scholarly journals Surgical treatment of degenerative lumbar stenosis: comorbidities and complications

2014 ◽  
Vol 13 (4) ◽  
pp. 291-293
Author(s):  
Carlos Fernando Pereira da Silva Herrero ◽  
Daniel José Mazzo Bedran de Castro ◽  
Helton Luiz Aparecido Defino
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Medical Records ◽  
Descriptive Analysis ◽  
Complication Rates ◽  
Lumbar Stenosis ◽  
Common Complication ◽  
Comorbid Conditions ◽  
Study Population ◽  
De Medicina

Objectives: To study the characteristics of patients who underwent surgical treatment of degenerative spinal stenosis in the last 10 years (2000â€"2010) at the Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto (USP-HCFMR) and correlate the postoperative complications and preoperative comorbidities found in the study population. Methods: Retrospective review of medical records and radiographs of patients with degenerative lumbar stenosis treated surgically. Descriptive analysis of data was done with SAS 9.0. Results: 92 patients were included, 47 (51.08%) males and 45 (48.91%) females, with ages ranging from 32 to 86 years (mean age of 64.27 years). The most prevalent comorbidities were hypertension (47.82%) and diabetes mellitus (25%). Twenty-three patients (25%) had two or more comorbidities. Postoperative infection was the most common complication found in 12 cases (13%). Patients with only one preoperative comorbidity showed similar complication rates compared to the population without comorbidities. However, patients with two or more comorbid conditions had a higher incidence of postoperative complications (p<0.001). Conclusions: Comorbidities negatively influenced the outcome of surgical treatment of degenerative lumbar stenosis with higher rates of postoperative complications.

Minimally Invasive Approaches to the Sphenoid Sinus

2002 ◽  
Vol 126 (6) ◽  
pp. 635-641 ◽  
Author(s):  
Mark D. Gibbons ◽  
Michael J. Sillers
Keyword(s):  
Surgical Treatment ◽  
Optic Nerve ◽  
Minimally Invasive ◽  
Sphenoid Sinus ◽  
Major Complication ◽  
Senior Author ◽  
Surgical Approaches ◽  
Complication Rates ◽  
Pathologic Process ◽  
Study Population

OBJECTIVE: We sought to develop an algorithm for surgical approaches to the sphenoid sinus. STUDY DESIGN AND SETTING: Retrospective review was conducted of all patients who underwent a sphenoid sinusotomy by the senior author between July 1994 and August 2001. RESULTS: The study population consisted of 141 patients, in whom 5 different surgical approaches were used: transseptal (47 (33.3%)), transnasal (19 (13.5%)), transethmoid (72 (51.1%)), transmaxillary (2 (1.42%)), and external (1 (0.7%)). Of the 47 transseptal approaches, 43 (91.5%) were for extirpation of a neoplasm. In contrast, 60 of 72 (83.3%) transethmoid procedures were for infectious/inflammatory disorders. An endoscopic approach was used for 7 of 8 (87.5%) skull base repairs. Four transsphenoid optic nerve decompressions were performed. The minor and major complication rates were 2.1% and 0.71%, respectively. CONCLUSIONS: The anatomic location of the pathologic process can guide the surgeon in selecting the most appropriate technique. SIGNIFICANCE: Surgical treatment of sphenoid pathology can be safely and successfully performed through a variety of approaches.

scholarly journals Feasibility of Surgical Treatment for Laryngomalacia using Spontaneous Respiration Technique

2021 ◽  
Author(s):  
Hyunkyung Cha ◽  
Doh Young Lee ◽  
Eun-Hee Kim ◽  
Ji-Hyun Lee ◽  
Young-Eun Jang ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Surgical Management ◽  
Surgical Outcomes ◽  
Medical Records ◽  
High Flow ◽  
Spontaneous Respiration ◽  
Intravenous Anesthesia ◽  
Total Study Population ◽  
Institutional Experience ◽  
Study Population

