scholarly journals Re-formation of absent anterior chamber by iris incision using a 20-gauge knife in eyes with advanced paediatric vitreoretinopathies

2019 ◽  
Author(s):  
Chunli Chen ◽  
Tian Tian ◽  
Peiquan Zhao ◽  
Xiaorong Li
Keyword(s):  
Postoperative Complications ◽  
Prospective Study ◽  
Anterior Chamber ◽  
Surgical Procedures ◽  
The Novel ◽  
Paediatric Patients ◽  
Initial Episode

Abstract Background To present the novel usage of iris incision in paediatric patients lacking an anterior chamber due to various advanced vitreoretinopathies.Methods Forty-one patients (41 eyes) were enrolled in this consecutive, prospective study. Iris incision was performed in all patients. The number of iris incision times, surgical procedures, and intraoperative and postoperative complications were collected. Patients were followed up for at least 6 months.Results Anterior chamber formation was achieved with only 1 initial episode of iris incision in 28 (68.3%) eyes, with 2 episodes in 11 (26.8%) eyes, and with 3 episodes in the remaining 2 (4.9%) eyes, which also underwent 1 episode of external SRF drainage. Except for iris incarceration, which occurred in 7 (17%) of the eyes during surgery, no other related complications were noted at the last follow-up.Conclusions This novel use of iris incision is effective, simple and safe in the management of an lost anterior chamber.

scholarly journals Prognostic Nutritional Index Considering Resection Range Is Useful for Predicting Postoperative Morbidity of Hepatectomy

2021 ◽  
Author(s):  
Shigeyuki Nagata ◽  
Shohei Maeda ◽  
Satoko Nagamatsu ◽  
Seiichiro Kai ◽  
Yasuro Fukuyama ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Surgical Procedures ◽  
Predictive Value ◽  
Surgical Procedure ◽  
Major Hepatectomy ◽  
Prognostic Nutritional Index ◽  
Complication Rates ◽  
Immunological Status ◽  
Grade Ii ◽  
Prognostic Nutrition Index

Abstract Background Poor preoperative nutritional and immunological status are major risk factors for postoperative complications in patients with various malignancies. Lower preoperative prognostic nutrition index (PNI) is associated with higher rates of postoperative complications and poorer prognosis in those patients. The aim of this study was to analyze the predictive value of the PNI for post-hepatectomy complications in patients with hepatocellular carcinoma (HCC), and evaluate its utility in the surgical procedure. Methods This retrospective study included 510 patients who underwent open hepatectomies for HCC. The predictive value of the preoperative nutritional and immunological status for postoperative complications was assessed using the PNI. Postoperative complications were defined as grade II or higher per the Clavien-Dindo classification. Postoperative complication rates were compared according to surgical procedure (major hepatectomy vs minor hepatectomy). Results Patients with postoperative complications had significantly lower PNIs than those without (43.1 ± 5.5 vs 47.0 ± 5.7, P < 0.001). In the multivariate analysis, low preoperative PNI (< 45) was an independent risk factor for postoperative complications after hepatectomy (hazard ratio, 3.85). When patients were classified per their PNI (high vs low) and extent of surgical procedures (major vs minor), there were more complications among patients with low PNI than those with high PNI, regardless of the extent of surgical procedures. Specifically, the group of patients with low PNI who underwent major hepatectomy had significantly higher rates of postoperative complications than the other groups. Conclusions Adding the resection range to the PNI is useful for predicting the postoperative morbidities of hepatectomy patients.

scholarly journals Impact of Uninterrupted Use of Clopidogrel on Postoperative Complications After Extracavitary Vascular Surgical Procedures

2013 ◽  
Vol 57 (1) ◽  
pp. 295
Author(s):  
Panos Kougias ◽  
Neal Barshes ◽  
George Pisimisis ◽  
Peter Lin ◽  
Briauna Lowery ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Surgical Procedures ◽  
Vascular Surgical Procedures

scholarly journals Evaluation of changes in blood pressure in patients submitted to dental surgical procedures

2021 ◽  
Vol 10 (1) ◽  
pp. 106-115
Author(s):  
Poliana Keller de Andrade ◽  
Rayra Batista Balestrassi ◽  
Ricardo Henrique Nunes Prando ◽  
Jefferson David Melo de Matos ◽  
Leonardo Jiro Nomura Nakano ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Prospective Study ◽  
Surgical Procedures ◽  
Normal Values ◽  
Systemic Blood Pressure ◽  
Systemic Blood ◽  
Dental Procedures ◽  
Mercury Column ◽  
A Prospective Study

The present study aimed to evaluate the occurrence of significant changes in systemic blood pressure (SBP) during surgical-dental procedures. A prospective study was performed with a sample of 135 randomly selected individuals who underwent surgical procedures at the Bucomaxillofacial Surgery Clinic of the Dentistry School of the ESFA (ES) between the second half of 2017 and April 2018. After consent, sociodemographic, lifestyle data, weight and height were obtained through a questionnaire, weighing and measurement, respectively. BP measurements were performed at three moments: preoperative (BP1), intraoperative (BP2) and postoperative (BP3) using a mercury column sphygmomanometer and stethoscope. Values ​​<120/80 mmHg were used as normal values. When BP1 and BP2 were compared, 63.0% remained within normal values ​​and 22.2% reached the stage of hypertension. In the comparison of BP1 and BP3, 66.7% remained normal, and only 7.4% reached the stage of hypertension. When BP2 and BP3 were compared, 53.6% remained within the normality stage and 12.2% reached the stage of hypertension. It was concluded that there were variations in blood pressure, being the largest variation found in BP2, and can be attributed to the stress caused by the surgical act, since no statistically significant connections were found between the changes in blood pressure and the anesthetics used in the research.

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