The frequency of early stomal, peristomal and skin complications

2021 ◽  
Vol 30 (22) ◽  
pp. 1272-1276
Author(s):  
Andrea Maglio ◽  
Alessandro Pasquale Malvone ◽  
Vitalba Scaduto ◽  
Davide Brambilla ◽  
Francesco Carlo Denti
Keyword(s):  
Late Complications ◽  
Early Complications ◽  
Stoma Formation

Background: The incidence of early complications after stoma formation (within 30 days of surgery) is difficult to determine and has been reported to be in a range of 3%–82%. Aim: The aim of this study was to analyse the onset of stomal, peristomal and skin complications one month (30 days) after ostomy creation. Method: This review analysed enteral stoma therapy nurse reports on patients who had an ostomy created between January 2016 and December 2020. Findings: Complications were analysed according to ostomy type: colostomy, ileostomy and urostomy. There were 1292 incidences of complications: skin complications were the most common (26%), and abscess the least common (0%). Conclusion: A majority (63%) of patients experienced at least one or more complications within 30 days of surgery. Haemorrhage was reported as a complication (2%) but the authors found no data on its incidence in the literature. In addition to early complications, late complications were detected.

Perioperative complications and quality of life after radical retropubic prostatectomy

1995 ◽  
Vol 62 (1_suppl) ◽  
pp. 19-22
Author(s):  
F. Merlo ◽  
M. Mangano ◽  
P. Checchin ◽  
L. Maccatrozzo ◽  
A. Fandella ◽  
...  
Keyword(s):  
Social Life ◽  
Perioperative Complications ◽  
Intraoperative Complications ◽  
Late Complications ◽  
Pelvic Lymphadenectomy ◽  
Radical Retropubic Prostatectomy ◽  
Point Of View ◽  
Early Complications ◽  
Retropubic Prostatectomy

— The Authors report their experience with perioperative complications in 128 patients after radical retropubic prostatectomy preceding bilateral pelvic lymphadenectomy for prostatic cancer. Patients were classified by anatomo-pathological stage; 25% were stage D1. Data relating to homologous transfusions (22%), intraoperative complications (1.6%), minor (16%) or major (7%) early complications and late complications (0.8%) are analysed. The latest group of patients has also been assessed from a sexual, psychological and social point of view. 84% of patients reported an erectile deficit, but only 4% suffered a psychological worsening reflecting on their social life.

Early and Late Complications in Laparoscopic Gastric Bypass: Comparative Study between Manual and Stapled Anastomosis

2017 ◽  
Vol 83 (5) ◽  
pp. 470-476 ◽  
Author(s):  
DÉBora AcÍN-GÁNdara ◽  
Fernando Pereira-PÉRez ◽  
Manuel Medina-GarcÍA ◽  
Gil Rodriguez-Caravaca ◽  
Beatriz MartÍNez-Torres ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Gastric Bypass ◽  
Operative Time ◽  
Anastomosis Group ◽  
Late Complications ◽  
Stapled Anastomosis ◽  
Gastrojejunal Anastomosis ◽  
Early Complications ◽  
Group 2 ◽  
Group 1

The aim of this study is to evaluate the early and late complications of laparoscopic gastric bypass (GBP) with manual versus stapled gastrojejunal anastomosis. Eighty-two patients with morbid obesity and body mass index (35–56 kg/m2) who underwent GBP were divided into two groups: manual gastrojejunal anastomosis (Group 1) and stapled anastomosis (Group 2). Early and late complications were evaluated. No differences were found between both groups in age, sex, body mass index, American Society of Anesthesia classification, and comorbidity. The mean operative time was 184.8 minutes [standard deviation (SD) = 61]; 203.5 minutes (SD = 51.9) in Group 1 and 167.4 minutes (SD = 64.2) in Group 2 (P = 0.001). The average length of stay was 5.9 days (SD = 3.9) in Group 1 and 5 days (SD = 2.1) in Group 2 (P = 0.039). Early complications were recorded in 9.7 per cent of the cases, without any differences between the two groups: 12.2 per cent in Group 1 and 7.3 per cent in Group 2 (P > 0.05). Late complication rate was 8.5 per cent, significantly higher in Group 1 (14.6%) than in Group 2 (2.4%; P < 0.05). However, in the logistic regression analysis these differences were not statistically significant (OR 0.48; 95% CI 0.03–8.37; P = 0.61). In our series, the GBP with stapled gastrojejunal anastomosis has shown lower hospital length of stay and operative time than the hand-sewn anastomosis. We have not found significant differences between both groups in early complications or in the need for reoperation. Fewer late complications were found in the group of stapled anastomosis; however, this has not been confirmed in the logistic regression analysis.

