scholarly journals How I do it—the posterior question mark incision for decompressive hemicraniectomy

2021 ◽  
Vol 163 (5) ◽  
pp. 1447-1450
Author(s):  
Michael Veldeman ◽  
Mathias Geiger ◽  
Hans Clusmann
Keyword(s):  
Complication Rate ◽  
Question Mark ◽  
Decompressive Hemicraniectomy ◽  
Skull Reconstruction ◽  
Number Of Patients ◽  
Lower Complication ◽  
Lower Complication Rate

Abstract Background Decompressive hemicraniectomy (DHC) is a lifesaving procedure which every neurosurgeon should master early on. As indications for the procedure are growing, the number of patients eventually requiring skull reconstruction via cranioplasty also increases. The posterior question mark incision is a straightforward alternative to the classic trauma-flap and can easily be adopted. Some particularities exist one should consider beforehand and are discussed here in detail. Methods Surgical steps, aids, and pitfalls are comprehensively discussed to prepare surgeons who wish to gain experience with this type of incision. Conclusion Due to the lower complication rate after cranioplasty, the posterior question mark incision has superseded the traditional pre-auricular starting anterior question mark incisions, in our department for the performance of decompressive hemicraniectomies.

scholarly journals Evaluation of the complications in laparoscopic retroperitoneal radical nephrectomy; An experience of high volume centre

2017 ◽  
Vol 89 (4) ◽  
pp. 266 ◽  
Author(s):  
Ali Serdar Gozen ◽  
Vitalie Gherman ◽  
Yigit Akin ◽  
Mustafa Suat Bolat ◽  
Muhammad Elmussareh ◽  
...  
Keyword(s):  
Learning Curve ◽  
Complication Rate ◽  
Radical Nephrectomy ◽  
High Volume ◽  
Safe Procedure ◽  
Number Of Patients ◽  
Lower Complication ◽  
Lower Complication Rate ◽  
Group A ◽  
Group B

Objectives: To provide a standardised report of complications after retroperitoneal laparoscopic radical nephrectomy (rLRN) in a high-volume centre using Clavien-Dindo classification. Materials and methods: We analysed records maintained in a prospective database of 330 consecutive patients that underwent rLRN between March 1995 and September 2016. All complications were graded according to the modified Clavien-Dindo classification. Three generations of surgeons were defined and the learning curve in rLRN was evaluated by comparing the first 100 cases (Group A) performed by firstgeneration surgeons with the last 100 cases (Group B) by thirdgeneration surgeons. Results: The mean age of our cohort was 66 ± 11.9 years. The overall complication rate was 19.7%. The majority of complications (12.7%) were Clavien 1 (5.1%) and Clavien 2 (7.6%) and did not require any interventions; blood transfusion was the most frequently encountered intervention (4.8%). Half of which were because of major intraoperative bleeding. Mortality rate was 0.9%. We found a trend towards lower complication rate in group B (19%) compared to group A (23%); this was mainly because of the reduction in the incidence of Clavien 1 and 2 complications. The pathological stage varied significantly in the two groups while the rate of negative surgical margins was comparable. Conclusions: rLRN is a safe procedure with an acceptable rate of complications. The learning curve was shorter for the thirdgeneration surgeons (group B); although these surgeons operated on a significantly higher number of patients with more advanced diseases. The Clavien-Dindo classification is suitable for assessing rLRN complications. Adopting this standardised system can help in the evaluation and comparison of surgical quality of LRN series.

Conventional Detachment Surgery in Rhegmatogenous Retinal Detachment; Indications and Techniques

2019 ◽  
pp. 187-196
Keyword(s):  
Retinal Detachment ◽  
Complication Rate ◽  
Rhegmatogenous Retinal Detachment ◽  
Subretinal Fluid ◽  
Scleral Buckling ◽  
Conventional Surgery ◽  
Surgical Method ◽  
Retinal Detachment Surgery ◽  
Lower Complication ◽  
Lower Complication Rate

Conventional surgery with a lower complication rate is recommended in cases of rhegmatogenous retinal detachment. Conventional retinal detachment surgery is still an appropriate technique for the treatment of most of the cases with rhegmatogenous retinal detachment even today. The main steps of the conventional retinal detachment surgeries are cryopexy, scleral buckling, encircling, and removal of subretinal fluid. Successful results have been reported in this surgical method in uncomplicated cases. This review mentions about the conventional detachment surgery in the main aspects.

Early nasojejunal feeding in acute pancreatitis is associated with a lower complication rate

Nutrition ◽  
2002 ◽  
Vol 18 (3) ◽  
pp. 259-262 ◽  
Author(s):  
Attila Oláah ◽  
Gáabor Pardavi ◽  
Tibor Beláagyi ◽  
Attila Nagy ◽  
ÁAkos Issekutz ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Complication Rate ◽  
Lower Complication ◽  
Lower Complication Rate ◽  
Nasojejunal Feeding

Transradial approach for pediatric interventions: A review and analysis of the literature

2020 ◽  
pp. 112972982094868
Author(s):  
Derrek Schartz ◽  
Emily Young ◽  
Stephen Guerin
Keyword(s):  
Complication Rate ◽  
Pediatric Patients ◽  
Surgical Intervention ◽  
Pediatric Population ◽  
Adult Population ◽  
Pooled Analysis ◽  
Transradial Access ◽  
Lower Complication ◽  
Lower Complication Rate ◽  
Pediatric Interventions

Background: Transradial access for interventions has been well studied in the adult population, but there is a paucity of literature of its use in the pediatric population. Methods: We conducted a systematic literature review and gathered and synthesized all of the available data into a cohesive resource for review and analysis of the topic. Results: Pooled analysis of the available data shows that transradial access in pediatric patients has a success rate of 91%, a vasospasm rate of 11.4%, and loss of pulse rate of 3.0% for a total complication rate of 14%. No permanent complications, or complications requiring surgery, were observed in any study. After stratifying for indication of intervention, neurological indications were associated with a lower complication rate compared to cardiac indications (0.1 vs 0.43, respectively, p = 0.004). In addition, studies published after 2013 were associated with a lower complication rate compared to those published during or before 2013 (0.11 vs 0.33, respectively, p = 0.01). Conclusion: Compared to prior studies on pediatric transfemoral access, transradial access has a higher complication rate. But there may be a lower rate of complications that require surgical intervention. Further studies are needed to clarify any advantages that transradial access may have over transfemoral access for pediatric patients.

scholarly journals Transtrochanteric approach can provide better postoperative care and lower complication rate in the treatment of hip fractures

2019 ◽  
Vol Volume 14 ◽  
pp. 137-143 ◽  
Author(s):  
Safa Gursoy ◽  
Mehmet Emin Simsek ◽  
Mustafa Akkaya ◽  
Metin Dogan ◽  
Murat Bozkurt
Keyword(s):  
Hip Fractures ◽  
Complication Rate ◽  
Postoperative Care ◽  
Lower Complication ◽  
Lower Complication Rate

The S2AI Technique has a Lower Complication Rate Compared to Iliac Screws: A Multicenter Study of 418 Adult Spinal Deformity Patients

2017 ◽  
Vol 17 (10) ◽  
pp. S168
Author(s):  
Micheal Raad ◽  
Munish C. Gupta ◽  
Amit Jain ◽  
Hamid Hassanzadeh ◽  
Brian J. Neuman ◽  
...  
Keyword(s):  
Multicenter Study ◽  
Spinal Deformity ◽  
Complication Rate ◽  
Adult Spinal Deformity ◽  
Iliac Screws ◽  
Lower Complication ◽  
Lower Complication Rate
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