scholarly journals MODIFIED DUHAMEL PROCEDURE;

2018 ◽  
Vol 25 (08) ◽  
pp. 1147-1150
Author(s):  
Muhammad Afzal Mirza ◽  
Mohsin Riaz Askri ◽  
Shumyala Maqbool ◽  
Sarfraz Ahmad
Keyword(s):  
Retrospective Study ◽  
Postoperative Complications ◽  
Intestinal Obstruction ◽  
Anastomotic Leak ◽  
Early Complications ◽  
Burst Abdomen ◽  
Early Postoperative Complications ◽  
Operative Complications ◽  
Duhamel Procedure ◽  
Complications Rate

Objectives: To evaluate the early complications of Martin’s Modified DuhamelProcedure. Design: Retrospective study. Period: January 2017–December 2017. Setting: TheChildren Hospital & Institute of Child Health, Faisalabad. Material and Methods: This studyincluded Eighty Six children who underwent Martin’s modification of Duhamel’s procedure fortreatment of Hirschsprung’s disease. Results: Early postoperative complications (with in 1st 30days of operation) were observed in 86 patients. The complications noted were bleeding (n=3),wound infection (n=20), burst abdomen (n=5), anastomotic leak (n=8), intestinal obstruction(n=4), early post-operative constipation (n=6), enterocolitis (n=6), soiling (n=5) and mortality(n=2). Conclusion: Early post-operative complications in the series included bleeding, woundinfection, burst abdomen, anastomotic leak, intestinal obstruction, constipation, enterocolitis,soiling and death. The complications rate in this study is comparable to the previous studies.

scholarly journals The Assessment of Early Complications and Risk Factors Affecting Their Occurrence in Breast Reconstructive Procedures

2021 ◽  
Author(s):  
Justyna Jończyk ◽  
Jerzy Jankau
Keyword(s):  
Risk Factors ◽  
Postoperative Complications ◽  
Breast Reconstruction ◽  
Complication Rate ◽  
Clinical Factors ◽  
Early Complications ◽  
Reconstructive Procedures ◽  
Factors Affecting ◽  
Rehospitalization Rate ◽  
Early Postoperative Complications

AbstractThe presence of postoperative complications may have a significant impact on the outcome of the breast reconstruction. The aim of this study was to investigate early postoperative complications and the risk factors for their occurrence. A prospective analysis was carried out to evaluate surgical outcomes after breast reconstructive surgeries performed over a 2-year period. Procedures included expander/implant (TE/IMP), pedicle transverse rectus abdominis musculocutaneous (pTRAM), and latissimus dorsi (LD) techniques. All adverse events which occurred within 6 weeks of surgery were ranked according to severity based on the contracted Accordion grading system. Outcomes were assessed for their association with surgical, demographic, and clinical variables. Sixty-one consecutive breast reconstruction procedures were analyzed. The overall complication rate was 60.7% (n = 37), and 8 patients (13.1%) required reoperation. The lowest complication rate was observed in implant-based reconstructions (TE/IMP, 18.8%; pTRAM, 72.7%; LD, 78.3%; p = 0.008). Mild complications occurred significantly more often after LD reconstructions (LD, 60.9%; pTRAM, 22.7%; TE/IMP, 12.5%; p = 0.031), while severe complications were significantly more frequent after the pTRAM procedures (pTRAM, 27.3%; TE/IMP, 6.2%; LD, 8.7%; p = 0.047). Severe complications were associated with higher rehospitalization rate (p = 0.010) and longer hospital stay. Study revealed a significant impact of the operative method on the incidence and severity of early complications after breast reconstruction procedures with little effect from other demographic and clinical factors.

scholarly journals EP.FRI.466 Indications and Outcome of Abdominal Re-exploration in the Pediatric Population. A Single Centre Experience

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Farooq Abdullah ◽  
Nadia Gulnaz
Keyword(s):  
Intestinal Obstruction ◽  
Anastomotic Leak ◽  
Pediatric Population ◽  
Wound Dehiscence ◽  
Fecal Fistula ◽  
Burst Abdomen ◽  
Initial Surgery ◽  
Initial Procedure ◽  
The Mean ◽  
Operative Findings