Colorectal cancer surgery in extreme elderly population.

2015 ◽  
Vol 33 (3_suppl) ◽  
pp. 738-738
Author(s):  
Javier Gallego Plazas ◽  
Elena Asensio Martinez ◽  
Martin Ore ◽  
Almudena Cotes ◽  
Guillermo Ricote ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Elderly Population ◽  
Late Complications ◽  
Cancer Surgery ◽  
Early Complications ◽  
Colorectal Cancer Surgery ◽  
Late Mortality ◽  
Alive With Disease ◽  
Vega Baja ◽  
Surgery Department

738 Background: Colorectal cancer surgery in extreme elderly population ( ≥80 years) is a growing problem and a subject in question. Experiences and results in this scenario are limited. Methods: Medical records of patients ≥80 years old hospitalized in General Surgery Department in Vega Baja Hospital between January 1, 2008, and December 31, 2012, were retrospectively reviewed. Patients diagnosed with colorectal cancer (CRC) were selected. Data regarding comorbidity, treatment performed, complications, and survival were collected. Results: 95 patients (74 colon, 21 rectum) were identified: median age 83.9 years (80-93), 64.2% males. 93.7% of patients were operated on: median hospital and post-operative stay of 14.1 and 11 days, respectively; curative intention surgery 82.1%. 5.4% of patients were treated with interventionist procedures, and 2.1% of patients in a conservative way. 17.9% and 4.2% of patients came up with early and late complications, respectively. Early and late mortality occurred in 9.5% and 3.2% of patients, respectively. There was no statiscally significant association between number of comorbidities and morbi-mortality. Early complications were more frequently associated to bronchopathy (33%) or cardiopathy (25.9%), while late complications were to diabetes (15%), congnitive disorders (12.5%), and cardiopathy (7.4%). Late mortality ocurred more frequently associated to diabetes (5%) and cardiopathy (3.7%). Colon cancer was more frequently associated to early complications and early and late mortality, maybe explained with more unscheduled surgeries. By March 2014, with a median folluw up of 43.8 months, 37.9% of patients are alive free of relapse, 2.1% are alive with disease, 26.3% had died of cancer, 10.5% had died of surgery related complications, and 23.2% of patients had died of other causes. Conclusions: Certain comorbidities and not the addition of them were associated with morbidity and mortality due to CRC surgery. Personalizing CRC treatment in a extreme elderly population may result in extended survival in this increasing subgroup of patients.

scholarly journals Documented Complications of Staple Hemorrhoidopexy: A Systematic Review

2015 ◽  
Vol 100 (1) ◽  
pp. 44-57 ◽  
Author(s):  
Liesel J. Porrett ◽  
Jemma K. Porrett ◽  
Yik-Hong Ho
Keyword(s):  
Systematic Review ◽  
Foreign Language ◽  
Data Extraction ◽  
Late Complications ◽  
Stapled Hemorrhoidopexy ◽  
Complication Rates ◽  
Staple Hemorrhoidopexy ◽  
Early Complications ◽  
Microsoft Excel

Abstract A systematic review addressing reported complications of stapled hemorrhoidopexy was conducted. Articles were identified via searching OVID and MEDLINE between July 2011 and October 2013. Limitations were placed on the search criteria with articles published from 1998 to 2013 being included in this review. No language restrictions were placed on the search, however foreign language articles were not translated. Two reviewers independently screened the abstracts for relevance and their suitability for inclusion. Data extraction was conducted by both reviewers and entered and analyzed in Microsoft Excel. The search identified 784 articles and 78 of these were suitable for inclusion in the review. A total of 14,232 patients underwent a stapled hemorrhoidopexy in this review. Overall complication rates of stapled hemorrhoidopexy ranged from 3.3%–81% with 5 mortalities documented. Early and late complications were defined individually with overall data suggesting that early complications ranged from 2.3%–58.9% and late complications ranged from 2.5%–80%. Complications unique to the procedure were identified and rates recorded. Both early and late complications unique to stapled hemorrhoidopexy were identified and assessed.