BACKGROUND: We review our institutional experience with pediatric laryngomalacia (LM) cases and report our experience in patients undergoing supraglottoplasty using the spontaneous respiration using intravenous anesthesia and high-flow nasal oxygen (STRIVE Hi) technique.METHODS: The medical records of 29 children with LM who visited ***** Hospital between January 2017 and March 2019 were retrospectively reviewed. Surgical management was performed using the STRIVE Hi technique. Intraoperative findings and postoperative surgical outcomes, including complications and changes in symptoms and weight, were analyzed.RESULTS: Of the total study population of 29 subjects, 20 (68.9%) were female. The patients were divided according to the Onley

Morbidity and mortality in the surgical treatment of 10,329 adults with degenerative lumbar stenosis

2010 ◽  
Vol 12 (5) ◽  
pp. 443-446 ◽  
Author(s):  
Kai-Ming G. Fu ◽  
Justin S. Smith ◽  
David W. Polly ◽  
Joseph H. Perra ◽  
Charles A. Sansur ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Morbidity And Mortality ◽  
Neurological Deficits ◽  
Fisher Exact Test ◽  
Complication Rates ◽  
Lumbar Stenosis ◽  
Inclusion Criteria ◽  
Patient Age ◽  
Scoliosis Research Society ◽  
Patient Âgé

Object The purpose of this study was to evaluate the prospectively collected Scoliosis Research Society (SRS) database to assess the incidences of morbidity and mortality (M&M) in the operative treatment of degenerative lumbar stenosis, one of the most common procedures performed by spine surgeons. Methods All patients who underwent surgical treatment for degenerative lumbar stenosis between 2004 and 2007 were identified from the SRS M&M database. Inclusion criteria for analysis included an age ≥ 21 years and no history of lumbar surgery. Patients were treated with either decompression alone or decompression with concomitant fusion. Statistical comparisons were performed using a 2-sided Fisher exact test. Results Of the 10,329 patients who met the inclusion criteria, 6609 (64%) were treated with decompression alone, and 3720 (36%) were treated with decompression and fusion. Among those who underwent fusion, instrumentation was placed in 3377 (91%). The overall mean patient age was 63 ± 13 years (range 21–96 years). Seven hundred nineteen complications (7.0%), including 13 deaths (0.1%), were identified. New neurological deficits were reported in 0.6% of patients. Deaths were related to cardiac (4 cases), respiratory (5 cases), pulmonary embolus (2 cases), and sepsis (1 case) etiologies, and a perforated gastric ulcer (1 case). Complication rates did not differ based on patient age or whether fusion was performed. Minimally invasive procedures were associated with fewer complications and fewer new neurological deficits (p = 0.01 and 0.03, respectively). Conclusions The results from this analysis of the SRS M&M database provide surgeons with useful information for preoperative counseling of patients contemplating surgical intervention for symptomatic degenerative lumbar stenosis.

scholarly journals Morbidity and mortality of pancreatic tumors undergoing surgical treatment

2014 ◽  
Vol 27 (4) ◽  
pp. 275-279 ◽  
Author(s):  
Luiza Bueno ZENI ◽  
Ricardo Fantazzini RUSSI ◽  
Alexandre Faleiro FIALHO ◽  
Ana Luiza Pagani FONSECA ◽  
Lyara Schaefer SOMBRIO ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Surgical Treatment ◽  
Postoperative Complications ◽  
Medical Records ◽  
Malignant Tumors ◽  
Surgical Techniques ◽  
Pancreatic Head ◽  
Ductal Adenocarcinoma ◽  
Pancreatic Tumors ◽  
Early Postoperative Complications

BACKGROUND: Pancreatic cancer has a high mortality rate due to late diagnosis and aggressive behavior. The prognosis is poor, with 5-year survival occurring in less than 5% of cases. AIM: To analyze demographic characteristics, comorbidities, type of procedure and early postoperative complications of patients with pancreatic cancer submitted to surgical treatment. METHODS: Cross-sectional study with analysis of 28 medical records of patients with malignant tumors of the pancreas in a 62 month. Data collection was performed from the medical records of the hospital. RESULTS: Of the total, 53,6% were male and the mean age was 60.25 years. According to the procedure, 53,6% was submitted to duodenopancreactectomy the remainder to biliodigestive derivation or distal pancreatectomy. The ductal adenocarcinoma occurred in 82,1% and 92,9% of tumors were located in the pancreatic head. Early postoperative complications occurred in 64,3% of cases and the most prevalent was intra-abdominal abscess (32,1%). Among duodenopancreactectomies 77,8% had early postoperative complications. CONCLUSION: Its necessary to encourage early detection of tumors of the pancreas to raise the number operations with curative intent. Refinements in surgical techniques and surgical teams can diminish postoperative complications and, so, operative morbimortality can also decrease over time.