Abstract Abdominal exploration (ARE) is an important complication of abdominal surgery and has an effect on morbidity and mortality. ARE refers to exploration performed within 60 days following initial surgery. The purpose of this study is to know the grounds for performing re-exploration and its effects on the outcome. Methods This retrospective study was carried out in the pediatric surgery unit of Khyber teaching hospital from May 2017 to May 2019. All patients under the age of 16 years who underwent abdominal re-exploration within 60 days of the initial procedure were included in the study. Results A total of 55 re-exploration were done in the study duration of 2 years. The mean age of patients was 41 months (range of 0.06 to 168 months) male patients were 64%. On initial presentation, 56% of cases were emergency cases and 44% were elective. Common indications for re-exploration were, intestinal obstruction 29.1%, peritonitis 16.4%, complications of stoma 16.4%, burst abdomen 10.9%. The mean interval from initial surgery was 12.5±13.7 days. Common operative findings of re-exploration were inter-loop adhesions, anastomotic disruption, burst abdomen, anastomotic leak, intra-abdominal collection, gangrenous stoma, and para-stomal herniation. ARE resulted in 14.5% mortality. Conclusion Abdominal re-exploration is mainly indicated for intestinal obstruction and peritonitis. Inter loop adhesions and anastomotic leak are common surgical findings during re-exploration. The mortality rate is high in patients re-explored for peritonitis, fecal fistula, abdominal collection, and wound dehiscence.

Prevalence of Early Post-Operative Complications in Patients Undergoing Surgical Treatment for Meningomyelocele

2021 ◽  
Vol 15 (9) ◽  
pp. 2770-2772
Author(s):  
Muhammad Pervez Khan ◽  
Naeem ul Haq
Keyword(s):  
Surgical Treatment ◽  
Descriptive Study ◽  
Defect Size ◽  
Accurate Diagnosis ◽  
Cerebrospinal Fluid Leakage ◽  
Patients Âgés ◽  
Early Postoperative Complications ◽  
Operative Complications ◽  
Complications Rate ◽  
Post Operative Complications

Objective: To determine the prevalence of early postoperative complications in patients undergoing surgical treatment for meningomyelocele. Study Design: Descriptive study Place & Duration: Department of Neurosurgery, Saidu Teaching Hospital, Saidu Sharif, Swat for duration of three years from November 2017 to October 2020. Methods: Total one hundred and thirty six patients of both genders presented with meningomycele were included in this study. Patients’ ages were ranging from 5 to 120 days. All the patients were undergoing surgical treatment for meningomyelocele. Early post-operative complications were recorded after surgery Results: There were 76 (55.88%) males and 60 (44.12%) females. Forty (29.41%) patients were ages <1 month, 59 (43.38%) patients were ages 1 to 2 months 37 (27.21%) were ages above 2 months. Majority of patients 70 (51.47%) had defect size <5 cm. Post-operative complications such as surgical site infection, pyrexia, hydrocephalus and cerebrospinal fluid leakage in 20 (14.71%), 115 (84.56%, 29 (21.32%) and 33 (24.26%) patients respectively. Conclusion: Early and accurate diagnosis and better management may reduce the complications rate Keywords: Prevalence, Complications, Meningomvelocele

scholarly journals Trans-anastomotic tube in esophageal atresia with trachea-esophageal fistula repair: how beneficial are they?

2021 ◽  
Vol 9 (10) ◽  
pp. 2946
Author(s):  
Pradeep Gupta ◽  
Vikram Singh Mujalde
Keyword(s):  
Anastomotic Leak ◽  
Esophageal Atresia ◽  
Tube Feeding ◽  
Feeding Tube ◽  
Developing Nations ◽  
Esophageal Fistula ◽  
Early Feeding ◽  
Early Complications ◽  
Fistula Repair ◽  
Operative Complications

Background: Congenital esophageal atresia with tracheo-esophageal fistula is a common congenital anomaly facing at our centre. There is various proposed anastomotic technique to avoid post-operative complications. In our center, feeding has been conventionally initiated after a contrast esophagogram done at the seventh day post repair. The current study tried to assess the benefits and risks of initiation of early feeding in these patients by placement of a Tran’s anastomotic feeding tube during the repair.Methods: Twenty-five patients had a trans anastomotic feeding tube inserted during trachea esophageal fistula repair and were followed up for different outcomes.Results: Twenty-five patients were operated out of which were sixteen males and nine were females. Early complications of esophageal atresia surgery such as anastomotic leak, surgical site infection, pneumonia and sepsis occur in eight patients. All the complications were managed successfully conservatively, however, one patient died due to anastomotic leak and subsequent septicemia.Conclusions: We conclude that early tube feeding is safe and does not increase risks of anastomotic leaks. It also reduces the need of total parenteral nutrition bringing down the costs of procedure in developing nations.   

scholarly journals POST OPERATIVE COMPLICATIONS IN PATIENTS OPERATED FOR APPENDICITIS, AN EXPERIENCE IN PIMS PESHAWER.

