Complication rate and risk factors for intraoperative complications in resident-performed phacoemulsification surgery

2012 ◽  
Vol 250 (9) ◽  
pp. 1315-1320 ◽  
Author(s):  
Andrea Briszi ◽  
Philipp Prahs ◽  
Jost Hillenkamp ◽  
Horst Helbig ◽  
Wolfgang Herrmann
Keyword(s):  
Risk Factors ◽  
Complication Rate ◽  
Intraoperative Complications

Intraoperative complications of phacoemulsification: risk factors, incidence, prediction

Reflection ◽  
2018 ◽  
Vol 6 (1) ◽  
pp. 115-118
Author(s):  
D. V. Kashperskaia ◽  
◽  
E. S. Knyazeva ◽  
S. A. Korotkih ◽  
◽  
...  
Keyword(s):  
Risk Factors ◽  
Intraoperative Complications

scholarly journals The Assessment of Early Complications and Risk Factors Affecting Their Occurrence in Breast Reconstructive Procedures

2021 ◽  
Author(s):  
Justyna Jończyk ◽  
Jerzy Jankau
Keyword(s):  
Risk Factors ◽  
Postoperative Complications ◽  
Breast Reconstruction ◽  
Complication Rate ◽  
Clinical Factors ◽  
Early Complications ◽  
Reconstructive Procedures ◽  
Factors Affecting ◽  
Rehospitalization Rate ◽  
Early Postoperative Complications

AbstractThe presence of postoperative complications may have a significant impact on the outcome of the breast reconstruction. The aim of this study was to investigate early postoperative complications and the risk factors for their occurrence. A prospective analysis was carried out to evaluate surgical outcomes after breast reconstructive surgeries performed over a 2-year period. Procedures included expander/implant (TE/IMP), pedicle transverse rectus abdominis musculocutaneous (pTRAM), and latissimus dorsi (LD) techniques. All adverse events which occurred within 6 weeks of surgery were ranked according to severity based on the contracted Accordion grading system. Outcomes were assessed for their association with surgical, demographic, and clinical variables. Sixty-one consecutive breast reconstruction procedures were analyzed. The overall complication rate was 60.7% (n = 37), and 8 patients (13.1%) required reoperation. The lowest complication rate was observed in implant-based reconstructions (TE/IMP, 18.8%; pTRAM, 72.7%; LD, 78.3%; p = 0.008). Mild complications occurred significantly more often after LD reconstructions (LD, 60.9%; pTRAM, 22.7%; TE/IMP, 12.5%; p = 0.031), while severe complications were significantly more frequent after the pTRAM procedures (pTRAM, 27.3%; TE/IMP, 6.2%; LD, 8.7%; p = 0.047). Severe complications were associated with higher rehospitalization rate (p = 0.010) and longer hospital stay. Study revealed a significant impact of the operative method on the incidence and severity of early complications after breast reconstruction procedures with little effect from other demographic and clinical factors.

The Emerging Role of Robotic Single-site Approach for Myomectomy: A Systematic Review of the Literature

2021 ◽  
pp. 155335062098822
Author(s):  
Eirini Giovannopoulou ◽  
Anastasia Prodromidou ◽  
Nikolaos Blontzos ◽  
Christos Iavazzo
Keyword(s):  
Blood Loss ◽  
Minimally Invasive ◽  
Complication Rate ◽  
Operative Time ◽  
Intraoperative Complications ◽  
Single Site ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Robotic Myomectomy ◽  
The Mean

