RISK FACTORS FOR EARLY POSTOPERATIVE COMPLICATIONS IN CIRRHOTIC PATIENTS UNDERGOING SURGERY

1994 ◽  
Vol 22 (1) ◽  
pp. A45
Author(s):  
Avishai Ziser ◽  
David Plevak ◽  
Jorge Rakela ◽  
Kenneth Offord ◽  
David Brown
Keyword(s):  
Risk Factors ◽  
Postoperative Complications ◽  
Early Postoperative Complications ◽  
Cirrhotic Patients

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.

scholarly journals ANALYSIS OF COMPLICATIONS IN ELIMINATION OF THE COLOSTOMY AFTER HARTMANN SURGERY

2016 ◽  
Vol 175 (5) ◽  
pp. 69-73
Author(s):  
V. I. Pomazkin
Keyword(s):  
Risk Factors ◽  
Colon Cancer ◽  
Prognostic Factors ◽  
Postoperative Complications ◽  
The Third ◽  
Early Postoperative Complications ◽  
Reconstructive Operations ◽  
End Colostomy ◽  
Adhesion Process ◽  
Made In

An analysis of early postoperative complications was made in reconstructive surgery on the colon in case of the end colostomy in patients with left-half colon cancer complicated by intestinal obstruction. This work investigated the prognostic factors, which could influence on incidence of complications. The research included results of reconstructive operations in 192 patients. The early postoperative complications were noted in 18 (9,4%) patients. The univariant analysis of risk factors showed, that the presence COPD increased the possibility of complication incidence in 1,7 times (p=0,044). The incidence of purulent complications on previous stage of treatment increased complications in 4,3 times (p=0,011) and the third degree of adhesions process intensity compared with the first degree - in 9,7 times (p=0,001). The multivariant analysis demonstrated a correlation of the complication risks in reconstructive operations with presence of complications on the previous stage of treatment. This correlation was 4,3 (CI 1,7-23,3; p=0,021) and it consisted of 7, 5 (CI 1,3-15,6; p=0,001) in case of presence of the third degree of adhesion process.

Risk factors associated with early postoperative complications following laparoscopic total gastrectomy: Experience from the Chinese Laparoscopic Gastrointestinal Surgery Study (CLASS) group.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e15544-e15544
Author(s):  
Jingdong Liu ◽  
Haojie Li ◽  
Gang Zhao ◽  
Zekuan Xu ◽  
Guoxin Li ◽  
...  
Keyword(s):  
Risk Factors ◽  
Gastric Cancer ◽  
Postoperative Complications ◽  
Total Gastrectomy ◽  
Multivariable Analysis ◽  
Laparoscopic Total Gastrectomy ◽  
Morbidity And Mortality ◽  
Reconstruction Method ◽  
Factors Associated ◽  
Early Postoperative Complications

e15544 Background: The incidence rate of proximal gastric cancer has been rising steadily, and laparoscopic total gastrectomy (LTG) has been widely adopted. However, the safety of LTG still lacks solid evidence to prove. The aim of this study was to evaluate morbidity and mortality of LTG, and determine the risk factors associated with early postoperative complications. Methods: A retrospective multicenter study was carried out in China, and medical records of 109 gastric cancer patients receiving LTG during September 2014 and June 2016 were retrieved from the database. Patient characteristics, surgical outcomes, and postoperative morbidities and mortalities were analyzed. Results: Morbidity and mortality rates were 22.0% and 0% respectively. Pulmonary infection (13.8%, n = 15) was the most common complication. Most complications were grade II (15.5%, n = 17) according to the Clavien-Dindo classification. Multivariable analysis identified comorbidity, type of reconstruction method (TLTG) were independent risk factors of early postoperative complications. Comorbidity was the only independent risk factor of complications graded more than II. Diabetes mellitus was found correlated with surgical complication in subgroup analysis. Conclusions: LTG is safe and technically feasible in treating gastric cancer. Careful selection of patients without comorbidity and applying laparoscopy-assisted total gastrectomy instead of totally laparoscopic total gastrectomy may decrease postoperative complications.

Impact of neoadjuvant chemotherapy on wound complications after breast surgery

2013 ◽  
Vol 21 (3-4) ◽  
pp. 105-108
Author(s):  
Milan Ranisavljevic ◽  
Vladimir Selakovic ◽  
Dejan Lukic ◽  
Zoran Radovanovic ◽  
Ferenc Vicko
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Postoperative Complications ◽  
Breast Surgery ◽  
Breast Conservation ◽  
Older Age ◽  
Breast Conservation Surgery ◽  
Wound Complications ◽  
Breast Cancer Patients ◽  
Early Postoperative Complications

Background: Benefits from the neoadjuvant approach are survival benefits and breast conservation surgery rather than mastectomy. The purpose of our study was to evaluate the incidence and risk factors that influence early local complications in patients that had breast surgery after neoadjuvant polychemotherapy. Methods: This retrospective study was undertaken with 361 breast cancer patients (women) who were treated at the Oncology Institute of Vojvodina from January 2007 to December 2012. In the first group (N1=103) were the patients who underwent neoadjuvant polychemotherapy and in the second group (N2=258) were patients who did not take neoadjuvant polychemotherapy. Surgery procedures were breast conservative surgery, mastectomy, or nipple sparing mastectomy with immediate breast reconstruction, depending on tumor stage after polychemotherapy. Median follow-up of patients after operation was 49 months (ranging from 15 to 75 months). Results: The average reduction of tumor volume after neoadjuvant polychemotherapy was 30%. Most common complications were prolonged seroma formation and minor skin necrosis. Obesity, older age, smoking, and diabetes mellitus were recognized as risk factors for early postoperative complications after neoadjuvant polychemotherapy (p<0.05). Conclusion: Obesity, older age, smoking, and diabetes mellitus were recognized as risk factors for early postoperative complications after neoadjuvant polychemotherapy.

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