scholarly journals Laparoscopic Sacropexy: A Retrospective Analysis of Perioperative Complications and Anatomical Outcomes

2012 ◽  
Vol 16 (3) ◽  
pp. 428-436 ◽  
Author(s):  
Bernd Bojahr ◽  
Garri Tchartchian ◽  
Matthias Waldschmidt ◽  
Thoralf Schollmeyer ◽  
Rudy L. De Wilde
Keyword(s):  
Retrospective Analysis ◽  
Perioperative Complications ◽  
Laparoscopic Sacropexy ◽  
Anatomical Outcomes

scholarly journals Metabolic equivalent of task (MET) in the preoperative assessment in aortic surgery: a retrospective analysis

2020 ◽  
Author(s):  
Alicja Zientara ◽  
Igor Schwegler ◽  
Omer Dzemali ◽  
Hans Bruijnen ◽  
Alain Bernheim ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Functional Capacity ◽  
Perioperative Complications ◽  
Aortic Surgery ◽  
Surrogate Marker ◽  
Preoperative Risk ◽  
Metabolic Equivalent ◽  
Aortic Repair ◽  
Significant Difference ◽  
Metabolic Equivalent Of Task

Abstract Background: Reliable prediction of the preoperative risk is of crucial importance for patients undergoing aortic repair. In this retrospective cohort study we evaluated the metabolic equivalent of task (MET) in the preoperative risk assessment with clinical outcome in a cohort of consecutive patients.Methods: Retrospective analysis of prospectively collected data in a single center unit of 296 patients undergoing open or endovascular aortic repair. Out of these, 276 patients had a preoperative statement of their functional capacity in metabolic units and were evaluated concerning their postoperative outcome. Results: Mean survival of the whole cohort was 74 months. There was no significant difference between patients with a functional capacity of more or less than 4 MET respectively (74.5 vs 65.4 months; p=0.64). The infrarenal cohort was subdivided based on the operative technique (open or endovascular) and the preoperative MET status. Survival analysis of all four subgroups showed no significant differences. The median follow-up of the patients’ cohort was 10.8 months. In 46 patients with >4MET (20.9%) perioperative complications occurred compared to the group with <4MET with 18 patients (32.1%) (p=0.075). The risk to miss a potential need for cardiac optimization in patients >4MET was 7%.Conclusion: Functional preoperative evaluation by MET in patients undergoing aortic surgery is used as standardized tool for patients’ assessment and is meant to act as a useful surrogate marker of perioperative performance. However, it could not discern patients in need for cardiopulmonary testing.Trial registration: clinicaltrials.gov, registration number NCT03617601 (retrospectively registered)

scholarly journals Left convex thoracic scoliosis: retrospective analysis of 25 patients after surgical treatment

2011 ◽  
Vol 10 (3) ◽  
pp. 205-210
Author(s):  
Birgit Deetjen ◽  
Ulf Liljenqvist ◽  
Tobias L. Schulte ◽  
Carolin Schmidt ◽  
Tobias Lange ◽  
...  
Keyword(s):  
Cobb Angle ◽  
Retrospective Analysis ◽  
Perioperative Complications ◽  
Congenital Scoliosis ◽  
Significant Loss ◽  
Low Grade ◽  
Scoliosis Surgery ◽  
Prolonged Intubation ◽  
Major Complications

OBJECTIVE: A retrospective analysis of clinical and radiological data was conducted, with an emphasis on perioperative complications and risk factors and a minimum follow-up period of two years. The postoperative quality of life was assessed using the SRS-22 questionnaire. METHODS: Between 1999 and 2009, 25 patients (nine male, 16 female) with LCTS, with a mean age of 13.7 years (2.3-29.8 years), were treated with correction and instrumented fusion at a single institution. Seven patients had congenital scoliosis and 18 patients had noncongenital scoliosis (idiopathic, n = 5; neuropathic, n = 4; neoplasm-associated/iatrogenic, n = 3; secondary to other conditions, n = 6). The average preoperative Cobb angle was 74° (49-102°). RESULTS: A mean correction of 51% was achieved postoperatively. The mean Cobb angle at the final follow-up examination was 45° (19-85°), with a significant loss of correction of 8.8° on average. Major complications affected five patients (20%): respiratory insufficiency requiring prolonged intubation, intraoperative cardiac arrest with resuscitation being necessary twice in one patient, persistent clonus, low-grade infection, implant-based complications requiring revision surgery, and adding-on. Minor complications were observed in 22 patients (88%), mainly gastrointestinal and pulmonary. No cases of paraplegia or death occurred. A noncongenital etiology had been diagnosed before the age of 10 years in all of the patients who had major complications. The best score on the SRS-22 questionnaire was achieved in the domain of pain (87%), while the poorest was in the domain of self-image (68%). CONCLUSIONS: The results of this study emphasize an increased complication rate in patients with LCTS scheduled for scoliosis surgery. Additional preoperative examinations (MRI, paediatric consultation, cardiologic consultation, pulmonary function test) are mandatory in patients with LCTS. Preoperatively, patients should be informed about the increased cardiopulmonary and neurological risk which may be associated with scoliosis surgery.