scholarly journals Descriptive analysis of and overall survival after surgical treatment of lung metastases

2013 ◽  
Vol 39 (6) ◽  
pp. 650-658 ◽  
Author(s):  
Giana Balestro Poletti ◽  
Ivan Felizardo Contrera Toro ◽  
Thais Ferreira Alves ◽  
Eliana Cristina Martins Miranda ◽  
José Cláudio Teixeira Seabra ◽  
...  
Keyword(s):  
Overall Survival ◽  
Surgical Treatment ◽  
Postoperative Complications ◽  
Lung Metastasis ◽  
Lung Metastases ◽  
Wedge Resection ◽  
Descriptive Analysis ◽  
Survival Rates ◽  
Surgical Access ◽  
Overall Survival Rates

OBJECTIVE: To describe demographic characteristics, surgical results, postoperative complications, and overall survival rates in surgically treated patients with lung metastases.METHODS: This was a retrospective analysis of 119 patients who underwent a total of 154 lung metastasis resections between 1997 and 2011.RESULTS: Among the 119 patients, 68 (57.1%) were male and 108 (90.8%) were White. The median age was 52 years (range, 15-75 years). In this sample, 63 patients (52.9%) presented with comorbidities, the most common being systemic arterial hypertension (69.8%) and diabetes (19.0%). Primary colorectal tumors (47.9%) and musculoskeletal tumors (21.8%) were the main sites of origin of the metastases. Approximately 24% of the patients underwent more than one resection of the lesions, and 71% had adjuvant treatment prior to metastasectomy. The rate of lung metastasis recurrence was 19.3%, and the median disease-free interval was 23 months. The main surgical access used was thoracotomy (78%), and the most common approach was wedge resection with segmentectomy (51%). The rate of postoperative complications was 22%, and perioperative mortality was 1.9%. The overall survival rates at 12, 36, 60, and 120 months were 96%, 77%, 56%, and 39%, respectively. A Cox analysis confirmed that complications within the first 30 postoperative days were associated with poor prognosis (hazard ratio = 1.81; 95% CI: 1.09-3.06; p = 0.02).CONCLUSIONS: Surgical treatment of lung metastases is safe and effective, with good overall survival, especially in patients with fewer metastases.

scholarly journals EARLY AND LATE POSTOPERATIVE COMPLICATIONS IN PATIENTS WITH LOCALIZED AND LOCALLY ADVANCED RENAL CELL CARCINOMA

2021 ◽  
Vol 11 (3) ◽  
pp. 33-35
Author(s):  
Alexandr Strachuk ◽  
Nataliya Pashina ◽  
Elina Korovyakova ◽  
Yana Chechetkina ◽  
Natalia Karaseva ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Surgical Treatment ◽  
Postoperative Complications ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Locally Advanced ◽  
Advanced Renal Cell Carcinoma ◽  
Common Complication ◽  
Regional Lymph Nodes ◽  
Tract Infections

Background: Modern Russian statistics show that the percentage of renal cell carcinoma (RCC) among all oncological diseases has increased and amounted to almost 5% in 2019. The main method of treating RCC is radical nephrectomy in localized RCC, which is supplemented by the removal of regional lymph nodes in locally advanced RCC. Aim: To evaluate early and late postoperative complications in patients with localized and locally advanced renal cell carcinoma. Methods: We’ve analyzed the results of surgical treatment and postoperative complications in 378 patients with clinically proven localized and locally developed RCC. Results: The total number of complications after surgical treatment of patients with localized and locally advanced RCC was 24 (6.3%) patients. Moreover, in the treatment of the localized form of RCC, postoperative complications are 3 times less common than in the locally advanced form of RCC (p <0.05). The most common complication after surgical treatment of RCC was bleeding which we observed in 11(2.9%) patients. Conclusion: After surgical treatment of RCC, the proportion of complications is not high, but they can have unpleasant consequences. In the late postoperative period the most common complication bleeding is followed by lymphorrhea and urinary tract infections.

