Common and rare complications following filtering surgery for children with congenital glaucoma; a5 years study

2021 ◽  
pp. 112067212098637
Author(s):  
Khulood Muhammad Sayed
Keyword(s):  
Postoperative Complications ◽  
Cushing Syndrome ◽  
Vitreous Hemorrhage ◽  
Late Complications ◽  
Congenital Glaucoma ◽  
Choroidal Detachment ◽  
University Hospitals ◽  
Shallow Anterior Chamber ◽  
Toxic Keratopathy ◽  
Decompression Retinopathy

Purpose: To determine the incidence of postoperative complications following combined trabeculotomy trabeculectomy with mitomycin C (CTTM) for congenital glaucoma (CG), in addition to documentation of some unusual complications and possible ways to manage these complications safely with minimal morbidity. Methods: A retrospective observational study was performed on 190 eyes with CG had a CTTM procedure. Included eyes were operated upon between February 2015 and February 2020 in Sohag University Hospitals. Medical records were reviewed and postoperative complications were reported. Incidence of postoperative complications and their management were the main outcome measures Results: Early complications developed the form of shallow anterior chamber (AC) (16.3%), hyphema (10.5%), serous choroidal detachment (2%), hemorrhagic choroidal detachment (2%). Unusual and rare complications occurred in the form of iatrogenic Cushing syndrome, unilateral toxic keratopathy developed, vitreous hemorrhage (VH), intercalary staphyloma and decompression retinopathy Late complications included: high postoperative intraocular pressure (IOP) (16.5%), thin cystic blebs (13.1%), hypotony disc edema (2%), cataract (3.2%), one eye developed blebitis and one eye developed endophthalmitis. Conclusion: Surgical management of CG is full of complications in early and late postoperative periods such as shallow AC, hyphema and thin cystic blebs. Some unusual and rare complications developed such as iatrogenic Cushing syndrome, unilateral toxic keratopathy, vitreous hemorrhage, intercalary staphyloma and decompression retinopathy. If identified early; all these complications could be managed properly leading to a successful and favorable outcome.

scholarly journals Decompression Retinopathy Following Trabeculectomy: A Case Report

2020 ◽  
Vol 12 (2) ◽  
pp. 323-327
Author(s):  
Ekta Rishi ◽  
Gitanjli Sood ◽  
Mona Khurana ◽  
Pukhraj Rishi
Keyword(s):  
Macular Edema ◽  
Open Angle Glaucoma ◽  
Vitreous Hemorrhage ◽  
Venous Stasis ◽  
Topical Steroids ◽  
Choroidal Detachment ◽  
Vein Occlusion ◽  
Venous Stasis Retinopathy ◽  
The Right ◽  
Decompression Retinopathy

Introduction: Decompression retinopathy (DR) can have varied manifestations as retinal and vitreous hemorrhage, disc edema, and macular edema. Vein occlusion associated with choroidal detachment (CD) has not been reported so far as a feature of DR. Case: We report a case of a 78 year old male with bilateral primary open angle glaucoma (POAG) on maximal topical medication with progressive field loss. Trabeculectomy with mitomycin C was done in the left eye, and the patient developed hypotony in the immediate postoperative period which was managed conservatively. After six weeks he developed CD, vein occlusion and macular edema. Thus, Anti VEGF was given and in other eye filtration surgery was done with all measures to avoid sudden hypotony. Patient still developed CD in the right eye. For which, he was given oral and topical steroids in tapering dose. After one month there was resolution of macular edema in the left eye and choroidal detachment resolved in both eyes and IOP was in lower teens in both eyes. Conclusion: Venous stasis retinopathy and choroidal detachment can be the manifestations of decompression retinopathy following glaucoma filtering surgery. The advancement in imaging modalities now can help us find the pathogenesis of the condition and validation of previous hypothesis proposed. Early identification and management of retinopathy helps in resolution with good visual recovery.

