Postoperative Complications due to Injuries of the Urinary Tract as a Result of Vaginal Surgery

1970 ◽  
Vol 37 (6) ◽  
pp. 338-342
Author(s):  
A.H. Papaloucas ◽  
D.A. Haliassos ◽  
S.K. Zervos ◽  
P. Paissios
Keyword(s):  
Urinary Tract ◽  
Postoperative Complications ◽  
Vaginal Surgery

scholarly journals Buccal ureteroplasty in a patient with an extended stricture of the proximal ureter of a solitary kidney

2021 ◽  
pp. 52-56
Author(s):  
A. A. Volkov ◽  
N. V. Budnik ◽  
I. D. Mustapaev
Keyword(s):  
Urinary Tract ◽  
Postoperative Complications ◽  
Clinical Case ◽  
Solitary Kidney ◽  
Nitinol Stent ◽  
Long Time ◽  
Proximal Ureter ◽  
Single Kidney

Buccal ureteroplasty is considered a rare operation in urology and the indications for its implementation are still not clearly defined. We have described a clinical case of successful replacement of a part of the proximal ureter with a buccal graft in a patient with a single kidney, which was drained for a long time with a nitinol stent, which was subsequently incrustated, which led to the installation of a permanent nephrostomy drainage. The patient had no postoperative complications, the patency of the urinary tract was fully restored.

scholarly journals Longer Operative Time in Elderly Patients Undergoing Posterior Lumbar Fusion Is Independently Associated With Increased Complication Rate

2018 ◽  
Vol 9 (2) ◽  
pp. 179-184 ◽  
Author(s):  
Alicia E. Hersey ◽  
Wesley M. Durand ◽  
Adam E. M. Eltorai ◽  
J. Mason DePasse ◽  
Alan H. Daniels
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Postoperative Complications ◽  
Tract Infection ◽  
Complication Rate ◽  
Operative Time ◽  
Lumbar Fusion ◽  
Improvement Program ◽  
Posterior Lumbar Fusion ◽  
Operative Duration

Study Design: Retrospective cohort study. Objective: To determine the effects of operative time on postoperative complications in patients age 65 and older undergoing posterior lumbar fusion. Methods: All patients age 65 and older undergoing posterior lumbar fusion were identified in the 2012 to 2015 American College of Surgeons National Surgical Quality Improvement Program database. The primary outcome measures were complications occurring up to 30 days postoperatively, including death, any complication, and complication subtypes. The primary independent variable was operative duration. Both bivariate and multivariate analyses utilized logistic regression and analyzed operative duration as a continuous variable. Statistical significance was considered P < .05. Results: A total of 4947 patients age 65 and older undergoing posterior lumbar fusion were identified. The mean operative time was 3.3 hours (SD 1.7). The overall complication rate was 13.4% (n = 665). In multivariate analysis, each incremental hour of operative time was associated with increased risk of postoperative thromboembolism (odds ratio [OR] = 1.23; 95% confidence interval [CI] = 1.10-1.37), transfusion (OR= 1.25; 95% CI = 1.18-1.32), urinary tract infection (OR = 1.21; 95% CI = 1.10-1.32), and total postoperative complications (OR = 1.22; 95% CI = 1.16-1.27). Conclusion: For patients age 65 and older undergoing posterior lumbar fusion, longer operative time is associated with greater risk for thromboembolism, transfusion, intubation, kidney injury, urinary tract infection, surgical site infection, and overall postoperative complications. This data highlights several specific complications that are influenced by operative time in older patients, and further supports the need for future protocols that seek to safely minimize operative time for posterior lumbar fusion.

Urinary Tract Infection After Vaginal Surgery

1986 ◽  
Vol 65 (7) ◽  
pp. 731-733 ◽  
Author(s):  
N.-O. Tyreman ◽  
P.-O. Andersson ◽  
L. Kroon ◽  
S. Orstam
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Vaginal Surgery

Antibiotic prescribing pattern in cesarean section

Mediscope ◽  
2016 ◽  
Vol 3 (1) ◽  
pp. 8-15
Author(s):  
S Nazrina ◽  
S Chisty ◽  
AA Maruf
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Postoperative Complications ◽  
Caesarean Section ◽  
Tract Infection ◽  
Cesarean Section ◽  
Generation Cephalosporin ◽  
Third Generation ◽  
The Mean ◽  
The Difference

