scholarly journals Factors Associated with Intestinal Obstructions among AdultsinKeysaney Hospital, Mogadishu- Somalia

2018 ◽  
Vol 1 (2) ◽  
pp. 70
Author(s):  
Abdijabar Mohamud Moalim ◽  
Abdurrahman Osman Fiqi ◽  
Abdirizak Ahmed Dalmar ◽  
TuncEren ◽  
Handan Ankarali ◽  
...  
Keyword(s):  
Bowel Obstruction ◽  
Clinical Judgment ◽  
Paralytic Ileus ◽  
Disease Process ◽  
Wound Dehiscence ◽  
Large Bowel Obstruction ◽  
Cross Sectional ◽  
Common Cause ◽  
Operative Complications ◽  
Post Operative Complications

Background: Intestinal obstruction (IO) is the failure of propagation of intestinal contents, and may be due to a mechanical or functional pathology.Objective: The aim of this study was to find out the factors, causes, management, and complications associated with IO among adults at KeysaneyHospital.Materials and Methods: A three-year hospital based cross-sectional study was carried out between January 1st, 2014 and December 31st, 2016 with use of the data collected from 180 patients’ medical files including demographics, duration of the disease process, year of admission, hospital stay, causes of IO, operative findings, management, outcomes and complications.Results: In the study group, 148 (82.2%) patients were men, whereas 32 (17.8%) were women, and among all admitted patients, 88 (48.8%) patients lived in Mogadishu. The peak age was between 21-40 years, with a second peak age among elderly patients between 51-70 years. A majority of the patients of 73% presented within more than a week of illness, while 67 (37.2%) patients were discharged within the first week, 47 (26.1%) were discharged within the second week, and 66 (36.6%) stayed in the hospital for more than two weeks. Mechanical obstruction accounted for 142 (78.9%) of all cases. Mechanical small bowel obstruction (SBO) was the most common type with a rate of 61.1%, followed by mechanical large bowel obstruction (LBO) with a rate of 15.6%, while mechanical SBO/LBO was found in 2.2% as compounds of volvulus. Paralytic ileus was found in 9.4% of the cases. The type of obstruction could not be determined in 11.6% of the cases. Overall, adhesions and bands (36.7%) were the most common cause of obstruction followed by strangulated hernias (16.7%) and volvulus (12.7%). Tuberculosis peritonitis (7.8%) was the most common cause of paralytic ileus. Nonoperative management was carried out in 94 (60%) patients while the remaining 64 (40%) cases underwent surgery. Common post-operative complications were wound infection (3.3%) and peritonitis (2.8%). Other rare post-operative complications included wound dehiscence and organ failure.Conclusions: Several factors contribute to either the cause, or the management of IOs. Some of these determinants may include the time since the onset of illness because of late presentation due to lack of health facilities, lack of health awareness, ignorance and poverty. Poor clinical judgment and lack of management guidelines are also the negative factors leading to poor prognosis in these patients.International Journal of Human and Health Sciences Vol. 01 No. 02 July’17. Page : 70-78

Pelvic Canal Narrowing Caused by Triple Pelvic Osteotomy in the Dog

1994 ◽  
Vol 07 (03) ◽  
pp. 110-113 ◽  
Author(s):  
D. L. Holmberg ◽  
M. B. Hurtig ◽  
H. R. Sukhiani
Keyword(s):  
Postoperative Complications ◽  
Pelvic Osteotomy ◽  
Cross Sectional Area ◽  
Sectional Area ◽  
Cross Sectional ◽  
Canal Width ◽  
Operative Complications ◽  
Post Operative Complications