1969 ◽  
Vol 6 (2) ◽  
pp. 809-815
Author(s):  
MUHAMMAD KHAN ◽  
MUHAMMAD UZAIR ◽  
MUHAMMAD IFTIKHAR ◽  
MUNIR AHMAD
Keyword(s):  
Postoperative Complications ◽  
Intestinal Obstruction ◽  
Wound Infection ◽  
Paralytic Ileus ◽  
Iliac Fossa ◽  
High Rate ◽  
Abdominal Abscess ◽  
Mortality And Morbidity ◽  
Operative Complications ◽  
Post Operative Complications

BACKGROUND: Appendicitis is one of the most common acute abdominal states of illnesses. Mostof the patients presented to our surgical emergency department are suffering from acute appendicitis.Early diagnosis and treatment reduce the mortality and morbidity of acute appendicitis significantly.The aim of the study was to determine the post operative complications of acute appendicitis.OBJECTIVE: The objective of this study is to know postoperative complications of openappendicectomy and its related morbidity and mortality in patients presenting to PIMS HospitalPeshawar, KPK.MATERIAL AND METHODS: This study was conducted in General Surgical Unit, PeshawarInstitute of Medical Sciences (PIMS) from June 2015 to July 2016. The design of the study wasdescriptive type. Patients coming to emergency or surgical OPD were examined after detail history,investigation and then operated. Postoperative complications of appendicectomy along with otherfindings were noted.RESULTS: 100 patients were admitted and operated, 86% were male and 14% female, 54% were inthe age range of 21-30 years. Most (80%) presented with pain right iliac fossa of 1 day duration,majority (76%) presented in typical way. mass formation was found in 9% cases. Inflamed appendixwas commonest in (82%) cases, perforated appendix (12%) and normal appendix found in (6%) cases.Among the complications, wound infection was recorded in (20%), intra-abdominal abscess (8%),paralytic ileus (5%), intestinal obstruction (4%) and (1%) case of each DVT, bleeding and death werenoted.CONCLUSIONS: variations in signs and symptoms lead to delay in diagnosis and high rate of posop complications like wound infection , intra-abdominal abscess , paralytic ileus , intestinal obstruction , DVT, bleeding and death.KEY WORDS: appendicitis, post-operative complications.

scholarly journals Brachial insertion of fully implantable venous catheters for chemotherapy: complications and quality of life assessment in 35 patients

2016 ◽  
Vol 14 (4) ◽  
pp. 473-479 ◽  
Author(s):  
Igor Yoshio Imagawa Fonseca ◽  
◽  
Mariana Krutman ◽  
Kenji Nishinari ◽  
Guilherme Yazbek ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Conventional Technique ◽  
Life Assessment ◽  
Basilic Vein ◽  
Early Complications ◽  
Early Postoperative Complications ◽  
Primary Endpoints ◽  
Feasible Option ◽  
Ultrasound Guided Puncture ◽  
Guided Puncture

ABSTRACT Objective To prospectively evaluate the perioperative safety, early complications and satisfaction of patients who underwent the implantation of central catheters peripherally inserted via basilic vein. Methods Thirty-five consecutive patients with active oncologic disease requiring chemotherapy were prospectively followed up after undergoing peripheral implantation of indwelling venous catheters, between November 2013 and June 2014. The procedures were performed in the operating room by the same team of three vascular surgeons. The primary endpoints assessed were early postoperative complications, occurring within 30 days after implantation. The evaluation of patient satisfaction was based on a specific questionnaire used in previous studies. Results In all cases, ultrasound-guided puncture of the basilic vein was feasible and the procedure successfully completed. Early complications included one case of basilic vein thrombophlebitis and one case of pocket infection that did not require device removal. Out of 35 patients interviewed, 33 (94.3%) would recommend the device to other patients. Conclusion Implanting brachial ports is a feasible option, with low intraoperative risk and similar rates of early postoperative complications when compared to the existing data of the conventional technique. The patients studied were satisfied with the device and would recommend the procedure to others.

scholarly journals CAUSES OF EARLY RELAPAROTOMIES IN SURGERY

2021 ◽  
pp. 77-80
Author(s):  
V. I. Lupaltsov ◽  
K. O. Vander
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Intestinal Obstruction ◽  
Early Postoperative Period ◽  
Early Postoperative Complications ◽  
Urgent Surgery ◽  
Abdominal Abscesses ◽  
Abdominal Organs ◽  
Adhesive Intestinal Obstruction ◽  
Suture Failure

