication Error Reporting and Prevention Index. Results A total of 1970 anti-cancer parenteral orders were screened, from which 1645 received an independent double check and were included. The number of errors identified during first and second verification were 30 (1.8%) and 10 (0.6%) respectively; second verification resulted in a 33.3% increase in corrected errors. The 10 errors identified during second verification included: four rate transcriptions to optimize pump interoperability, three rate and/or volume modifications, two dosage adjustments, and one treatment deferral due to toxicity. The severity was classified as Category A for four (40%), Category C for three (30%), and Category D for three (30%) errors. This correlated to a low capacity for harm for seven (70%) and a serious capacity for three (30%) errors. Conclusions Second verification of outpatient, parenteral anti-cancer medication orders resulted in a 33.3% increase in corrected errors. Three errors detected during second verification were determined to have a serious capacity for harm, supporting the value of independent double checks during pharmacist cognitive order verification.

Comment on: retrospective analysis of 95 patients with large vessel vasculitis: a single center experience

2016 ◽  
Vol 20 (12) ◽  
pp. 2211-2213 ◽  
Author(s):  
Natsuki Shima ◽  
Takao Nagashima ◽  
Masahiro Iwamoto ◽  
Seiji Minota
Keyword(s):  
Retrospective Analysis ◽  
Large Vessel Vasculitis ◽  
Large Vessel ◽  
Single Center ◽  
Single Center Experience

Pulmonary Fungal Diseases in Immunocompetent Hosts: A Single-Center Retrospective Analysis of 35 Subjects

2016 ◽  
Vol 181 (7-8) ◽  
pp. 513-521 ◽  
Author(s):  
XiaoPei Yan ◽  
Feng Zong ◽  
Hui Kong ◽  
YanLi Wang ◽  
XinYun Zhao ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Fungal Diseases ◽  
Single Center
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