Temporary “liquid” Implant for Congenital Glaucoma (long-term results)

2020 ◽  
pp. 49-65
Author(s):  
N Bobrova ◽  
N Trofimova
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Hypotensive Effect ◽  
Congenital Glaucoma ◽  
Long Term Results ◽  
General Will ◽  
Visual Functions ◽  
Advanced Stages ◽  
Intraocular Fluid

The aim of the work was to analyze the long-term results of using a temporary “liquid” implant in the surgery of congenital glaucoma in children. The basis of the developed method of filtrative antiglaucomatous surgery (Patent of Ukraine No. 45099 of 2009) – viscosinusotrabeculotomy – has been set the task of reducing the risk of developing intra- and postoperative complications, reducing the scarring rate and maintaining the newly created ways of the intraocular fluid outflow, which in general will increase the effectiveness of surgical treatment of congenital glaucoma in children. 54 children (91 eyes) with simple congenital glaucoma at the age of 1 to 36 months were operated on average (8.7 ± 8.2) months. The persistent and long-lasting hypotensive effect achieved due to viscosinusotrabeculotomy in children with developed and far-advanced stages of congenital glaucoma stops the processes of stretching of the membranes of the eye and stabilizes their size, which in general allows preserving and visual functions improving, in infancy – creating conditions for their formation.

scholarly journals Ocular Decompression Retinopathy : A Case Series

2018 ◽  
Vol 9 (2) ◽  
pp. 194-198 ◽  
Author(s):  
Kirti Singh ◽  
Mainak Bhattacharyya ◽  
Keerti Wali ◽  
Kartik Rana ◽  
Divya Jain
Keyword(s):  
Case Series ◽  
Cataract Extraction ◽  
Good Prognosis ◽  
Posterior Pole ◽  
Congenital Glaucoma ◽  
Traumatic Cataract ◽  
Retinal Hemorrhages ◽  
Advanced Glaucoma ◽  
Post Traumatic ◽  
Decompression Retinopathy

Introduction: Ocular decompression retinopathy (ODR) is a relatively rare entity with variable prognosis depending on extent and pre-existing condition. This article describes profile of two cases with a brief review of the condition.Case report: Case 1 highlights extensive choroidal detachment with subhyaloid haemorrhage and multiple intra-retinal hemorrhages in the posterior pole seen on first post-operative day in a 6 year old child with congenital glaucoma who underwent Trab & Trab. Case 2 describes multiple intraretinal hemorrhages seen at posterior pole on second post-operative day in a 24 year old pregnant lady with post traumatic cataract and secondary glaucoma who underwent cataract extraction with Cionni ring. Both patients had complete resolution of the haemorrhages with topical steroids.Conclusion: Ocular decompression retinopathy is mostly seen after operations on cases with advanced glaucoma and those with vulnerable blood flow fluidics. Adequate precautions to prevent this entity should be adopted during surgery and management of the manifest entity is conservative with good prognosis.

scholarly journals Comparison of postoperative complications between segmentectomy and lobectomy by video-assisted thoracic surgery: a multicenter study

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Benoît Bédat ◽  
Etienne Abdelnour-Berchtold ◽  
Thomas Perneger ◽  
Marc-Joseph Licker ◽  
Alexandra Stefani ◽  
...  
Keyword(s):  
Risk Factors ◽  
Postoperative Complications ◽  
Thoracic Surgery ◽  
Benign Lesion ◽  
Lung Resection ◽  
Primary Lung Cancer ◽  
Forced Expiratory Volume ◽  
University Hospitals ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted

Abstract Background Compared to lobectomy by video-assisted thoracic surgery (VATS), segmentectomy by VATS has a potential higher risk of postoperative atelectasis and air leakage. We compared postoperative complications between these two procedures, and analyzed their risk factors. Methods We reviewed the records of all patients who underwent anatomical pulmonary resections by VATS from January 2014 to March 2018 in two Swiss university hospitals. All complications were reported. A logistic regression model was used to compare the risks of complications for the two interventions. Adjustment for patient characteristics was performed using a propensity score, and by including risk factors separately. Results Among 690 patients reviewed, the major indication for lung resection was primary lung cancer (86.4%) followed by metastasis resection (5.8%), benign lesion (3.9%), infection (3.2%) and emphysema (0.7%). Postoperatively, there were 80 instances (33.3%) of complications in 240 segmentectomies, and 171 instances (38.0%) of complications in 450 lobectomies (P = 0.73). After adjustment for the patient’s propensity to be treated by segmentectomy rather than lobectomy, the risks of a complication remained comparable for the two techniques (odds ratio for segmentectomy 0.91 (0.61–1.30), p = 0.59). Length of hospital stay and drainage duration were shorter after segmentectomy. On multivariate analysis, an American Society of Anesthesiologists score above 2 and a forced expiratory volume in one second below 80% of predicted value were significantly associated with the occurrence of complications. Conclusions The rate of complications and their grade were similar between segmentectomy and lobectomy by VATS.

