Postsurgical Complications involving the Pancreas

1979 ◽  
Vol 8 (2) ◽  
pp. 455-470
Author(s):  
JUAN-R. MALAGELADA ◽  
V.L.W. GO ◽  
W.H. REMINE ◽  
E.P. DIMAGNO
Keyword(s):  
Postsurgical Complications

scholarly journals PERCUTANEOUS ENDOVASCULAR TREATMENT FOR REPAIR OF LATE POSTSURGICAL COMPLICATIONS IN UNIVENTRICULAR PHYSIOLOGY

2021 ◽  
Vol 77 (18) ◽  
pp. 2772
Author(s):  
Imelda Rincon ◽  
Lucelli Yañez-Gutierrez ◽  
Horacio Marquez-Gonzalez ◽  
David Salazar-Lizarraga ◽  
Cristopher German-Arroyo ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Postsurgical Complications

scholarly journals Diagnosis, treatment and postsurgical complications in a dog with epileptic seizures and a naso-ethmoidal meningoencephalocele

2021 ◽  
Vol 63 (1) ◽  
Author(s):  
Abtin Mojarradi ◽  
Sofie Van Meervenne ◽  
Alejandro Suarez-Bonnet ◽  
Steven De Decker
Keyword(s):  
Surgical Resection ◽  
Medical Management ◽  
Surgical Intervention ◽  
Clinical Signs ◽  
Epileptic Seizures ◽  
Nasal Discharge ◽  
Dural Defect ◽  
Drug Resistant ◽  
Tension Pneumocephalus ◽  
Postsurgical Complications

Abstract Background Naso-ethmoidal meningoencephalocele is usually a congenital anomaly consisting of a protrusion of cerebral tissue and meninges into the ethmoidal labyrinth. The condition is a rare cause of structural epilepsy in dogs. We report the clinical presentation, surgical intervention, postoperative complications and outcome in a dog with drug resistant epilepsy secondary to a meningoencephalocele. Case presentation A 3.3-year-old male neutered Tamaskan Dog was referred for assessment of epileptic seizures secondary to a previously diagnosed left-sided naso-ethmoidal meningoencephalocele. The dog was drug resistant to medical management with phenobarbital, potassium bromide and levetiracetam. Surgical intervention was performed by a transfrontal craniotomy with resection of the meningoencephalocele and closure of the dural defect. Twenty-four hours after surgery the dog demonstrated progressive cervical hyperaesthesia caused by tension pneumocephalus and pneumorrhachis. Replacement of the fascial graft resulted in immediate resolution of the dog’s neurological signs. Within 5 months after surgery the dog progressively developed sneezing and haemorrhagic nasal discharge, caused by sinonasal aspergillosis. Systemic medical management with oral itraconazole (7 mg/kg orally q12h) was well-tolerated and resulted in resolution of the clinical signs. The itraconazole was tapered with no relapsing upper airway signs. The dog’s frequency of epileptic seizures was not affected by surgical resection of the meningoencephalocele. No treatment adjustments of the anti-epileptic medication have been necessary during the follow-up period of 15 months. Conclusions Surgical resection of the meningoencephalocele did not affect the seizure frequency of the dog. Further research on prognostic factors associated with surgical treatment of meningoencephaloceles in dogs is necessary. Careful monitoring for postsurgical complications allows prompt initiation of appropriate treatment.

scholarly journals The Postoperative Pancreas Imaging

2020 ◽  
Vol 3 (01) ◽  
pp. 087-098
Author(s):  
Ahmed Taher ◽  
Bilal Mujtaba ◽  
Nisha S. Ramani ◽  
Asif Patel ◽  
Ajaykumar C. Morani
Keyword(s):  
Surgical Techniques ◽  
Mortality Rates ◽  
Early Postoperative Period ◽  
Imaging Findings ◽  
Postoperative Assessment ◽  
Postsurgical Complications ◽  
Postoperative Intensive Care ◽  
Computed Tomography Scans ◽  
Hospital Stays ◽  
Postoperative Findings

Abstract Recent advances in the surgical techniques and postoperative intensive care have led to a decrease in the mortality rates after major pancreatic procedures, which now ranges from 1 to 3%. However, the morbidity rates are still high, resulting in longer hospital stays and greater cost. Imaging plays a fundamental role in the postoperative assessment. Specially, multidetector computed tomography scans (MDCT) is the modality of choice in the postoperative settings. Early diagnosis of the postoperative complications and differentiating them from being normal or expected postoperative findings is crucial to offer the best possible care for patients and to decrease the morbidity and mortality associated with surgery. In this article, we will briefly review the normal pancreatic anatomy, discuss the main types of pancreatic surgeries, and illustrate the imaging findings during the early postoperative period and of the main postsurgical complications in both acute and chronic postoperative settings.

scholarly journals Grade of esophageal cancer and nutritional status impact on postsurgery outcomes

2010 ◽  
Vol 47 (4) ◽  
pp. 348-353 ◽  
Author(s):  
Flávia Andréia Marin ◽  
Vânia Cristina Lamônica-Garcia ◽  
Maria Aparecida Coelho de Arruda Henry ◽  
Roberto Carlos Burini
Keyword(s):  
Body Mass Index ◽  
Nutritional Status ◽  
Disease Severity ◽  
Body Mass ◽  
Disease Onset ◽  
Body Weight Loss ◽  
Blood Chemistry ◽  
Palliative Surgery ◽  
Postsurgical Complications ◽  
Complications And Mortality

