The role of simultaneous abdominal surgery and wound classification in ventriculoperitoneal shunt complication

2017 ◽  
Vol 33 (11) ◽  
pp. 1221-1230
Author(s):  
Shin Miyata ◽  
Jamie Golden ◽  
Olga Lebedevskiy ◽  
James E. Stein ◽  
David W. Bliss
Keyword(s):  
Abdominal Surgery ◽  
Ventriculoperitoneal Shunt ◽  
Shunt Complication ◽  
Wound Classification

Atypical Presentation of Neurobrucellosis as Infection of Ventriculoperitoneal Shunt

2020 ◽  
Author(s):  
Raul-Ciprian Covrig ◽  
Jasmina Petridou ◽  
Ulrich J. Knappe
Keyword(s):  
Case Report ◽  
Abdominal Surgery ◽  
Ventriculoperitoneal Shunt ◽  
Political Context ◽  
European Countries ◽  
The Political ◽  
Atypical Presentation ◽  
The World ◽  
Surgery First ◽  
Endemic Areas

AbstractBrucellosis is a frequent zoonosis in some regions of the world and may cause various symptoms. Neurobrucellosis is a rare but serious complication of the infection. Our case report describes the course of neurobrucellosis in a patient who had received a ventriculoperitoneal shunt in his native country 13 years prior to diagnosis of brucellosis. He initially presented to us with symptoms of peritonitis, which misled us to perform abdominal surgery first. After the diagnosis of neurobrucellosis was confirmed and appropriate antibiotics were initiated, the symptoms soon disappeared. Although the ventriculoperitoneal shunt was subsequently removed, the patient did not develop a symptomatic hydrocephalus further on. This case displays the challenges in diagnosing an infection that occurred sporadically in Europe and may be missed by currently applied routine microbiological workup. Considering the political context, with increasing relocation from endemic areas to European countries, it is to be expected that the cases of brucellosis and neurobrucellosis will rise. Brucellosis should be considered and adequate investigations should be performed.

The Role of Nutritional Access in Malnourished Elderly Undergoing Major Surgery for Acute Abdomen: A Propensity Score-Matched Analysis

2020 ◽  
pp. 000313482097371
Author(s):  
Shekhar Gogna ◽  
David Samson ◽  
James Choi ◽  
Jorge Con ◽  
Kartik Prabhakaran ◽  
...  
Keyword(s):  
Propensity Score ◽  
Abdominal Surgery ◽  
Acute Abdomen ◽  
Anastomotic Dehiscence ◽  
The Elderly ◽  
Major Surgery ◽  
P Value ◽  
Gastrointestinal Complications ◽  
Group I

Background About 50% of the elderly undergoing emergency abdominal surgery are malnourished. The role of timely surgical nutritional access in this group of patients is unknown. Methods We analyzed the National Inpatient Sample database from 2009 through the first three-quarters of 2015 of patients aged ≥65 years who were malnourished and underwent major abdominal surgery for the acute abdomen within the first 2 days of hospital admission. Results Of 3 246 721 patients analyzed, 4311 patients met inclusion criteria. Of these, only 507 (11.8%) patients had surgical nutritional access (gastrostomy or jejunostomy) (group I), while 3804 patients (88.2%) did not (group II). In the propensity score-matched population, there were 482 patients in each group. The patients in group I had lower odds of mortality and postoperative gastrointestinal complications (paralytic ileus, anastomotic dehiscence, and intestinal fistulae) ( P-value <.01, respectively). Discussion Elderly who receive surgical nutritional access have lower rates of gastrointestinal complications and mortality.

Anaesthetic considerations in a child with methylmalonic acidemia and its literature review

2020 ◽  
Vol 13 (12) ◽  
pp. e237270
Author(s):  
Anju Gupta ◽  
Yamini Dudeja ◽  
Rashmi Ramachandran ◽  
Rajeshwari Subramaniam
Keyword(s):  
Abdominal Surgery ◽  
Surgical Stress ◽  
Anaesthetic Management ◽  
Methylmalonic Acidemia ◽  
Relative Paucity ◽  
Branched Chain Amino Acid ◽  
Metabolic Crisis ◽  
Branched Chain ◽  
Upper Abdominal

Methyl malonyl coenzyme A mutase deficiency is a rare autosomal inherited inborn error in branched-chain amino acid metabolism characterised by the accumulation of methylmalonic acids. There is relative paucity of literature regarding anaesthetic management of these children presenting for incidental major abdominal surgery. Preoperative management includes goal-directed correction of dehydration, metabolic acidosis and hyperammonemia. Anaesthetic goals include avoidance of factors that can trigger metabolic crisis like hypercapnia, hypothermia, hypoxia, surgical stress, hypovolaemia, hypotension and so on. Herein, we are reporting the anaesthetic management of a 17-month-old child with methylmalonic acidemia (MMA) posted for a major upper abdominal surgery for excision of an adrenal mass, which was incidentally diagnosed during admission for an episode of metabolic crisis. We aim to highlight the specific nuances of pathophysiology of the disease, preoperative optimisation, anaesthetic considerations, role of advanced monitoring and regional anaesthesia and current literature on the management of patients with MMA.

Diaphragm Dysfunction Induced by Upper Abdominal Surgery. Role of Postoperative Pain

1985 ◽  
Vol 29 (6) ◽  
pp. 342 ◽  
Author(s):  
G. SIMONNEAU ◽  
A. VIVIEN ◽  
R. SARTENE ◽  
F. KUNSTLINGER ◽  
K. SAMII ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Abdominal Surgery ◽  
Diaphragm Dysfunction ◽  
Upper Abdominal Surgery ◽  
Upper Abdominal
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