scholarly journals Case Report: Multiple complications after laparoscopic cholecystectomy with perforation and spilled gallstones

F1000Research ◽  
2016 ◽  
Vol 5 ◽  
pp. 2322
Author(s):  
Jeanett Klubien ◽  
Dorte Winther Borgersen ◽  
Jacob Rosenberg ◽  
Hans-Christian Pommergaard
Keyword(s):  
Computed Tomography ◽  
Laparoscopic Cholecystectomy ◽  
Case Report ◽  
Postoperative Complications ◽  
Acute Cholecystitis ◽  
Medical Records ◽  
Abdominal Cavity ◽  
Pleural Empyema ◽  
Common Complication ◽  
Lost Gallstone

Introduction Perforation of the gallbladder is a benign and common complication during laparoscopic cholecystectomy. However, it may result in stone spilling, which potentially can lead to serious postoperative complications. Case report A 70-year-old male underwent laparoscopic cholecystectomy for acute cholecystitis. The procedure was complicated by perforation of the gallbladder and spilling of gallstones. More than a year after the procedure, the patient developed subcutaneous abscesses containing some of the spilled stones, a computed tomography revealed a complex intraabdominal and intrathoracic fistula with communication from the abdominal cavity to pleura and ultrasonic imaging found a lost gallstone in the thorax. After two years, the patient developed pleural empyema and sepsis secondary to the condition. Presently, the patient awaits surgery for the fistula and empyema. Conclusion Proper care should be taken to avoid stone spilling during laparoscopic cholecystectomy. However, if perforation and stone spilling occur, all visible stones should be removed during the procedure and the complication should be noted in the medical records. Furthermore, the patient should be thoroughly informed. This may help accelerate diagnosis if the patient later suffers from a complication related to lost stones.

scholarly journals Outcomes after Surgical Treatment of Metastatic Disease in the Adrenal Gland; Valuable for the Patient?

Cancers ◽  
2021 ◽  
Vol 14 (1) ◽  
pp. 156
Author(s):  
Madelon J. H. Metman ◽  
Charlotte L. Viëtor ◽  
Auke J. Seinen ◽  
Annika M. A. Berends ◽  
Patrick H. J. Hemmer ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Patient Characteristics ◽  
Minimal Invasive ◽  
Adrenal Metastasis ◽  
Perioperative Outcomes ◽  
Multidisciplinary Teams ◽  
Complication Rates ◽  
Related Data ◽  
Potential Benefits

The adrenal glands are common dissemination sites for metastasis of various solid tumors. Surgical treatment is often recommended because targeted therapies and immunotherapy are frequently ineffective for adrenal metastasis. We report the experience with short-term and long-term surgical outcomes of patients undergoing surgery for adrenal metastasis in two hospitals. A retrospective, multicenter study was performed to analyze patient characteristics, tumor-related data, perioperative outcomes, and oncological outcomes. Postoperative complications that occurred within 30 days were scored according to the Clavien Dindo classification. Metastatic adrenalectomy was performed in 95 patients. We observed an increase from an average of 3 metastatic adrenalectomies per year between 2001–2005 to 10 between 2015–2019. The most frequent underlying malignancies were colorectal and lung cancer. In 55.8%, minimal invasive adrenalectomy was performed, including six conversions to open surgery. A total of 37.9% of patients had postoperative complications, of which ileus or gastroparesis, wound problems, pneumonia, and heart arrhythmias were the most occurring complications. Improved cancer care has led to an increased demand for metastatic adrenalectomy over the past years. Complication rates of 37.9% are significant and cannot be neglected. Therefore, multidisciplinary teams should weigh the decision to perform metastatic adrenalectomy for each patient individually, taking into account the drawbacks of the described morbidity versus the potential benefits.

scholarly journals Surgical Treatment Outcome of Salivary Gland Tumors

2019 ◽  
Vol 31 (3) ◽  
pp. 34-38
Author(s):  
Nibrass J. Kadhim ◽  
Salwan Y. Bede
Keyword(s):  
Salivary Gland ◽  
Surgical Treatment ◽  
Postoperative Complications ◽  
Parotid Gland ◽  
Facial Nerve ◽  
Malignant Tumors ◽  
Surgical Excision ◽  
Salivary Gland Tumors ◽  
Benign Tumors ◽  
Common Complication