Objective. To review the existing studies on single-site robotic myomectomy and test the safety and feasibility of this innovative minimally invasive technique. Data Sources. PubMed, Scopus, Google Scholar (from their inception to October 2019), as well as Clinicaltrials.gov databases up to April 2020. Methods of Study Selection. Clinical trials (prospective or retrospective) that reported the outcomes of single-site robotic myomectomy, with a sample of at least 20 patients were considered eligible for the review. Results. The present review was performed in accordance with the guidelines for Systematic Reviews and Meta-Analyses (PRISMA). Four (4) studies met the inclusion criteria, and a total of 267 patients were included with a mean age from 37.1 to 39.1 years and BMI from 21.6 to 29.4 kg/m2. The mean operative time ranged from 131.4 to 154.2 min, the mean docking time from 5.1 to 5.45 min, and the mean blood loss from 57.9 to 182.62 ml. No intraoperative complications were observed, and a conversion rate of 3.8% was reported by a sole study. The overall postoperative complication rate was estimated at 2.2%, and the mean hospital stay ranged from 0.57 to 4.7 days. No significant differences were detected when single-site robotic myomectomy was compared to the multiport technique concerning operative time, blood loss, and total complication rate. Conclusion. Our findings support the safety of single-site robotic myomectomy and its equivalency with the multiport technique on the most studied outcomes. Further studies are needed to conclude on the optimal minimally invasive technique for myomectomy.

Risk Factors for Intraoperative Complications in 1000 Extracapsular Cataract Cases

Ophthalmology ◽  
1987 ◽  
Vol 94 (5) ◽  
pp. 461-466 ◽  
Author(s):  
James P. Guzek ◽  
Martin Holm ◽  
John B. Cotter ◽  
James A. Cameron ◽  
Wilfred J. Rademaker ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intraoperative Complications

scholarly journals Implant removal associated complications after ESIN osteosynthesis in pediatric fractures

2021 ◽  
Author(s):  
Justus Lieber ◽  
Markus Dietzel ◽  
Simon Scherer ◽  
Jürgen F. Schäfer ◽  
Hans-Joachim Kirschner ◽  
...  
Keyword(s):  
Complication Rate ◽  
Metal Removal ◽  
Intraoperative Complications ◽  
Statistical Significance ◽  
Major Complication ◽  
Safe Procedure ◽  
Pediatric Fractures ◽  
Femur Fractures ◽  
Outlet Angle ◽  
Implant Length

Abstract Purpose ESIN (elastic stable intramedullary nailing) is considered the gold standard for various pediatric fractures. The aim of this study was to analyze the incidence and type of complications during or after TEN (titanium elastic nail) removal. Methods A retrospective data analysis was performed. Metal removal associated complications and preoperative extraosseous length/outlet angle of TENs as possible causes of complications were assessed. Results The complication rate in 384 TEN removals was 3.1% (n = 12). One major complication (rupture of M. extensor pollicis brevis) was documented. One refracture at the forearm occurred, however, remodeling prior TEN removal was completed. Ten minor complications were temporary or without irreversible restrictions (3 infections, 5 scaring/granuloma, 2 temporary paraesthesia). In 38 cases (16 forearms, 10 femora, 9 humeri, 3 lower legs), intra-operative fluoroscopy had to be used to locate the implants. In patients with forearm fractures, extraosseous implant length was relatively shorter than in cases without fluoroscopy (p = 0.01), but outlet angle of TENs was not significantly different in these two groups (28.5° vs 25.6°). In patients with femur fractures, extraosseous implant length and outlet angle were tendentially shorter, respectively, lower, but this did not reach statistical significance. Conclusion Removal of TENs after ESIN is a safe procedure with a low complication rate. Technically inaccurate TEN implantation makes removal more difficult and complicated. To prevent an untimely removal and patient discomfort, nail ends must be exactly positioned and cut. Intraoperative complications may be minimized with removal of TENs before signs of overgrowth. Evidence Level III, retrospective.

scholarly journals Early postoperative complications and 90-day mortality in patients undergoing radical cystectomy

2020 ◽  
Vol 74 ◽  
pp. 354-361
Author(s):  
Paweł Hackemer ◽  
Bartosz Małkiewicz ◽  
Fryderyk Menzel ◽  
Krzysztof Tupikowski ◽  
Aleksandra Drabik ◽  
...  
Keyword(s):  
Risk Factors ◽  
Mortality Rate ◽  
Radical Cystectomy ◽  
Complication Rate ◽  
Wound Dehiscence ◽  
Treatment Method ◽  
Regional Lymph Nodes ◽  
Factors Associated ◽  
American Society ◽  
Muscle Invasive