Use of antimicrobials in caesarean section has become an accepted practice to minimize the incidence of postoperative complications. Not many studies are available in Bangladesh regarding the using pattern of antibiotics in caesarean section. The objectives of the study was to find out the pattern of use of antibiotic prophylaxis in caesarean section and also the frequency of postoperative morbidity. The prospective cross-sectional study included 356 patients undergoing caesarean section in Prime Medical College Hospital, Rangpur and 10 different private clinics in Rangpur city. Patients demographics, perioperative data, antibiotic used with dosage and schedules were recorded. Investigations like pus, blood and urine culture and sensitivity were recorded for patients with postoperative complications. Change of antimicrobial following culture sensitivity report was noted. Most of the patients, 197 (55.3%), came from lower middle socioeconomic status. Major indication of cesarean section was emergency in 314 (88.2%) patients. The use of third generation cephalosporin (ceftriaxone) in majority of the patients, 209 (58.7%), was observed. Two drugs combination commonly included third generation cephalosporin and metronidazole, and in addition gentamicin was added when three drugs combination was used. Fifty five (15.5%) patients had postoperative complications which included fever, wound infection, urinary tract infection and endometritis. The mean duration (SD) of antibiotic administration was 12.4 (3.5) days in infected patients and 8.0 (2.1) days in non-infected patients, and the difference was statistically significant (p < 0.01). The mean duration (SD) of hospital stay was 15.4 (5.5) and 9.1 (3.9) days for infected and non-infected patients, respectively; and the difference was statistically significant (p < 0.01). Isolated micro-organisms from wound infection, urinary tract infection and lochia were gram-negative, and Escherichia coli, 16 (41.0%), was the common which was resistant to third generation cephalosporin and sensitive to amikacin. Obstetricians should utilize clinically effective antibiotics. Whenever possible, single drug rather than combination therapy should be used. Periodic surveillance of antimicrobial prophylaxis is essential to detect the emergence of antibiotic resistance.Mediscope Vol. 3, No. 1: January 2016, Pages 8-15

scholarly journals Do postoperative complications correlate to chronic pain following inguinal hernia repair? A prospective cohort study from the Swedish Hernia Register

Hernia ◽  
2021 ◽  
Author(s):  
A. Olsson ◽  
G. Sandblom ◽  
U. Franneby ◽  
A. Sondén ◽  
U. Gunnarsson ◽  
...  
Keyword(s):  
Cohort Study ◽  
Inguinal Hernia ◽  
Urinary Tract ◽  
Postoperative Complications ◽  
Hernia Repair ◽  
Mesh Repair ◽  
Groin Pain ◽  
Surgical Site Infections ◽  
Persistent Pain ◽  
Post Operative Pain

Abstract Purpose To analyse if postoperative complications constitute a predictor for the risk of developing long-term groin pain. Methods Population-based prospective cohort study of 30,659 patients operated for inguinal hernia 2015–2017 included in the Swedish Hernia Register. Registered post-operative complications were categorised into hematomas, surgical site infections, seromas, urinary tract complications, and acute post-operative pain. A questionnaire enquiring about groin pain was distributed to all patients 1 year after surgery. Multivariable logistic regression analysis was used to find any association between postoperative complications and reported level of pain 1 year after surgery. Results The response rate was 64.5%. In total 19,773 eligible participants responded to the questionnaire, whereof 73.4% had undergone open anterior mesh repair and 26.6% had undergone endo-laparoscopic mesh repair. Registered postoperative complications were: 750 hematomas (2.3%), 516 surgical site infections (1.6%), 395 seromas (1.2%), 1216 urinary tract complications (3.7%), and 520 hernia repairs with acute post-operative pain (1.6%). Among patients who had undergone open anterior mesh repair, an association between persistent pain and hematomas (OR 2.03, CI 1.30–3.18), surgical site infections (OR 2.18, CI 1.27–3.73) and acute post-operative pain (OR 7.46, CI 4.02–13.87) was seen. Analysis of patients with endo-laparoscopic repair showed an association between persistent pain and acute post-operative pain (OR 9.35, CI 3.18–27.48). Conclusion Acute postoperative pain was a strong predictor for persistent pain following both open anterior and endo-laparoscopic hernia repair. Surgical site infection and hematoma were predictors for persistent pain following open anterior hernia repair, although the rate of reported postoperative complications was low.

scholarly journals Prevention of complications of transvesical adenomectomy with a blind suture of the urinary bladder

2012 ◽  
Vol 93 (1) ◽  
pp. 56-61
Author(s):  
E A Zubkov ◽  
M E Sitdykova
Keyword(s):  
Urinary Tract ◽  
Surgical Treatment ◽  
Postoperative Complications ◽  
Urinary Bladder ◽  
Postoperative Period ◽  
Early Recovery ◽  
One Stage ◽  
Analysis Of Results ◽  
Transvesical Adenomectomy ◽  
Prostate Adenoma

Aim. To determine the frequency and develop methods for prevention of possible complications of transvesical adenomectomy. Methods. Conducted was an analysis of results of surgical treatment of 492 patients with prostate adenoma. One-stage suprapubic transvesical adenomectomy with a primary blind suture of the urinary bladder and hemostasis of the adenoma bed was performed in 347 patients. Results. In the postoperative period inflammatory complications of the urinary tract were observed in 5 (1.4%) out of 347 operated patients. It was established that the frequency and nature of both early and late pyo-inflammatory and obstructive postoperative complications of the suprapubic adenomectomy depend on the method of hemostasis of the bed of the adenoma and on the time of urination recovery. Conclusion. The main measures of prevention of complications during suprapubic adenomectomy are hemostasis of the bed of the adenoma by temporary retriganization with removable hemostatic ligatures, early recovery of urethral voiding (2-4 days) and application of antibiotics to the bed of the adenoma via the drainages of the deference ducts.