Background: Salivary gland neoplasms constitute a group of heterogeneous lesions with complex clinicopathologic characteristics and distinct biological behavior. Numerous studies have suggested geographical variation, therefore the aims of this study were to analyze the characteristics of salivary gland neoplasms in two Iraqi centers and to analyze the postoperative complications that are encountered after surgical treatment of these tumors. Materials and Methods: A retrospective study of the patients who were treated for major and minor epithelial salivary gland tumors was conducted. The analyzed data included; demographic information (age and gender), the site of the tumor, the clinical manifestations, the histological type of the tumor, the type of the treatment and the postoperative complications. Results: Fifty seven patients were included in this study. The parotid gland was involved in most patients (n=37, 64.9%). Thirty five patients (61.4%) had benign tumors while 22 patients (38.6%) had malignant tumors. The mean age of patients with malignant tumors was 52.05 (±17.3) while of patients diagnosed with benign tumors was 41.6 (±11.4) years, the difference was statistically significant (p= 0.008). Surgical treatment consisted of superficial parotidectomy, total parotidectomy, surgical excision of the submandibular gland, surgical excision of minor salivary glands and maxillectomy. The most common complication was weakness of one or multiple branches of the facial nerve, complications were significantly associated with patients’ age, whereas gender and type of tumor whether benign or malignant did not affect the complication rate Conclusions: benign salivary gland tumors are more common than malignant tumors with no gender predilection and that patients who are diagnosed with malignant tumors are significantly older that patients with benign tumors, parotid gland is the most commonly affected gland with pleomorphic adenoma as the most frequent diagnosis. Facial nerve dysfunction was the most common complication and the complication rate was significantly associated with the age of patients.

scholarly journals Surgical complications in systemically compromised patients: analysis of 992 medical records

2020 ◽  
Vol 68 ◽  
Author(s):  
Emanuela Fátima Silva PIEDADE ◽  
Jéssica Lemos GULINELLI ◽  
Thallita Pereira QUEIROZ ◽  
Vinicius Matheus ROSA ◽  
Pâmela Letícia SANTOS
Keyword(s):  
Postoperative Complications ◽  
Surgical Complications ◽  
Medical Records ◽  
Preoperative Evaluation ◽  
Extraction Methods ◽  
Diabetic Patients ◽  
Common Complication ◽  
Hypertensive Patients ◽  
Prevalence Of Pain ◽  
Compromised Patients

ABSTRACT Objective: The preoperative evaluation is essential to prevent postoperative surgical complications. The present study aimed to establish quantitative and qualitative profiles of systemic disorders and relate them to postoperative surgical complications in patients subjected to dental extraction Methods: Data were collected from the medical records of 992 patients subjected to dental extractions from 2010 to 2015 through a detailed analysis of anamnesis files. The data collected were tabulated and converted to percentages to facilitate the discussion and comparison with reports in the literature Results: From all the medical records analyzed, 559 presented systemic changes, which corresponds to 56.3%. Among them, there was a higher prevalence of patients with hypertension (24%), smoking habits (20%), and diabetes (11%). The most frequent complications were pain (34%), inflammation (19.8%), and hemorrhage (13.2%). The prevalence of diseases related to age shows patients under the age of 20 (4.7%), 20 to 29 (11.3%), 30 to 39 (16.8%), 40 to 44 (10%), 45 to 49 (10.9%), 50 to 54 (12.3%), 55 to 59 (12.9%), 60 to 64 (10.4%), 65 to 69 (4.8%), and older than 70 years old (5.9%). As for systemic changes with complications, hypertensive patients with complications (n=11) showed higher prevalence of pain (45.4%), the most common complication in smokers (n=15) was exacerbated inflammation (33.3%), and 50% of diabetic patients with complications (n=8) were diagnosed with alveolitis Conclusion: The method studied allowed concluding there was a relationship between postoperative complications and systemic changes, and the main ones were pain-hypertension, inflammation-smoking, and alveolitis-diabetes.

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