Introduction: The standard treatment method of muscle-invasive bladder cancer is radical cystectomy. This complex procedure consists of removing the urinary bladder with distal ureters and regional lymph nodes. Additionally, the prostate with seminal vesicles in men and uterus with ovaries in women should be excised. Therefore, this demanding oncological surgery is associated with a high occurrence of complications. The aim of this study was to assess the complications after radical cystectomy and identify the factors associated with severe complications and high mortality rate. Materials/Methods: We retrospectively analyzed medical data of 213 patients who underwent a radical cystectomy. Preoperative risk factors were assessed based on American Society of Anesthesiologists classification (ASA) and the Charlson Comorbidity Index (CCI). Clavien-Dindo classification was also included in our analysis. We investigated various factors associated with 30-day and 90-day mortality. Results: Complications after surgery were reported in 38% (n = 81) of patients in the studied group. Excluding perioperative high fever, the complication rate was 18%. The following complications were observed in 30-day postoperative period: wound infection (n = 6), wound dehiscence (n = 4), mechanical bowel obstruction (n = 3), hemorrhage (n = 2), cardiological (n = 8), stroke (n = 3). Observed 30-day mortality was 2.3% (n = 5), while 90-day mortality was 8.9% (n = 19). The mortality rate was associated with the stage of cancer and the type of urinary diversion. Conclusions: Radical cystectomy is a complex and traumatic urological surgery. It is associated with a significant complication rate and mortality, and it negatively affects quality of life. Therefore, all known risk factors should be thoroughly assessed preoperatively to select optimal treatment. Furthermore, the patient should be carefully informed about the risks associated with the surgery.

scholarly journals Evaluation of unmodifiable and potentially modifiable factors affecting peripheral intravenous device-related complications in neonates: a retrospective observational study

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e047788 ◽  
Author(s):  
Matheus F P T van Rens ◽  
Kevin Hugill ◽  
Mohamad A Mahmah ◽  
Mohammad Bayoumi ◽  
Airene L V Francia ◽  
...  
Keyword(s):  
Risk Factors ◽  
Observational Study ◽  
Complication Rate ◽  
Dwell Time ◽  
Retrospective Observational Study ◽  
Intravenous Therapy ◽  
Factors Affecting ◽  
Intravenous Access ◽  
Modifiable Factors ◽  
Peripheral Intravenous Access

ObjectivesInfants in neonatal units benefit from dependable peripheral intravenous access. However, peripheral intravenous access exposes infants to high rates of clinically minor and serious complications. Despite this, little is known about the interplay of risk factors. The aim of this study was to assess the incidence and evaluate the interactions of risk factors on the occurrence of peripheral intravenous complications in a neonatal population.DesignThis was a retrospective observational study.SettingThe study was performed on the neonatal intensive care unit of the Women’s Wellness and Research Center, Hamad Medical Corporation, Qatar, as a single-site study.ParticipantsThis study included 12 978 neonates who required intravenous therapy.Outcome measurementsThe main outcome was the occurrence of any peripheral intravenous cannulation failure, leading to unplanned removal of the device before completion of the intended intravenous therapy.ResultsA mean dwell time of 36±28 hours was recorded in participants with no complications, whereas the mean dwell time was 31±23 hours in participants with an indication for premature removal of the peripheral intravenous catheter (PIVC) (p<0.001, t=11.35). Unplanned removal occurred in 59% of cases; the overall complication rate was 18 per 1000 catheter days. Unmodifiable factors affecting PIVC dwell time include lower birth (HR=0.23, 0.20 to 0.28, p<0.001) and current body weight (HR=1.06, 1.03 to 1.10, p=0.018). Cannulation site (HR=1.23, 1.16 to 1.30, p<0.001), the inserted device (HR=0.89, 0.84 to 0.94, p<0.001) and the indication for intravenous treatment (HR=0.76, 0.73 to 0.79, p<0.001) were modifiable factors.ConclusionMost infants experienced a vascular access-related complication. Given the high complication rate, PIVCs should be used judiciously and thought given prior to their use as to whether alternate means of intravenous access might be more appropriate.

