Clinical and surgical analysis of lobectomy for destroyed lobe of the lung: A series of 47 patients

2021 ◽  
pp. 021849232110171
Author(s):  
El Hassane Kabiri ◽  
Massine El Hammoumi ◽  
Mohamed Bhairis ◽  
Faycal El Oueriachi ◽  
Omar Slaoui ◽  
...  
Keyword(s):  
Thoracoscopic Surgery ◽  
Lung Parenchyma ◽  
Favorable Result ◽  
Irreversible Damage ◽  
Prolonged Air Leak ◽  
Operative Complications ◽  
Pulmonary Parenchyma ◽  
Destroyed Lung ◽  
Post Operative Complications

Objective Destroyed lobe of the lung is always secondary to chronic or recurrent lung infections with irreversible damage of pulmonary parenchyma. In this study, we analyzed surgical technique, post-operative complications, mortality, and long-term outcomes of patients undergoing lobectomy of pulmonary lobe destruction. Materials and methods A retrospective study of 47 patients that underwent lobectomy due to a destroyed lung parenchyma between January 2010 and December 2019 were reviewed with an average follow-up period of 39 months. Results The study included 47 patients with a mean age of 39.4 years. The etiology of lobe destroyed was tuberculosis in 15 (31.9%), non-tuberculosis bronchiectasis in 20 (42.5%), aspergilloma in 09 (19.1%), hydatid cyst in 2 (4.3%), and a mis-diagnosed intrabronchic foreign body in 1 (2.1%). Surgical approach was through posterolateral thoracotomy in 44 (93.6%) patients and video-assisted thoracoscopic surgery in only 3 patients. Mean operative time was 153 min and mean post-operative hospital stay was 7.9 days. The post-operative complications occurred in five (10.6%): atelectasis (n  =  2), wound site infection (n = 1), prolonged air leak (n = 1), and hemothorax in one case. No post-operative mortality was noted. A good clinical result was observed in 87.2% of cases. Conclusion Surgical treatment of destroyed lobe is a high risk associated surgery. Tuberculosis and aspergilloma are the most common etiologies. Favorable result was obtained in selected patient with an excellent perioperative care.

scholarly journals Study of the Lichtenstein’s hernioplasty and its post-operative complications for different types of inguinal hernia

2019 ◽  
Vol 6 (7) ◽  
pp. 2514
Author(s):  
Anantha Kumar Nateson ◽  
Suresh Nayak Basavanayak ◽  
Sudarsansrikanth .
Keyword(s):  
Inguinal Hernia ◽  
Lower Abdomen ◽  
Medical College ◽  
Body Sensation ◽  
Operative Complications ◽  
Different Types ◽  
Reliable Procedure ◽  
Post Operative Complications

Background: Lichtenstein’s hernioplasty is the commonly done surgery for inguinal hernias. The present study is aimed to study the Lichtenstein’s hernioplasty and its postoperative complications for different types of inguinal hernia.Methods: This prospective study was conducted at Department of General Surgery, MVJ Medical College and Research Hospital, Hoskote, Bangalore Rural, Karnataka. A total of 90 patients were selected for this study. Subjects with the age of 21 to 75 years with inguinal hernia are included in the study. A pre-designed proforma was used to collect their details. All selected cases were studied up to discharge regarding the type of hernia and followed up in OPD for 1 year regarding post-operative complications.Results: Immediate post-op complications like seroma/hematoma was observed in 10 (11.1%), wound infection was in 5 (5.5%) and orchitis was in 2 (2.2%). Post-operative complications like stiffness in lower abdomen was observed in 21 (23.3%) patients. Long term complications like forein body sensation was experienced by 22 (24.4) patients post-operatively at 1 month follow up, 8 (8.8%) patients at 3 months follow up and 3 (3.3) patients at 1 year follow up.  Chronic pain was experienced by 17 (18.8%) patients at the end of 1 month follow up, at 3 month follow up, 13 (14.4%) patients and at the end of 1 year of follow up 4 (4.4%) patients at operated site. Recurrence was not observed in any of the patient.Conclusions: The study findings indicate that Lichtenstein’s hernioplasty was safe and reliable procedure for inguinal hernia repair. 

Foregut Issues After Bariatric Surgery

2022 ◽  
pp. 263451612110674
Author(s):  
Fareed Cheema ◽  
Aurora D. Pryor
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Postoperative Complications ◽  
Weight Loss Surgery ◽  
Long Term Outcomes ◽  
Operative Complications ◽  
Complications After Bariatric Surgery ◽  
Broad Scale ◽  
Post Operative Complications

Weight loss surgery has overall been shown to be very safe and effective. However, long-term outcomes data has allowed codification of post-operative complications specific to the type of weight loss surgery performed. This review focuses specifically on foregut-related postoperative complications after weight loss surgery, most of which are not discussed on a broad scale in the literature yet whose prevalence continues to rise. Clinicians should maintain a broad differential when treating patients with complications after bariatric surgery in order to perform a thorough and precise workup to identify the diagnosis and guide management.

Effect of Post-operative Complications On Long-term Cancer Outcomes

2011 ◽  
Vol 165 (2) ◽  
pp. 172
Author(s):  
C.L. Scaife ◽  
A.J. Hartz ◽  
P. Pelletier ◽  
T. He ◽  
R.E. Glasgow ◽  
...  
Keyword(s):  
Cancer Outcomes ◽  
Operative Complications ◽  
Post Operative Complications

scholarly journals The experience of surgical treatment of the patients with extended cicatricial esophageal strictures

2020 ◽  
Vol 73 (2) ◽  
pp. 229-234
Author(s):  
Valeriy V. Boyko ◽  
Serhii O. Savvi ◽  
Alla Yu. Korolevska ◽  
Serhii Yu. Bytyak ◽  
Vitalii V. Zhydetskyi ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Comparison Group ◽  
Life Quality ◽  
Main Group ◽  
Single Step ◽  
Treatment Results ◽  
Short Term ◽  
Operative Complications ◽  
Post Operative Complications

The aim of the researce was the improvement of treatment results of patients with extended post-burn esophageal cicatricial strictures. Materials and methods: The treatment results are presented for 102 patients which were divided into two groups. In 49 patients with extended post-burn esophageal cicatricial strictures of the main group modified esophagoplasty were performed. Traditional esophagoplasty in 53 patients of the comparison group was performed. Results: A trend was observed on reduction in both short-term and long-term post-operative complications and lethality. The comparative analysis showed statistically valid reduction in number of complications caused by radical surgery: in the main group the frequency of short-term post-operative complications was 10,2 %, in the comparison group – 45,3 %, the frequency of long-term post-operative complications being in the main group 8,2 %, and in the comparison group 26,4%. A trend was observed on reduction of both local and general complications, which may be explained by both peculiarities of the operative interventions with application of improved surgical treatment methods and by more efficient pre-operation preparation of the patients. Post-operative lethality level was 2,0 % in the main group, and 3,8% in the comparison group. Life quality parameters in the main group patients in the long-term post-operation period were statistically significantly better. Conclusions: In patients with extended post-burn esophageal cicatricial stricture application of the proposed surgical tactics, modified method of single-step esophagoplasty and esophagoplasty as Step II of the surgical treatment for persons who have a formed contact gastrostomy is an efficient means for patients’ treatment improvement.

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