scholarly journals One-year outcomes of microshunt implantation in pseudoexfoliation glaucoma

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256670
Author(s):  
Matthias Nobl ◽  
Sigrid Freissinger ◽  
Stefan Kassumeh ◽  
Siegfried Priglinger ◽  
Marc J. Mackert
Keyword(s):  
Postoperative Complications ◽  
Primary Open Angle Glaucoma ◽  
Open Angle Glaucoma ◽  
Similar Efficacy ◽  
Choroidal Detachment ◽  
Pseudoexfoliation Glaucoma ◽  
Patient Demographics ◽  
One Year ◽  
Definition Of

Purpose To compare the safety and efficacy of microshunt implantation augmented with Mitomycin C in patients with pseudoexfoliation glaucoma (PEXG) and primary open-angle glaucoma (POAG). Methods In this retrospective, single centre, interventional study, 46 eyes of 41 patients with PEXG (20 eyes) and POAG (26 eyes) underwent microshunt implantation. Definition of failure was an intraocular pressure (IOP) lower than 5 or higher than 17mmHg on two consecutive visits, an IOP reduction lower than 20% on two consecutive visits, the need of surgical revisions or reoperations or loss of light perception. Outcome was rated as complete success if achieved without medication, otherwise as qualified success. Furthermore, postoperative complications and interventions were compared between the two groups. Results Patient demographics were similar, except for older age in the PEXG group (70.9±8.6 versus 77.6±8; p = 0.02). Mean IOP dropped from 21.5±5.8mmHg (PEXG) and 18.2±4.5mmHg (POAG) at baseline to 12.8±3.0mmHg (p<0.0001) and 12.9±4.2mmHg (p<0.0001), respectively, at one year. Mean number of medications were reduced from 2.8±1.3 to 0.3±0.8 for PEXG patients (p<0.0001) and from 2.7±1.3 to 0.3±0.8 for POAG patients (p<0.0001). At one year of follow-up 75.0% of PEXG patients achieved complete success and 80.0% qualified success. In the POAG group rates were 73.1% and 76.9%, respectively. Postoperative complications were comparable between both groups, except for higher rates of hypotony (p = 0.04) and choroidal detachment (p = 0.03) in the PEXG group. Conclusion Microshunt implantation demonstrated similar efficacy results in PEXG and POAG eyes at a follow-up of 12 months. Higher rates of transient hypotony and choroidal detachment were observed in PEXG eyes.

scholarly journals Clinical characteristics and postoperative complications of patients who underwent laparoscopic sleeve gastrectomy due to obesity A Single Center Experience

2020 ◽  
Vol 7 (12) ◽  
pp. 745-749
Author(s):  
Mehmet Patmano ◽  
Durmuş Ali Çetin ◽  
Tufan Gümüş ◽  
Hasan Elkan
Keyword(s):  
Sleeve Gastrectomy ◽  
Postoperative Complications ◽  
Hospital Stay ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Developed Countries ◽  
Late Complications ◽  
Average Hospital ◽  
Mortality And Morbidity ◽  
Preoperative Body Mass Index ◽  
The Mean