CONTEXT: Undernutrition is a well known underlying cause in both disease onset and outcome. OBJECTIVE: To associate disease severity with pre surgical nutritional status, the main postsurgical complications, and mortality in esophagus cancer patients. METHOD: Retrospective data from 100 patients (38-81 years old, 85% males) who had undergone esophagectomy (G1/n = 25) or gastro/jejunostomy (G2/n = 75) between 1995 and 2004. Data included clinical, endoscopic, histological (TNM-UICC), dietary, anthropometric, blood chemistry, and postsurgical (>30 days) complications and mortality. Surgical groups were compared by Student's test and existing associations between variables by either c² or Fisher exact tests with P = 0.05. RESULTS: The studied sample was predominantly male (85%), white (80%), smokers and alcoholics (95%), dysphagics (95%) mostly presenting body weight loss before cancer diagnosis (78%). TNM III and IV predominated over I and II, associated (P<0.005) with higher body mass index and hypoalbuminemia (<3.5 mg/dL) frequency. Esophagic obstructions (n = 77) were associated (P = 0.002) with lower body mass index (kg/m²). Postsurgical complications were more common in G1 (69.2%) than G2, predominantly with infections in G2 (80%) and pleura-pulmonary in G1 (61%). Body mass index and lower lymphocyte counts were associated with early infections and postsurgical complications in G2. Plasma albumin levels were lower in this group than G1, and were associated with postsurgical complications and mortality whereas lower lymphocyte counts was associated with mortality in G1. CONCLUSIONS: Disease severity (or late diagnosis) is associated with poor nutritional status and palliative surgery which lead to more complicated postsurgery outcome and mortality. Early diagnosis and nutritional intervention are the recommended actions.

Postoperative Imaging of Ulnar Wrist Pain

2021 ◽  
Vol 25 (02) ◽  
pp. 329-345
Author(s):  
Luis Cerezal ◽  
Eva Llopis ◽  
Ana Canga ◽  
Francisco Del Piñal
Keyword(s):  
Surgical Techniques ◽  
Soft Tissue Injuries ◽  
Clinical Problem ◽  
Wrist Pain ◽  
Resonance Imaging ◽  
Postoperative Evaluation ◽  
Postsurgical Complications ◽  
Ulnar Wrist Pain ◽  
Magnetic Resonance Imaging Mri ◽  
Critical Aspects

AbstractUlnar wrist pain, caused by a broad spectrum of bone and soft tissue injuries, is the most common clinical condition of the wrist. Multiple surgical techniques and their variants in the treatment of these injuries are constantly evolving. Postoperative evaluation of the wrist for many surgeons is limited to serial clinical and radiographic monitoring. However, imaging methods such as ultrasonography, computed tomography (CT), magnetic resonance imaging (MRI), and arthrographic techniques (arthrographic CT and arthrographic MRI) play a fundamental role in diagnosing and managing postsurgical complications.The several critical aspects in evaluating the postsurgical wrist imaging spectrum are familiarity with the surgical techniques, knowledge of the original clinical problem, understanding the strength and limitations of the different radiologic modalities, and effective communication between surgeon and radiologist.

Traumatic Intracerebral Contusions

Neurotrauma ◽  
2019 ◽  
pp. 53-62
Author(s):  
Ilyas Eli ◽  
Mitchell Couldwell ◽  
Craig H. Rabb
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Neurological Examination ◽  
Mass Effect ◽  
Close Monitoring ◽  
Monitoring Device ◽  
Radiographic Findings ◽  
Postsurgical Complications ◽  
Gcs Score ◽  
Occipital Lobes

Cerebral contusions are a subtype of traumatic brain injury that classically result from coup or contrecoup injuries. Common locations for these injuries are the inferior frontal, temporal, and occipital lobes. Mass effect from edema and hemorrhagic progression are frequent with contusions. Depending on the clinical examination results and radiographic findings, treatment may be nonsurgical or surgical. A Glasgow Coma Scale (GCS) score of 8 or less warrants placement of an intracranial pressure (ICP) monitoring device. Surgery is indicated in patients with deterioration of neurological examination findings, ICP that is refractory to exhaustive medical management, or imaging findings of severe mass effect. Patients with moderate or severe traumatic brain injury (GCS <13) are typically admitted to intensive care units for close monitoring of neurological examination changes, hyponatremia, hemorrhagic progression, and postsurgical complications. Recovery varies widely, and outcomes depend on age, initial GCS score, size, and location of the contusion.

scholarly journals Clinical and economic burden of postsurgical complications of high-risk surgeries: a cohort study in Thailand

2020 ◽  
Vol 23 (10) ◽  
pp. 1046-1052
Author(s):  
Khachen Kongpakwattana ◽  
Piyameth Dilokthornsakul ◽  
Teerapon Dhippayom ◽  
Nathorn Chaiyakunapruk
Keyword(s):  
Cohort Study ◽  
High Risk ◽  
Economic Burden ◽  
Postsurgical Complications

Imaging Following Fractures of and Around the Knee

2018 ◽  
Vol 22 (04) ◽  
pp. 457-463
Author(s):  
Christian Krestan ◽  
Mark Schurz ◽  
Hatice Sanal
Keyword(s):  
Tibial Plateau ◽  
Postsurgical Complications ◽  
Technical Factors ◽  
Reconstructive Techniques

AbstractRelated to fractures of and around the knee, inappropriate technical factors related to the surgery, severe comminution of the fracture, early overly arduous rehabilitation of the patient, and patient-related noncompliances may have the potential for the risk of inadequate fixation and other complications. Loss of fixation, malunion/nonunion, infection, arthritis, arthrofibrosis, and symptomatic hardware are among postsurgical complications that may necessitate further reconstructive techniques. In this review, complications that may be encountered in the postsurgical period of fractures involving the patella, supracondylar femur, and tibial plateau are described.

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