Perioperative and Long-term Outcomes of Laparoscopic, Open Abdominal, and Vaginal Surgery for Endometrial Cancer in Patients Aged 80 Years or Older

2014 ◽  
Vol 24 (5) ◽  
pp. 894-900 ◽  
Author(s):  
Giorgio Bogani ◽  
Antonella Cromi ◽  
Stefano Uccella ◽  
Maurizio Serati ◽  
Jvan Casarin ◽  
...  
Keyword(s):  
Endometrial Cancer ◽  
Postoperative Complications ◽  
Intraoperative Complications ◽  
Vaginal Surgery ◽  
Perioperative Outcomes ◽  
Surgical Approaches ◽  
Rank Test ◽  
Term Survival ◽  
Log Rank Test

ObjectiveThis study was undertaken to evaluate the safety, feasibility, and the long-term effectiveness of laparoscopy in endometrial cancer patients aged 80 years or older.MethodsData of consecutive patients aged 80 years and older undergoing laparoscopic, open abdominal, and vaginal approaches were compared. Postoperative complications were graded per the Accordion Severity Classification. Survival outcomes within the first 5 years were analyzed using the Kaplan-Meier method.ResultsAmong 726 patients, 63 (9%) were aged 80 years and older. Laparoscopic, open abdominal, and vaginal surgery were performed in 22 (35%), 25 (40%), and 16 (25%) cases, respectively. All laparoscopic procedures were completed laparoscopically, whereas a conversion from vaginal to open procedure occurred (0% vs 6%; P = 0.42). Patients undergoing laparoscopy experienced similar operative time (P > 0.05), lower blood loss (P < 0.05), and shorter hospital stay (P < 0.05) than patients undergoing open and vaginal surgery. No intraoperative complications were recorded. Laparoscopy is related to a lower rate of postoperative complications (P = 0.09) and Accordion grade greater than or equal to 2 complications (P = 0.05) in comparison to open abdominal and vaginal surgery. The route of surgical approaches did not influence the 5-year disease-free (P = 0.97, log-rank test) and overall (P = 0.94, log-rank test) survivals.ConclusionsLaparoscopy seems to represent a safe and effective treatment of endometrial cancer in women aged 80 years or older. Our data suggest that in elderly women, laparoscopic surgery improves perioperative outcomes compared with open and vaginal approaches without compromising long-term survival.

scholarly journals Técnicas Transobturadoras na Incontinência Urinária de Esforço Feminina

2014 ◽  
Vol 27 (4) ◽  
pp. 422 ◽  
Author(s):  
Ana Sousa ◽  
André Jesus ◽  
Maria Carvalho ◽  
Giselda Carvalho ◽  
João Marques ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Postoperative Complications ◽  
Success Rate ◽  
Perioperative Complications ◽  
Vaginal Surgery ◽  
Transobturator Tape ◽  
Success Rates ◽  
Urethral Hypermobility ◽  
Retropubic Space

<p><strong>Introduction:</strong> Stress urinary incontinence affects about 20- 40% of women. Treatment with transobturator mid-urethral slings is consensually accepted nowadays. The goal of this study was to evaluate the success rate and most frequent complications of surgical treatment with transobturator mid- urethral slings in stress urinary incontinence.<br /><strong>Material and Methods:</strong> This study evaluated 363 patients who underwent correction of stress urinary incontinence with a transobturator tape in Hospitais da Universidade de Coimbra between January 1st 2008 and July 1st 2010.<br /><strong>Results:</strong> The mean age of patients was 56 [28-86]. In 13.5% of women, the correction of stress urinary incontinence was associated with other vaginal surgery. The majority of these women (95.3%) had urethral hypermobility. Only 0.8% of women suffered of perioperative complications, 5.2% of immediate postoperative complications and 15.7% of late postoperative complications. The global success rate was 93.7%. The success rate in patients with fixed urethra was lower (77.8%) comparing with the results of those with urethral hypermobility, being successful in 94.5% (p = 0.02). The success rate was similar in patients with or without vaginal surgeries.<br /><strong>Discussion:</strong> Treatment with transobturator mid-urethral slings has high success rates and it became the first treatment chosen to stress urinary incontinence, even if they were treated with the technique outside-in (TOT®) or inside-out (TVT-O®). Both techniques were conceived to avoid passing through the retropubic space, decreasing the complicate matters number.<br /><strong>Conclusions:</strong> The cure rates for the transobturator surgical approach range between 80 and 95%. The cure rate increases when the mechanism responsible for the urinary incontinence is urethral hypermobility, although it is not modified when are performed other vaginal surgeries concomitantly.<br /><strong>Keywords:</strong> Urinary Incontinence, Stress; Suburethral Slings.</p>

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