Objective:   Obesity, which is considered as a chronic disease today, has become an epidemic problem especially in developed countries. Laparoscopic sleeve gastrectomy (LSG) is currently one of the most common bariatric procedures in obesity treatment. This study aimse aims to present our demographic, clinical, histopathological and postoperative early and late complications of patients who underwent LSG. Material and Methods: Patients who underwent LSG due to obesity between March 2018 and December 2019 in our clinic were included in the study. The patients' age, gender, comorbid diseases, preoperative body mass index (BMI) and length of hospital stay, postoperative complications and pathology results were recorded retrospectively. Results: Of the 278 patients included in the study, 201 (72.3%) were female, 77 (27.6%) were male and the mean age was 36.2 (min: 18-max: 60 years). The mean BMI of the patients was 46.4 (min: 35.2-max: 75.1). The average hospital stay of the patients was 4.2 days (3-13 days). When the early and late complications of the patients are examined; It was observed that 25 (8.9%) patients developed early postoperative complications, and 2 (0.7%) patients developed late postoperative complications. Conclusion: LSG is a reliable surgical method with low mortality and morbidity rates. It is important that we do not have mortality and that our morbidity is within acceptable limits. Bariatric surgery is an effective and reliable application in the treatment of obesity and metabolic surgery today, in terms of its results, if the right patient is selected and performed in experienced centers.

scholarly journals Tracheostomy in COVID-19 acute respiratory distress syndrome patients and follow-up: A parisian bicentric retrospective cohort

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261024
Author(s):  
Diane Evrard ◽  
Igor Jurcisin ◽  
Maksud Assadi ◽  
Juliette Patrier ◽  
Victor Tafani ◽  
...  
Keyword(s):  
Acute Respiratory Distress Syndrome ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Distress Syndrome ◽  
Late Complications ◽  
Safe Procedure ◽  
Early Group ◽  
University Hospitals ◽  
Number Of Patients ◽  
Hospital Stays

Background Tracheostomy has been proposed as an option to help organize the healthcare system to face the unprecedented number of patients hospitalized for a COVID-19-related acute respiratory distress syndrome (ARDS) in intensive care units (ICU). It is, however, considered a particularly high-risk procedure for contamination. This paper aims to provide our experience in performing tracheostomies on COVID-19 critically ill patients during the pandemic and its long-term local complications. Methods We performed a retrospective analysis of prospectively collected data of patients tracheostomized for a COVID-19-related ARDS in two university hospitals in the Paris region between January 27th (date of first COVID-19 admission) and May 18th, 2020 (date of last tracheostomy performed). We focused on tracheostomy technique (percutaneous versus surgical), timing (early versus late) and late complications. Results Forty-eight tracheostomies were performed with an equal division between surgical and percutaneous techniques. There was no difference in patients’ characteristics between surgical and percutaneous groups. Tracheostomy was performed after a median of 17 [12–22] days of mechanical ventilation (MV), with 10 patients in the “early” group (≤ day 10) and 38 patients in the “late” group (> day 10). Survivors required MV for a median of 32 [22–41] days and were ultimately decannulated with a median of 21 [15–34] days spent on cannula. Patients in the early group had shorter ICU and hospital stays (respectively 15 [12–19] versus 35 [25–47] days; p = 0.002, and 21 [16–28] versus 54 [35–72] days; p = 0.002) and spent less time on MV (respectively 17 [14–20] and 35 [27–43] days; p<0.001). Interestingly, patients in the percutaneous group had shorter hospital and rehabilitation center stays (respectively 44 [34–81] versus 92 [61–118] days; p = 0.012, and 24 [11–38] versus 45 [22–71] days; p = 0.045). Of the 30 (67%) patients examined by a head and neck surgeon, 17 (57%) had complications with unilateral laryngeal palsy (n = 5) being the most prevalent. Conclusions Tracheostomy seems to be a safe procedure that could help ICU organization by delegating work to a separate team and favoring patient turnover by allowing faster transfer to step-down units. Following guidelines alone was found sufficient to prevent the risk of aerosolization and contamination of healthcare professionals.

scholarly journals Modified Mainz Pouch II (sigma rectum pouch) urinary diversion: 12 years experience

2007 ◽  
Vol 54 (4) ◽  
pp. 73-77 ◽  
Author(s):  
I. Ignjatovic ◽  
D. Basic
Keyword(s):  
Quality Of Life ◽  
Postoperative Complications ◽  
Urinary Diversion ◽  
Life Quality ◽  
Late Complications ◽  
Anastomotic Site ◽  
Mainz Pouch Ii ◽  
The Mean