Pulp hyperemia: analysis of treatment based on the results of a survey of dentists

2021 ◽  
Vol 1 (38) ◽  
pp. 62-66
Author(s):  
M. A. Postnikov ◽  
K. P. Gaylis ◽  
M. I. Sadykov ◽  
S. Y. Chigarina ◽  
Y. A. Shukhorova ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Professional Training ◽  
Statistical Significance ◽  
Rank Correlation ◽  
Correlation Method ◽  
Quality Criteria ◽  
Late Complications ◽  
Early Complications ◽  
Spearman’S Rank Correlation ◽  
Rank Correlation Method

The purpose of the study: to analyze the methods of treatment of deep caries by dentists of the Samara region.Materials and methods. In 2021, 220 specialists of the Samara region were surveyed on the treatment of deep dental caries on the bases of budgetary and extra-budgetary organizations. The questionnaires contained 20 questions that provided information about the level of professional training of specialists, the degree of their awareness of quality criteria and standards, the use of modern technologies and the implementation of each stage of deep caries treatment. The statistical significance of the obtained results (p) was calculated using the Student’s criterion (t) and its interpretation based on the standard table of critical values of the Student’s coefficient. Spearman’s rank correlation method was used to determine the strength and direction of the correlation.Results. The majority of dentists – 89.9% use a medical pad in the treatment of deep caries, of which 38.7% of respondents use this pad only when accidentally opening the tooth cavity. Based on the answers to the questionnaire, 77.0% of respondents prefer calcium-containing self-hardening medical pads and only 4.6% use MTA-based pads. A comparative analysis of doctors with rare early complications and doctors with frequent early complications showed that doctors of the second group apply a medical pad when opening the tooth cavity 25% more often than doctors of the first group when performing necrectomy in full volume in both groups. A comparative analysis of doctors with rare late complications and frequent late complications did not reveal a statistical significance between the imposition of a medical pad and the opening of the tooth cavity during a complete necrectomy in doctors of the first and second groups. Complications after the treatment of deep caries may be due to an incorrect interpretation of reversible and irreversible changes in the pulp, and in this regard – incorrectly chosen treatment tactics.Conclusion. The success of the treatment of deep carisea largely depends on the correct determination of reversible and irreversible changes in the pulp of the tooth.

Orthotopic ileal neo-bladder: Complications and failures. Our experience

1997 ◽  
Vol 64 (4) ◽  
pp. 411-415
Author(s):  
G. Cusumano ◽  
P. De Carli ◽  
H. Fattahi ◽  
V. Pompeo ◽  
A. Cancrini
Keyword(s):  
Radical Cystectomy ◽  
Bladder Tumour ◽  
Late Complications ◽  
Early Complications

– Between 1989 and June 1996, 126 continent orthotopic ileal neo-bladders were constructed according to Studer after radical cystectomy due to infiltrating bladder tumour. Out of these cases there were 6 peri-operative deaths (4.7%), 11 early complications (8.7%) and 42 late complications (33.3%). Functional failures were also noted in a negligible percentage amounting to 7.2%. We report on the methods used to treat the complications and the failures strictly tied to the operation and on the techniques adopted to avert them.

Case Report of Spontaneous Hemorrhage 13 Years After Breast Augmentation

2020 ◽  
Vol 37 (4) ◽  
pp. 163-167
Author(s):  
Pierre S. Gordon ◽  
Mark Mandell-Brown
Keyword(s):  
Breast Augmentation ◽  
Capsular Contracture ◽  
Adhesion Formation ◽  
Late Complications ◽  
Skin Closure ◽  
Early Complications ◽  
Spontaneous Bleeding ◽  
Class 1 ◽  
Augmentation Mastopexy ◽  
Pocket Hematoma

The case of a delayed spontaneous bleed 13 years after an augmentation mastopexy is presented. The patient underwent exploration of the breast pocket, hematoma evacuation, implant extraction, vessel ligation, and skin closure without immediate reimplantation. Early complications of breast augmentation include hematomas in 1% to 10% of cases. Late complications include capsular contracture, implant deflation, implant rupture, and rarely delayed bleeds. There are various theories regarding the pathophysiology of late hematomas to include erosion of pericapsular arteries, capsular microfractures, and chronic inflammation. Theories regarding the pathogenesis of capsular contracture are discussed using literary evidence that highlights an association between capsular contracture and capsular bleeding. Evidence discussed includes recurrent bleeds, progression from class 1 to class 4 Baker Contractures, and bilateral capsules with thicker capsules on the side having bleeding. Similar processes seen in other specialties like adhesion formation after gynecologic procedures are seen. In conclusion, delayed spontaneous bleeding after breast augmentation is rare, imaging and prompt exploration should follow, and consideration should be given to capsulectomy.

scholarly journals Pediatric Tracheotomy: Comparison of surgical technique with early and late complications in 273 cases

