scholarly journals A Comparison of Perioperative Risks and Outcomes of Emergency Aorta- Versus Axillary-Bifemoral Bypass for Patients With Acute Aortoiliac Thrombosis

2021 ◽  
Vol 74 (3) ◽  
pp. e139-e140
Author(s):  
Sowmya Mangipudi ◽  
Benjamin J. Pomy ◽  
K. Benjamin Lee ◽  
George Thomas ◽  
Qasim Gadiwalla ◽  
...  
Keyword(s):  
Perioperative Risks

Computer Aided Methods to Predict Perioperative Risks

1985 ◽  
pp. 162-183 ◽  
Author(s):  
U. Feldmann ◽  
P.-M. Osswald ◽  
H.-J. Hartung ◽  
H. Lutz
Keyword(s):  
Computer Aided ◽  
Perioperative Risks

Increased risk of many early-life diseases after surgical removal of adenoids and tonsils in childhood

2017 ◽  
Author(s):  
Sean G. Byars ◽  
Stephen C. Stearns ◽  
Jacobus J. Boomsma
Keyword(s):  
Absolute Risk ◽  
Surgical Removal ◽  
Adult Health ◽  
Immune Development ◽  
Relative Risks ◽  
Increased Risk ◽  
Disease Risks ◽  
Perioperative Risks ◽  
Lymphatic Organs

AbstractBACKGROUNDSurgical removal of the adenoids and tonsils are common pediatric procedures, with conventional wisdom suggesting their absence has little impact on health or disease. However, little is known about long-term health consequences beyond the perioperative risks. Such ignorance is significant, for these lymphatic organs play important roles in both the development and the function of the immune system.METHODSWe tested the long-term consequences of surgery in the population of Denmark by examining risk for 28 diseases with ̴1 million individuals followed from birth up to 30 years of age depending on whether any of three common surgeries (adenoidectomy, tonsillectomy, adenotonsillectomy) occurred in the first 9 years of life. To weigh costs and benefits, we also compared the absolute risks for these diseases to the risks for the conditions that these surgeries aimed to treat. We obtained robust results by using stratified Cox regressions with statistically well-powered samples of cases (with surgery) and controls (without surgery) whose general health was no different prior to surgery. We adjusted our estimates of risk for diseases occurring before surgery, stratified for sex (and other effects) and for 18 covariates, including parental disease history and birth metrics.RESULTSWe found significantly elevated relative risks for many diseases, with effects on respiratory, allergic and infectious disorders after removal of adenoids and tonsils being most pronounced. For some of these diseases, absolute risk increases were considerable. In comparison, many risks for conditions that surgeries aimed to treat were either not significantly different or significantly higher following surgery up to 30 years of age. This suggests that any immediate benefits of these surgeries may not continue longer-term, while resulting in slightly compromised early adult health due to significantly increased risk of many non-target diseases.CONCLUSIONSOur results indicate that surgical removal of tonsils and adenoids early in life are associated with longer-term health risks. They underline the importance of these organs and tissues for normal immune functioning and early immune development, and suggest that these longer-term disease risks may outweigh the short-term benefits of these surgeries.

scholarly journals Perioperative risks of bariatric surgery among patients with and without history of solid organ transplant

2020 ◽  
Vol 20 (9) ◽  
pp. 2530-2539 ◽  
Author(s):  
John R. Montgomery ◽  
Jordan A. Cohen ◽  
Craig S. Brown ◽  
Kyle H. Sheetz ◽  
Grace F. Chao ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Organ Transplant ◽  
Solid Organ Transplant ◽  
Solid Organ ◽  
History Of ◽  
Perioperative Risks

scholarly journals Combined Liver and Inferior Vena Cava Resection for Malignancies Is Safe and Feasible in a Group of High-Risk Patients