SummaryDuring a triple pelvic osteotomy, rotation of the free acetabular segment causes the pubic remnant on the acetabulum to rotate into the pelvic canal. The resulting narrowing may cause complications by impingement on the organs within the pelvic canal. Triple pelvic osteotomies were performed on ten cadaver pelves with pubic remnants equal to 0, 25, and 50% of the hemi-pubic length and angles of acetabular rotation of 20, 30, and 40 degrees. All combinations of pubic remnant lengths and angles of acetabular rotation caused a significant reduction in pelvic canal-width and cross-sectional area, when compared to the inact pelvis. Zero, 25, and 50% pubic remnants result in 15, 35, and 50% reductions in pelvic canal width respectively. Overrotation of the acetabulum should be avoided and the pubic remnant on the acetabular segment should be minimized to reduce postoperative complications due to pelvic canal narrowing.When performing triple pelvic osteotomies, the length of the pubic remnant on the acetabular segment and the angle of acetabular rotation both significantly narrow the pelvic canal. To reduce post-operative complications, due to narrowing of the pelvic canal, overrotation of the acetabulum should be avoided and the length of the pubic remnant should be minimized.

scholarly journals Pelvi-perineal flap reconstruction: normal imaging appearances and post-operative complications on cross-sectional imaging

2011 ◽  
Vol 2 (3) ◽  
pp. 215-223 ◽  
Author(s):  
Nyree Griffin ◽  
Jeremy Rabouhans ◽  
Lee A. Grant ◽  
Roy L. H. Ng ◽  
David Ross ◽  
...  
Keyword(s):  
Flap Reconstruction ◽  
Cross Sectional ◽  
Operative Complications ◽  
Cross Sectional Imaging ◽  
Sectional Imaging ◽  
Post Operative Complications

Risk Factors of Perforation of Appendix and Unfavorable Outcome in Delayed Presentation of Acute Appendicitis: A Cross-Sectional Analysis

2018 ◽  
Vol 30 (1) ◽  
pp. 42-48
Author(s):  
Sheikh Mohd A Hakim ◽  
Md Habibullah Sarkar ◽  
Manzurur Rahman Shah Chowdhury
Keyword(s):  
Risk Factors ◽  
Acute Appendicitis ◽  
Hospital Stay ◽  
Abscess Formation ◽  
Delayed Presentation ◽  
Cross Sectional ◽  
Generalized Peritonitis ◽  
Operative Complications ◽  
Appendiceal Perforation ◽  
Post Operative Complications

Background: Perforated or gangrenous appendicitis in patient with a lately presented acute appendicitis remains a challenge for practicing surgeons and continues to be associated with more deadly complications. Results might improve with earlier consideration of the diagnosis followed by prompt surgical intervention. Objective: To identify the risk factors of appendiceal perforation, gangrene and other sequelae in patients with delayed presentation of acute appendicitis and its effects on the prognosis. Patients and Methods: This cross-sectional study was carried out from January, 2015 to July, 2017 (2½ years) in Rajshahi medical college hospital and also it’s neighboring several private hospitals. Those patients of both genders between 12 years to 65 years old, admitted during that period with signs and symptoms of acute appendicitis for more than 48 hours but otherwise healthy (i.e. not having any other comorbidities) were subjected to the present study. The parameters of our study were incidence of appendiceal perforation or gangrene, peri-appendiceal abscess formation, generalized peritonitis, length of hospital stay and post-operative complications. Results: During the study period, a total of 73 patients underwent appendicectomies and 23 patients were excluded, leaving 50 who met the inclusion criteria, 23 males (46%) and 27 females (54%). Of all the risk factors studied, the patient’s pre-hospital time delay was the most important risk factor for perforation (43 patients i.e. 86%) and there were little number of patients with the in-hospital delay (7 patients i.e. 14%). The reasons behind this pre-hospital as well as in-hospital delay were multifactorial. Overall appendiceal perforation occurred in 22 (44%) patients, patients presented with gangrenous appendicitis were 14 (28%), periappendiceal abscess formation was found in 9 (18%) patients, and patients presented with generalized peritonitis were 5 (10%). The duration of hospital stay ranged from several days to several weeks. Post-operative complications occurred in 40 (80%) cases. Post-operative complications were monitored and addressed as: prolonged ileus, wound sepsis as major and minor wound infection, intra-abdominal sepsis as pelvic abscess and faecal fistula. Conclusion: As the time course increases from the initiation of the first symptoms to the definitive management, the complication rate increases and acutely inflamed appendicitis gradually converts to more lethal forms.TAJ 2017; 30(1): 42-48

scholarly journals Initial Outcome of Surgical Management of Parotid Gland Neoplasm