2019 ◽  
Vol 35 (1) ◽  
Author(s):  
Murat Gumussoy
Keyword(s):  
Surgical Technique ◽  
Surgical Techniques ◽  
Skin Incision ◽  
Late Complications ◽  
Skill Level ◽  
Intubation Time ◽  
Early Complications ◽  
Creative Commons ◽  
Significant Difference ◽  
The Relationship

Objectives: This study was aimed to compare the early and late complications of tracheotomy in pediatric patient, with respect to surgical techniques. Methods: The relationship between demographic characteristics, surgical techniques obtained from the files of the children and complications developing after surgery were compared retrospectively. Results: One hundred fifty two out of 273 developed complications after tracheotomy. Among these, 75 were early complications and 77 were late complications. Results obtained concerning early complications showed a significant difference between Skin incision and Bleeding and Accidental decannulation; Tracheal incision and Subcutaneous emphysema; surgical time and accidental decannulation and tube/ventilation problem; Surgeon’s skill level and bleeding. As regards late complications there was a significant difference between Intubation Time and Stomal-tracheal granulation; Tracheal incision and Stomal infection; Surgeon’s skill level and Stomal-tracheal granulation. Conclusions: In pediatric tracheotomy the preferred skin incision and tracheal incision, surgeon’s experience, tracheotomoy time and intubation time are important as regards development of early or late complications. How to cite this:Gumussoy M. Pediatric Tracheotomy: Comparison of surgical technique with early and late complications in 273 cases. Pak J Med Sci. 2019;35(1):247-251. doi: https://doi.org/10.12669/pjms.35.1.132 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals ERCP PERFORMANCE IN A TERTIARY BRAZILIAN CENTER: FOCUS ON NEW RISK FACTORS, COMPLICATIONS AND QUALITY INDICATORS

2018 ◽  
Vol 31 (1) ◽  
Author(s):  
Alana Costa BORGES ◽  
Paulo César de ALMEIDA ◽  
Stella Maria Torres FURLANI ◽  
Marcelo de Sousa CURY ◽  
Douglas K. PLESKOW
Keyword(s):  
Risk Factors ◽  
Multivariate Analysis ◽  
Quality Indicators ◽  
Quality Evaluation ◽  
Late Complications ◽  
Technical Failure ◽  
Single Session ◽  
Early Complications ◽  
Surgically Altered Anatomy ◽  
Procedural Time

ABSTRACT Background: ERCP can lead to complications, which can be prevented by the recognition of risk factors. Aim: To identify these risk factors, with quality evaluation. Methods: Retrospective study in a Brazilian hospital in 194 patients, excluding surgically altered anatomy. Results: 211 ERCPs were performed: 97.6% were therapeutic, 83.4% were started by trainees, with deep cannulation rate of 89.6%. Precut was needed in 16.6% of the ERCPs and classic sphincterotomy in 67.3%, with 75.4% of ductal clearance at single session and 8.0% of technical failure. Inacessible papillas ocurred in 2.5% of cases. There were 2.5% of late complications and 16% of early complications. Multivariate analysis identified six predictors for early complications: fistulotomy precut (OR=3.4, p=0.010), difficult cannulation (OR=21.5, p=0.002), attending’s procedural time (OR=2.4, p=0.020), choledocholithiasis (adjusted OR=1.8, p=0.015), cannulation time (adjusted OR=3.2, p=0.018) and ERCP duration (adjusted OR=2.7, p=0.041). Conclusion: Six risk factors for post-ERCP complications were identified. ERCP duration and cannulation time are suggested as new potential quality indicators.

scholarly journals A rare complication after renal transplantation: Forgotten stent

2015 ◽  
Vol 87 (2) ◽  
pp. 175 ◽  
Author(s):  
Mustafa Karabıcak ◽  
Tumay Ipekci ◽  
Cemal Selcuk Isoglu ◽  
Mehmet Zeynel Keskin ◽  
Rahmi Gokhan Ekin ◽  
...  
Keyword(s):  
Renal Transplantation ◽  
Rare Complication ◽  
Late Complications ◽  
Early Complications ◽  
Ureter Injury ◽  
Transplantation Surgery ◽  
Voiding Symptoms ◽  
Forgotten Stent ◽  
Tract Infections

In renal transplantation surgery, double J stents (DJS) are often used to reduce complications, protect the anastomosis between ureter and bladder, provide drainage in ureteral obstructions and enhance healing if there is an ureter injury. Urinary tract infections, hematuria and irritative voiding symptoms are the early complications of DJS. Migration, fragmantation, encrustation and rarely sepsis are among the late complications of DJS. In this report we describe a renal transplantation case whose DJS stent was forgotten because the patient did not attend the regular follow-up and noticed 5 years after surgery.

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