scholarly journals Perioperative management of patients with acromegaly-a retrospective analysis

2018 ◽  
Vol 6 (2) ◽  
pp. 515
Author(s):  
Nethra H. Nanjundaswamy ◽  
Raghavendra Biligiri Sridhara
Keyword(s):  
Retrospective Analysis ◽  
Perioperative Management ◽  
Perioperative Complications ◽  
Anesthetic Management ◽  
Preoperative Evaluation ◽  
Electrolyte Imbalance ◽  
Cervical Disc ◽  
Visual Field Defects ◽  
Cardiac Complications ◽  
Presenting Symptoms

Background: Acromegaly poses several challenges to the anesthetists, neurosurgeons, endocrinologists and intensivists, mandating a careful, coordinated multidisciplinary approach for a successful surgical outcome. An emphasis is required on a thorough preoperative evaluation of airway, neurological and endocrine and metabolic status so as to formulate a suitable perioperative management plan.Methods: The rates of various perioperative complications, both surgical and anesthesia related, during pituitary surgeries in acromegaly patients were studied. Data collected included demographics, patient’s medical history and any associated comorbid conditions, diagnosis, procedure performed, anesthetic management, intraoperative and postoperative complications.Results: This is a retrospective analysis of 22 patients of acromegaly who underwent excision of a growth hormone (GH) secreting pituitary adenoma from October 2012 to December 2017. Male: female, 14:8 with a mean age of 32±9.5 years. The common presenting symptoms were somatic dysmorphism, headache, visual field defects and menstrual irregularities. Preoperative associated co-morbidities were hypertension (4), diabetes mellitus (6), Ischemic Heart Disease (1), hypothyroidism (3), situs solitus (1), lumbar and cervical disc prolapse (1), nephropathy (1) and poliomyelitis (1). One patient had difficult tracheal intubation with repeated attempts at direct laryngoscopy and surgery was deferred to a later date where awake fibreoptic bronchoscopic intubation was done. Two more patients with anticipated difficult airway, trachea was intubated using a fibreoptic bronchoscope. Out of 22 Transsphenoidal surgical approach (transnasal or sublabial) and pterional craniotomy in 18 and 4. Inhalational anaesthetic was used in the majority of patients (isoflurane, 18 and sevoflurane, 03) propofol infusion was used in 1 patient. Intraoperative cardiac complications like hypertension, ventricular ectopics was seen. Postoperatively metabolic, water and electrolyte imbalance were common occurance. CSF rhinorrhoea in 4 patients and one developed meningitis.Conclusions: The present data shows that patients undergoing pituitary surgery for acromegaly have many airway issues, cardiac and metabolic risk factors.

Surgical extraction of impacted teeth in elderly patients. A retrospective analysis of perioperative complications - the experience of a single institution

Gerodontology ◽  
2015 ◽  
Vol 33 (3) ◽  
pp. 410-415 ◽  
Author(s):  
Grzegorz Trybek ◽  
Małgorzata Chruściel-Nogalska ◽  
Małgorzata Machnio ◽  
Tomasz Smektała ◽  
Jerzy Malinowski ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Retrospective Analysis ◽  
Perioperative Complications ◽  
Single Institution ◽  
Impacted Teeth ◽  
Surgical Extraction

Carotid endarterectomy in the elderly: risk factors, intraoperative carotid hemodynamics and short-term complications: a UK tertiary center retrospective analysis

