scholarly journals Risk factors for post-pancreaticoduodenectomy delayed gastric emptying in the absence of pancreatic fistula or deep surgical site infection

HPB ◽  
2018 ◽  
Vol 20 ◽  
pp. S592-S593
Author(s):  
R.J. Ellis ◽  
D.B. Hewitt ◽  
R.P. Merkow ◽  
J.B. Liu ◽  
K.Y. Bilimoria ◽  
...  
Keyword(s):  
Risk Factors ◽  
Gastric Emptying ◽  
Surgical Site Infection ◽  
Pancreatic Fistula ◽  
Delayed Gastric Emptying ◽  
Site Infection ◽  
Deep Surgical Site Infection

scholarly journals Routine Use of Feeding Jejunostomy in Pancreaticoduodenectomy: A Metaanalysis

2020 ◽  
Author(s):  
Bhavin Vasavada ◽  
Hardik Patel
Keyword(s):  
Gastric Emptying ◽  
Surgical Site Infection ◽  
Pancreatic Fistula ◽  
Delayed Gastric Emptying ◽  
Control Group ◽  
Site Infection ◽  
Feeding Jejunostomy ◽  
Significant Difference ◽  
Deep Surgical Site Infection ◽  
Meta Analyses

Aims and objectives: The primary aim of our study was to evaluate morbidity and mortality following feeding jejunostomy in pancreaticoduodenectomy compared to the control group. We also evaluated individual complications like delayed gastric emptying; post operative pancreatic fistula, superficial and deep surgical site infection. Material and Methods: The study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and MOOSE guidelines. Heterogeneity was measured using Q tests and I2.the random-effects model was used. Results: Four studies including Total of 1639 patients were included in the analysis. Total 843 patients were included in Feeding jejunostomy group and 796 patients included in control group without feeding jejunostomy. Over all morbidity was significantly higher in feeding jejunostomy group. (P = 0.001). There was no significant difference between both the groups. (P=0.07). Delayed gastric emptying was significantly higher in feeding jejunostomy group. [P=0.021]. There was no significant difference in development of pancreatic fistula between the two groups. Deep surgical site infection was significantly higher in feeding jejunostomy group. (P=0.013). Hospital stay was significantly more in feeding jejunostomy group (p<0.0001). There was no significant difference between readmission; TPN requirement and time to start oral feed. Conclusion: Feeding jejunostomy seems to be associated with increased morbidity and increased length of stay.

Risk Factors for Deep Surgical Site Infection Following Operative Treatment of Ankle Fractures

2013 ◽  
Vol 95 (4) ◽  
pp. 348-353 ◽  
Author(s):  
Mikko T Ovaska ◽  
Tatu J Mäkinen ◽  
Rami Madanat ◽  
Kaisa Huotari ◽  
Tero Vahlberg ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Operative Treatment ◽  
Ankle Fractures ◽  
Site Infection ◽  
Deep Surgical Site Infection

Risk factors of short-term complications after pancreaticoduodenectomy treated periampullary carcinomas

MedPharmRes ◽  
2019 ◽  
Vol 3 (3) ◽  
pp. 19-22
Author(s):  
Vo Truong Quoc ◽  
Phan Minh Tri
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Pancreatic Fistula ◽  
Cross Sectional Study ◽  
Periampullary Cancer ◽  
Site Infection ◽  
Short Term ◽  
Cross Sectional ◽  
Pancreatic Parenchyma ◽  
Complications Rate