Objective: To analyze the outcome of Mainz Pouch II urinary diversion related to complications and life quality. Patients and Methods: From 1995 to 2006, a total of 67 patients (60 male and 7 female, mean age 58.4 years, range 48 to 70) who underwent modified ureterosigmoidostomy (Mainz Pouch II) procedure have been retrospectively analyzed. The mean follow-up was 18 (1 - 72) months and it was available for 56 patients (84%). Early and late postoperative complications as well as quality of life after surgery were analyzed. An clinical questionairre has been used for examination specific urinary diversion items. Results: Early postoperative complications (<30 days) we-re detected in 9 patients (13%) and late complications (>30 days) in 19 patients (28%). Early complications consisted of urine leakage of moderate degree in 5 (7%) and ileus requiring surgical revision in 4 (6%) patients. The late complications included acute pyelonephritis in 12 patients (18%) and uretero-sigmoidal anastomotic site stenosis in 7 (11%). Ureterosigmoidal anastomotic site stenosis was detected in 7 patients with 7 renoureteric units (RU). In 4 RU, metal Strecker stent was successfully applied. In 3 RU, permanent nephrostomy catheter was applied. Oral alkalizing agents were applied in 22 patients (33%) due to metabolic acidosis. Two patients died due to severe acidosis. Continent rate was 96%. The mean voiding frequency during the day and night was 5.2+1.8 and 2.7+ 0.5, respectively. Global life quality was bad for 3 (8%), acceptable for 15 (38%) and good for 22 (54%) patients. Conclusion: The Mainz Pouch II urinary diversion is simple and safe procedure regarding complications rate, continence and quality of life. It is good alternative to other forms of continent urinary diversion. Patient selection and compliance following by meticulous follow-up are of utmost importance for successful operative outcome.

Forensic expert evaluation problems of early and late complications of interventional methods of treating coronary heart disease (systematic literature review)

Kardiologiia ◽  
2021 ◽  
Vol 61 (5) ◽  
pp. 82-88
Author(s):  
I. A. Kolomoets ◽  
S. S. Todorov ◽  
R. V. Sidorov ◽  
S. S. Bachurin ◽  
D. P. Berezovskii
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Postoperative Complications ◽  
Literature Review ◽  
Blood Vessel ◽  
Ischemic Heart Disease ◽  
Late Complications ◽  
Interventional Treatment ◽  
Expert Evaluation ◽  
Forensic Expert

This article focuses on current concepts of ischemic heart disease, its interventional treatment, pathomorphology of early and late postoperative complications, and forensic aspects in evaluation of restenosis of a stented blood vessel.

scholarly journals Complications of Inflatable Penile Prostheses Implantation Classified according to the Modified Clavien System

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Ioannis Vakalopoulos ◽  
Spyridon Kampantais ◽  
Konstantinos Gkagkalidis ◽  
Stavros Ioannidis ◽  
Georgios Dimitriadis ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Adverse Events ◽  
Classification System ◽  
Treatment Options ◽  
Penile Prosthesis ◽  
Late Complications ◽  
Inflatable Penile Prosthesis ◽  
System A ◽  
Penile Prostheses

Introduction. In patients with erectile dysfunction (ED), inflatable penile prosthesis (IPP) surgery is regarded as the gold standard treatment in medically refractory cases or where its conservative treatment options are contraindicated. Despite improvements in surgical technique and implanted materials, IPP surgery retains a substantial complication rate. The aim of the study was to record and grade the postoperative complications of IPP implantation according to a modified Clavien system. Methods. A total of 60 three-piece IPP implantations were performed between 2007 and 2013 by a single surgeon. The primary outcome was to stratify the early (first 30 days) complications into five categories using the modified Clavien-Dindo classification system. A secondary aim was to record the long-term adverse events and to identify possible factors related to complication occurrence. Results. Overall, there were 21 (35%) postoperative complications in 17 of 60 men (28.3%), with 15 adverse events occurring early after surgery. In terms of late complications, there were six (10%) major complications managed by either revision surgery or removal of the prosthesis. Conclusion. This study utilizes a validated morbidity scale thus overcoming problems of previous studies reporting IPP surgery complications. The modified Clavien classification system easily aids in assessing and comparing accurately patients’ postoperative complications, thus improving management and prevention.

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