2020 ◽  
Vol 15 (2) ◽  
pp. 193-195
Author(s):  
Mohammad Misbah Al Kabir Sumon ◽  
Sultana Dil Afsana ◽  
Md Belal Hossain
Keyword(s):  
Parotid Gland ◽  
Facial Nerve ◽  
Sampling Technique ◽  
Surgical Excision ◽  
Clear Understanding ◽  
Cross Sectional ◽  
Operative Complications ◽  
Initial Outcome ◽  
Relationship Of ◽  
Post Operative Complications

Introduction: Surgical excision is the gold standard for treatment of parotid gland neoplasm. But the complex relationship of the tumour to the facial nerve in the parotid gland makes the surgery very challenging. Objective: To evaluate the initial outcome of parotid gland neoplasm surgery. Materials and Methods: This cross-sectional observational study was conducted from January to December 2012 where 20 surgically treated patients with parotid gland neoplasm were selected by random sampling technique. They were followed up from 03 to 06 months to assess the minor post-operative complications. Results: The study revealed that 35% of patients belonged to the 4th decade of life. Pleomorphic adenoma constituted 85% of the tumours. Superficial parotidectomy was performed in 95% of cases. 40% of patients developed neuropraxia of the marginal mandibular branch of the facial nerve but all improved over a period of 3-6 months. 5% had permanent facial nerve weakness. Frey’s syndrome was observed in 20% of cases clinically but improved gradually. The rate of wound infection, parotid fistula and hypoesthesia of the skin over the ear lobule occurred in 10%, 5% and 20% cases respectively. Conclusion: Safe and effective parotid gland surgery requires a clear understanding of the regional anatomy, the experience of the surgeon, meticulous surgical technique along with detailed preoperative informed consent for surgery to reduce post-operative complications and morbidity of the patient. JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 193-195

scholarly journals Intra-Operative and Immediate Post-Operative Complications of Cataract Surgery in an Eye Camp

2020 ◽  
Vol 36 (3) ◽  
Author(s):  
Asad Azeem Mirza ◽  
Saba Al Khairy ◽  
Mazhar- Ul-Hassan ◽  
Shahid Azeem Mirza ◽  
Saad Aslam ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Cataract Extraction ◽  
P Value ◽  
Extracapsular Cataract Extraction ◽  
Small Incision Cataract Surgery ◽  
Common Procedure ◽  
Cross Sectional ◽  
Operative Complication ◽  
Operative Complications ◽  
Post Operative Complications

Purpose: To analyze the intra-operative and immediate post-operative complications in patients after cataractsurgery in an eye camp.Study Design: Descriptive cross-sectional study.Place and Duration of Study: The study was conducted in a village of Nawabshah, Sindh, Pakistan from 7th to9th of February 2020.Material and Methods: Fifteen hundred patients were screened for visual disabilities of which 150 were selectedfor the study. They had a visual acuity of less than 6/9 in one or both eyes and had a cataract. The selectedpatients were operated using either phacoemulsification, extracapsular cataract extraction ECCE), intracapsularcataract extraction (ICCE) or small incision cataract surgery (SICS). The immediate intra-operative as well aspost-operative complications on day 1 after surgery were observed.Results: One hundred and fifty patients were operated. Age ranged from 14 years to 90 years, males were58.7% and females were 41.3%. The most common procedure performed was phacoemulsification 51.3%,followed by ECCE 30.0%, then SICS 18.0% and ICCE 0.7%. The most common intra-operative complication wasposterior capsule rent and the most common post-operative complication was striate keratopathy which was seenin 14.0% individuals. There was a significant association found for post-operative complications with gender withfemales having more post-operative complications as compared to males (P-value = 0.001 < 0.001).Conclusion: Camp surgeries when performed with strict sterilization and in experienced hands can play animportant role in treating cataract, which is the commonest cause of preventable blindness in developingcountries