Introduction: Pancreaticoduodenectomy has been a radical treatment for periampullary carcinoma, which is a collection of malignant neoplasia of the periampullary region. Although the mortality has declined dramatically, the complications are still high. This study aims to determine the occurring rate of short-term complications after pancreaticoduodenectomy and to identify the risk factors related to those complications. Comprehension of these problems help increase the outcome. Materials and Method: It is a cross-sectional study of the patients with periampullary cancer, who undergo pancreaticoduodenectomy at Cho Ray Hospital from January 2012 to October 2016. Results: Overall complication rate was 25.65% from 230 patients. In which, pancreatic fistula and surgical site infection were the two most frequent complication (10.43% and 4.38% respectively). Pancreatic fistula was highly significantly associated with Wirsung’s duct diameter less than 3 mm (p = 0.015) and soften pancreatic parenchyma (p = 0.004). The soften pancreatic parenchyma also increased the risk of surgical site infection (OR 4.588), but it was not statistically significant (p = 0.056). Soften pancreatic parenchyma increased the haemorrhage complication significantly (p = 0.04) (OR: 10,668, 95% confidence). Discussions: Pancreatic main duct’s diameter, pancreatic density and Hemoglobin may relate to the early postoperative complications following pancreaticoduodenectomy. Detailedly, in particular for pancreatic fistula, 2 risk factors recognized are Wirsung’s diameter less than 3mm and soft pancreatic density. Meanwhile low concentration of hemoglobin in blood may increase the risk of incisional infection. Pancreatic density related to the complication of haemorrhage. Conclusions: Short-term complications’ rate following pancreatoduodenectomy remains high. Understanding the risk factors help us choose which case should be operated and do pre-operative preparation better.

scholarly journals Assessment of risk factors for early-onset deep surgical site infection following primary total hip arthroplasty for osteoarthritis

2021 ◽  
Vol 6 (9) ◽  
pp. 443-450
Author(s):  
Jonathan Bourget-Murray ◽  
Rohit Bansal ◽  
Alexandra Soroceanu ◽  
Sophie Piroozfar ◽  
Pam Railton ◽  
...  
Keyword(s):  
Risk Factors ◽  
Total Hip Arthroplasty ◽  
Surgical Site Infection ◽  
Infection Rate ◽  
Hip Arthroplasty ◽  
Early Onset ◽  
Site Infection ◽  
Total Hip ◽  
Deep Surgical Site Infection ◽  
Primary Total Hip Arthroplasty

Abstract. The aim of this study was to determine the incidence, annual trend, and perioperative outcomes and identify risk factors of early-onset (≤90 d) deep surgical site infection (SSI) following primary total hip arthroplasty (THA) for osteoarthritis. We performed a retrospective study using prospectively collected patient-level data from January 2013 to March 2020. The diagnosis of deep SSI was based on the published Centre for Disease Control/National Healthcare Safety Network (CDC/NHSN) definition. The Mann–Kendall trend test was used to detect monotonic trends. Secondary outcomes were 90 d mortality and 90 d readmission. A total of 22 685 patients underwent primary THA for osteoarthritis. A total of 46 patients had a confirmed deep SSI within 90 d of surgery representing a cumulative incidence of 0.2 %. The annual infection rate decreased over the 7-year study period (p=0.026). Risk analysis was performed on 15 466 patients. Risk factors associated with early-onset deep SSI included a BMI > 30 kg m−2 (odds ratio (OR) 3.42 [95 % CI 1.75–7.20]; p<0.001), chronic renal disease (OR, 3.52 [95 % CI 1.17–8.59]; p=0.011), and cardiac illness (OR, 2.47 [1.30–4.69]; p=0.005), as classified by the Canadian Institute for Health Information. Early-onset deep SSI was not associated with 90 d mortality (p=0.167) but was associated with an increased chance of 90 d readmission (p<0.001). This study establishes a reliable baseline infection rate for early-onset deep SSI after THA for osteoarthritis through the use of a robust methodological process. Several risk factors for early-onset deep SSI are potentially modifiable, and therefore targeted preoperative interventions of patients with these risk factors is encouraged.

Risk factors for deep surgical site infection in patients with operatively treated tibial plateau fractures

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Ralf Henkelmann ◽  
Karl-Heinz Frosch ◽  
Meinhard Mende ◽  
Tobias J. Gensior ◽  
Christopher Ull ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
Site Infection ◽  
Deep Surgical Site Infection

Risk Factors of Pancreatic Fistula and Delayed Gastric Emptying after Pancreaticoduodenectomy with Pancreaticogastrostomy

2007 ◽  
Vol 204 (4) ◽  
pp. 588-596 ◽  
Author(s):  
Emilie Lermite ◽  
Patrick Pessaux ◽  
Olivier Brehant ◽  
Carlos Teyssedou ◽  
Isabelle Pelletier ◽  
...  
Keyword(s):  
Risk Factors ◽  
Gastric Emptying ◽  
Pancreatic Fistula ◽  
Delayed Gastric Emptying
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