2020 ◽  
Vol 9 (4) ◽  
pp. 1100
Author(s):  
Sandra Schipper ◽  
Markus Zimmermann ◽  
Andreas Kroh ◽  
Ulf Peter Neumann ◽  
Tom Florian Ulmer
Keyword(s):  
Vena Cava ◽  
Surgical Techniques ◽  
Oncological Outcome ◽  
Best Supportive Care ◽  
Treatment Modalities ◽  
Surgical Interventions ◽  
Inferior Vena Cava Resection ◽  
Inferior Caval Vein ◽  
Risk Patients ◽  
Perioperative Risks

Background and Methods: Tumors infiltrating the inferior caval vein (ICV) have been considered irresectable in the past due to high perioperative risks. Consequently, the only treatment option for these patients was best supportive care, which resulted in reduced survival. Advancements in surgical techniques have since evolved, such that combined resections of the ICV and the hepatic malignancy are being performed. The aim of this study was the evaluation of the long-term outcomes (e.g., survival) and short-term risks of this procedure. In this single-center, retrospective cohort study (n = 24), we evaluated surgical and oncological outcome for patients undergoing hepatic surgery for oncological indications in combination with resections of the ICV. In addition, we investigated which factors are associated with survival. Results: First, we showed that perioperative mortality is as low as 4.1%. Second, we showed that perioperative co-morbidities are acceptable for this type of advanced hepatobiliary surgery. Third, the reconstruction of the ICV by means of a patch was superior in terms of survival compared to other types of reconstructions. This finding was independent of the type or the aggressiveness of tumor or the resections status. Discussion: In our cohort, many patients had undergone (multiple) preceding visceral surgical interventions or underwent multi-visceral surgery. Despite the medical complexity, survival was encouraging in this cohort, offering novel treatment modalities with a low risk of severe morbidities.

scholarly journals Outcome of primary percutaneous stent-revascularization in patients with atherosclerotic acute mesenteric ischemia

2016 ◽  
Vol 58 (3) ◽  
pp. 311-315 ◽  
Author(s):  
Robert Forbrig ◽  
Philipp Renner ◽  
Piotr Kasprzak ◽  
Marc-H Dahlke ◽  
René Müller-Wille ◽  
...  
Keyword(s):  
Mesenteric Ischemia ◽  
Clinical Success ◽  
Acute Mesenteric Ischemia ◽  
Serum Lactate ◽  
Surgical Approaches ◽  
Symptom Duration ◽  
Success Rates ◽  
Perioperative Morbidity ◽  
Invasive Techniques ◽  
Perioperative Risks

Background Patients with acute mesenteric ischemia (AMI) often exhibit severe co-morbidities and significant surgical risks, leading to high perioperative morbidity. Purpose To investigate the feasibility of primary percutaneous stent-revascularization (PPSR) in atherosclerotic AMI and its impact on patients’ outcome. Material and Methods Retrospective analysis of 19 consecutive patients (7 women, 12 men; median age, 69 years) with AMI caused by atherosclerotic, non-embolic stenoses/occlusions of the splanchnic arteries and PPSR. Alternative minimally invasive techniques were excluded. Clinical characteristics including the Charlson Comorbidity Index adjusted by age (CCIa) and symptom duration, technical and clinical success of PPSR, clinical course, 30-day mortality, and follow-up were evaluated and compared to literature data for surgical approaches. Technical success was defined as residual stenosis of <30% in diameter. Clinical success was defined as resolution of symptoms of AMI and/or normalization of serum lactate after sole PPSR. Results The majority of patients presented with severe co-morbidities (CCIa >4 in 17 of 19 patients, 89%). Median symptom duration was 50 h. Technical and clinical success rates of PPSR were 95% (21 of 22 arteries) and 53% (10 of 19 patients). Seven patients underwent subsequent laparotomy with bowel resection in four cases. Thirty-day mortality was 42% (8 of 19 patients). Conclusion In our study population of patients with atherosclerotic AMI, severe co-morbidities, prolonged acute symptoms, and significant perioperative risks PPSR of splanchnic stenoses were technically feasible and the clinical outcome was acceptable.

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