Frequency of Early Post-Operative Complications following Modified Radical Mastectomy (MRM) in patients with Breast Carcinoma

2021 ◽  
Vol 15 (6) ◽  
pp. 1623-1625
Author(s):  
Sadia Shah ◽  
Rahmat Ullah Shah ◽  
Adnan Badar ◽  
Monawar Shah ◽  
Shabir Ahmad ◽  
...  
Keyword(s):  
Breast Carcinoma ◽  
Wound Infection ◽  
Skin Flap ◽  
Radical Mastectomy ◽  
Wound Dehiscence ◽  
Seroma Formation ◽  
Flap Necrosis ◽  
Modified Radical Mastectomy ◽  
Operative Complications ◽  
Post Operative Complications

Objective: Breast carcinoma is the commonest cancer affecting female gender and is the second major cause of mortality in females globally. Among different surgical options, modified radical mastectomy (MRM) with or without neoadjuvant therapy is the most frequent surgery carried out globally for breast carcinoma. In this study we aimed to determine the frequency of early post-operative complications following modified radical mastectomy (MRM) in patients with breast carcinoma. Material and methods: This dual setting retrospective descriptive study was conducted at General surgery departments of Kuwait Teaching Hospital and MTI-Lady Reading Hospital Peshawar between January, 2018 and June, 2019. A total of 60 patients aged >18 years with biopsy proven stage-I to stage-III breast carcinoma who underwent modified radical mastectomy were included.All patients were followed on weekly basis for six weeks at the out-patient department (OPD) and evaluated for the development of early complications such as seroma/hematoma, flap necrosis and wound infections. Results: Seroma formation found in 9 patients (15%) and wound infection seen in 5 patients (8.3%) were the commonest complications. Conclusion: In our study seroma formation was the most common complication followed by wound infection. Skin flap necrosis, wound dehiscence, hematoma formation and development of early lymphoedema were less common. None of our patients presented with muscle paralysis secondary to nerves injury. Keywords: Breast carcinoma, modified radical mastectomy, complications, seroma, wound infection.

scholarly journals Predictor of early post-operative small bowel obstruction in patients undergoing emergency laparotomy and the role of computed tomography in detecting need for re-laparotomy

2018 ◽  
Vol 5 (10) ◽  
pp. 3321
Author(s):  
Sunil Kumar Singh ◽  
Arun Singh ◽  
Rajnikant Kumar
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Operative Procedure ◽  
Wound Dehiscence ◽  
Emergency Laparotomy ◽  
Previous Surgery ◽  
Cross Sectional ◽  
History Of

Background: Early Post-Operative Small Bowel Obstruction (EP-SBO) is common complication following laparotomy. Pathophysiology of early post-operative small bowel obstruction is poorly understood.Methods: This cross-sectional observational study was conducted over a period of 18 month on 180 patients who underwent emergency abdominal laparotomy.Results: EP-SBO developed in 35.55% patients. History of previous surgery, location of disease, degree of peritonitis, operative procedure, wound dehiscence was found to be significantly related with occurrence of EP-SBO.Conclusions: EP-SBO is more likely to develop if patient had history of previous surgery, peritonitis, some operative procedure, ostomy, wound dehiscence. We should have a preventive attitude towards any risk factor at any stage- Before, During and After surgery and CECT-Abdomen is a helpful tool in establishing need of re-laparotomy.

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.

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