Phacoemulsification in Post Vitrectomy Eyes; Result and Complications

2018 ◽  
Vol 44 (1) ◽  
pp. 37
Author(s):  
Widya Anandita ◽  
Syska Widyawati
Keyword(s):  
Postoperative Complication ◽  
Complication Rate ◽  
Intraoperative Complications ◽  
Visual Outcome ◽  
Descriptive Study ◽  
Oil Extraction ◽  
Intraoperative Complication ◽  
Silicon Oil ◽  
Complications Rate

Introduction : To evaluate visual outcome and complication rate of phacoemulsification in post vitrectomy eyes. Methods : retrospective descriptive study Result : Data from seventy-five eyes was analyzed. Mean BCVA improves from 1.8 LogMAR (0.2- 2.5) to 1.3 LogMAR (0-2.5) postoperatively, with biggest improvement of 0.57 LogMAR shows in patients with preoperative BCVA of <1.8 LogMAR. Only 1.3% patient has intraoperative complication, and 52% patient has postoperative complication, of which 27.9% is PCO. Patients with silicon oil who underwent combination surgery of phacoemulsification and silicon oil extraction has higher redetachment rate (33%) compare to patient who only underwent phacoemulsification (20%). Conclusion : Phacoemulsification improves BCVA in most patients, and intraoperative complications rate was low. There was evidence of correlation between higher redetachment rate and combination of phacoemulsification with silicon oil extraction.

Comparative Outcomes by Surgical Approach in Patients with Malignant Sinonasal Disease

2021 ◽  
Author(s):  
Nicholas R. Lenze ◽  
Carolyn Quinsey ◽  
Deanna Sasaki-Adams ◽  
Matthew G. Ewend ◽  
Brian D. Thorp ◽  
...  
Keyword(s):  
Outcome Measures ◽  
Surgical Approach ◽  
Complication Rate ◽  
Perioperative Complications ◽  
Intraoperative Complications ◽  
Care Center ◽  
Tertiary Care ◽  
Undifferentiated Carcinoma ◽  
Open Approach ◽  
Sinonasal Disease

Abstract Objective There is a paucity of data on comparative outcomes for open versus endoscopic surgery for patients with malignant sinonasal pathology. Most of the available studies are limited by a sample size <100 patients. Design This is a retrospective cohort study. Setting The findings of this study come from a single-institution tertiary care center from 2008 to 2019. Participants In total, 199 patients who underwent surgery for malignant sinonasal disease participated in this study. Main Outcome Measures The main outcome measures were perioperative complications and reoperation. Results Patients in our sample had a mean age of 59.7 years (SD, 20.4). In total, 62% were male and 72% were white. An endoscopic-only approach was used in 41% of patients and an open or combined approach in 59% of patients. Squamous cell carcinoma was the most common pathology (43.0%), followed by sarcoma (9.5%), skin cancer (6.5%), sinonasal undifferentiated carcinoma (6.5%), and adenocarcinoma (5.5%). The all-cause complication rate was 14.6%. Patients with an open resection had a higher rate of intraoperative complications (5.9 vs. 0%; p = 0.043), postoperative complications (19.5 vs. 3.7%; p = 0.001), and all-cause complications (21.0 vs. 3.7%; p < 0.001). The likelihood of early reoperation (<6 months) or late reoperation (>6 months) did not significantly differ by surgical approach (p = 1.000 and 0.741, respectively). Conclusion The endoscopic approach for resection of malignant sinonasal disease is viable for select patients and may be associated with a favorable complication rate compared with the open approach.

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