Summary. Introduction. Despite the introduction of modern methods of diagnosis, tactics, and treatment of diseases of the abdominal organs, the risk of developing early postoperative complications remains high. The aim of this study is to clarify the causes of early postoperative complications and indications for their surgical treatment. Materials and methods. 3947 case histories of patients operated on for urgent indications were analyzed. In 73 cases, relaparotomies were performed in the early postoperative period (1.85 %). Results and discussion. The main nosologic unit, during the surgical treatment of which relaparotomies were performed, was acute appendicitis. Then there was a perforated pyloroduodenal ulcer and a strangulated hernia of various localization. The main indications for relaparotomy were progressive peritonitis, early adhesive intestinal obstruction, intra-abdominal abscesses, and infiltrates. In two cases, no pathology was detected during relaparotomy – there was an over diagnosis of postoperative peritonitis and anastomotic suture failure. Conclusion. 1. The main cause for relaparotomies in urgent surgery is the progression of preoperative peritonitis. 2. The second important cause is early postoperative adhesive intestinal obstruction. 3. Errors in intraoperative diagnostics, tactics, and techniques are the third leading cause of early relaparotomies.

scholarly journals Early Complications After Penetrating Keratoplasty

2016 ◽  
Vol 09 (02) ◽  
pp. 88
Author(s):  
Moulaye A Haidara ◽  
Bennie H Jeng ◽  
◽  
Keyword(s):  
Postoperative Complications ◽  
Ocular Surface ◽  
Penetrating Keratoplasty ◽  
Developing Nations ◽  
Endothelial Keratoplasty ◽  
Early Complications ◽  
Medline Search ◽  
Early Postoperative Complications ◽  
The Us ◽  
Management Techniques

Although endothelial keratoplasty has gained increasing popularity over the last decade in the US, penetrating keratoplasty (PK) continues to have a role in the treatment of corneal diseases. This is especially true in developing nations where endothelial keratoplasty has not been popularized, and where isolated endothelial disease is much less common. In these situations, PK is still indicated. As with any surgical procedure, PK carries with it complications that can threaten the success of the procedure, including wound-related issues, ocular surface disease, infections, and suture-related complications. This article will review the various aspects of early complications after PK occurring within the first 2 months of surgery, along with management techniques. A review of the current literature was performed via a Medline search using the keywords “penetrating keratoplasty,” “complications,” “cornea,” and “transplant.” All articles containing descriptions of early postoperative complications after PK were reviewed, and the more commonly encountered complications are discussed in this article.

Naples Prognostic Score to Predict Postoperative Complications After Colectomy for Diverticulitis

2022 ◽  
pp. 000313482110698
Author(s):  
Benjamin Russell ◽  
Yaniv Zager ◽  
Gillie Mullin ◽  
Matan Cohen ◽  
Assaf Dan ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Postoperative Complications ◽  
Prognostic Score ◽  
Strong Association ◽  
Single Center ◽  
Urgent Surgery ◽  
Proven Efficacy ◽  
Surgical Data ◽  
Complications Rate

Background The Naples Prognostic Score (NPS) has proven efficacy as a prognostic tool for postoperative outcomes in patients undergoing surgery for neoplastic diseases. However, the role of the NPS score in inflammatory surgical diseases has not yet been studied. We aimed to evaluate NPS predictive value in patients undergoing colectomy due to diverticulitis. Methods A single-center retrospective study including all patients who underwent colectomy for diverticulitis between July 2008 and March 2020 was established. Patients' demographics, clinical and surgical data were recorded and analyzed. Patients were scored on a scale of 0-4 and received one point for preoperation albumin <4 g/dL, cholesterol ≤180 mg/dL, Neutrophil to Lymphocyte Ratio >2.96, and Lymphocyte to Monocyte ≤4.44. Results Out of 3292 patients admitted because of diverticulitis during the study period, 159 patients (4.83%) underwent colectomy. Of those patients, fifty patients were eligible for NPS analysis. 35 patients (70%) were females with a mean age of 62.81 ± 14.51. Thirty-two (64%) patients underwent an elective operation. The postoperative complications rate was 36% (N = 18). The mortality rate was 6% (N = 3). ROC showed a strong association between the NPS and mortality (area = .88, P = .03) and wound infection (area = .78, P = .01). In patients who underwent urgent surgery, there was an association between NPS and re-operation ( P = .04). There was a correlation between NPS and Clavien-Dindo score (Spearman’s coefficient = .284, P = .045). Conclusions/Discussion The Naples prognostic score is an effective tool for predicting postoperative complications in patients undergoing colectomy for diverticulitis. It may assist the surgeon in deciding on extent of the operation for diverticulitis and in elective cases also on timing.

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