Vascular ◽  
2013 ◽  
Vol 21 (5) ◽  
pp. 273-277 ◽  
Author(s):  
H Sadideen ◽  
D R Thomson ◽  
R R Lewis ◽  
T S Padayachee ◽  
P R Taylor
Keyword(s):  
Risk Factors ◽  
Carotid Endarterectomy ◽  
Retrospective Analysis ◽  
Perioperative Complications ◽  
Surgical Techniques ◽  
Group Versus ◽  
The Elderly ◽  
Safe Procedure ◽  
Tertiary Center ◽  
Associated Risk Factors

This retrospective analysis aims to demonstrate the safety of carotid endarterectomy (CE) in patients >75 years with particular attention paid to intraoperative hemodynamics. Four hundred and ninety-six consecutive patients with >70% symptomatic and asymptomatic stenosis who underwent CE were prospectively assessed and divided into those <75 years ( n = 408; mean 64 years) and those >75 years ( n = 88; mean 78 years). Associated risk factors, hemodynamic parameters, surgical techniques and 30-day perioperative complications were compared. Carotid artery stump pressures of <25 mmHg (13 versus 29%) and middle cerebral artery velocities of <20 cm/sec (46 versus 29%) were more common in those >75 years ( P = 0.0001 and P <0.005, respectively). However, there was no difference in the frequency of intraluminal shunt (34% in both groups) or synthetic patch usage (primary patching: 12.5%, older group versus 11%, younger group; secondary patching: 34% in both groups), and no difference in the combined 30-day stroke and death rates (3.4%, >75 years versus 1.1%, <75 years; P = 0.425). CE in this cohort of patients >75 years was not associated with increased morbidity or mortality. Altered intraoperative hemodynamics were not associated with increased use of shunting or patching. This analysis supports CE as a safe procedure in the elderly.

The use of rifaximin in pre-operative period of patients with tumors of the gastrointestinal tract – a retrospective study (2013-2016)

2018 ◽  
Vol 90 (1) ◽  
pp. 35-40
Author(s):  
Nina Moroz ◽  
Robert Sitarz ◽  
Andrzej Mruk ◽  
Robert Bakalarz ◽  
Ewa Maciąg ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Retrospective Analysis ◽  
General Surgery ◽  
Perioperative Complications ◽  
Perioperative Period ◽  
Control Group ◽  
Preoperative Period ◽  
Urgent Surgery ◽  
Surgical Pain ◽  
Positive Effect

ntroduction: One of the most important goals of preparing a patient for elective gastrointestinal cancer surgery is prevention of postoperative complications. The literature gives many ways to prepare for surgery, but only a few suggests that pre-operative use of rifaximin provides benefits in the form of fewer perioperative complications and reduces the severity of pain during this period. O bjective: The presented project is a retrospective analysis of the effectiveness of rifaximin in the prevention of perioperative complications in patients treated in the Unit of General Surgery with the Orthopedic and Urology in the Hospital of the Ministry of the Interior and Administration in Lublin, and a review of international literature in this subject. Materials and methods: A retrospective analysis of the results of pre-operative use of rifaximin was performed in 181 patients scheduled for rectal and colorectal cancer between 2013 and 2016 in the General Surgery Unit with the Orthopedic and Urology in the Hospital of the Ministry of Interior and Administration in Lublin. Patients undergoing urgent surgery were excluded from the study. Patients were divided into 2 groups. The first group of 139 patients – patients operated on for rectal and colorectal cancer in 2013 until 2015, in whom rifaximine was not used in the preoperative period. The second group is 42 patients, operated on in 2016, in which the rifaximin was used in the pre-operative period at a dose of 2x2 tablets (400 mg) per day, 12-hour interval, for 7 days before the planned operation. Additionally, a probiotic was administered for 7 days. Drugs were ordained at the Oncological Outpatient Clinic as part of the pre-hospitalization check. R esults: The use of rifaximin in the preoperative period in patients with colorectal cancer had an effect on shortening the time of post-operative hospitalization and reduced post-surgical pain in comparison with the control group. The analysis of the cynumber and intensity of surgical complications in both groups did not differ. C onclusions: Large studies on the influence of rifaximin on the development of colorectal cancer have not been published so far. Only single reports suggest that its use has a positive effect on the perioperative period of patients treated for colorectal cancer including rectum and our retrospective analysis confirms these observations.

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