Risk factors for post-operative complications after procedures for autologous bone augmentation from different donor sites

2018 ◽  
Vol 46 (2) ◽  
pp. 312-322 ◽  
Author(s):  
Andreas Sakkas ◽  
Alexander Schramm ◽  
Karsten Winter ◽  
Frank Wilde
Keyword(s):  
Risk Factors ◽  
Bone Augmentation ◽  
Operative Complications ◽  
Autologous Bone ◽  
Post Operative Complications

scholarly journals Risk Factors for Post-operative Complications in Primary Oral Cancer Surgery—a Prospective Study

2017 ◽  
Vol 9 (1) ◽  
pp. 28-34 ◽  
Author(s):  
G. M. Divya ◽  
Nujum Zinia ◽  
P. G. Balagopal ◽  
Varghese T. Bipin ◽  
Iype Mathew Elizabeth ◽  
...  
Keyword(s):  
Risk Factors ◽  
Oral Cancer ◽  
Prospective Study ◽  
Cancer Surgery ◽  
Operative Complications ◽  
A Prospective Study ◽  
Post Operative Complications

scholarly journals Clinical Outcomes Following Re-Operations for Intracranial Meningioma

Cancers ◽  
2021 ◽  
Vol 13 (19) ◽  
pp. 4792
Author(s):  
George E. Richardson ◽  
Conor S. Gillespie ◽  
Mohammad A. Mustafa ◽  
Basel A. Taweel ◽  
Ali Bakhsh ◽  
...  
Keyword(s):  
Risk Factors ◽  
Clinical Outcomes ◽  
Performance Status ◽  
Progression Free Survival ◽  
World Health ◽  
Intracranial Meningioma ◽  
Complication Rates ◽  
Patient Goals ◽  
Operative Complications ◽  
Post Operative Complications

The outcomes following re-operation for meningioma are poorly described. The aim of this study was to identify risk factors for a performance status outcome following a second operation for a recurrent meningioma. A retrospective, comparative cohort study was conducted. The primary outcome measure was World Health Organization performance. Secondary outcomes were complications, and overall and progression free survival (OS and PFS respectively). Baseline clinical characteristics, tumor details, and operation details were collected. Multivariable binary logistic regression was used to identify risk factors for performance status outcome following a second operation. Between 1988 and 2018, 712 patients had surgery for intracranial meningiomas, 56 (7.9%) of which underwent a second operation for recurrence. Fifteen patients (26.8%) had worsened performance status after the second operation compared to three (5.4%) after the primary procedure (p = 0.002). An increased number of post-operative complications following the second operation was associated with a poorer performance status following that procedure (odds ratio 2.2 [95% CI 1.1–4.6]). The second operation complication rates were higher than after the first surgery (46.4%, n = 26 versus 32.1%, n = 18, p = 0.069). The median OS was 312.0 months (95% CI 257.8–366.2). The median PFS following the first operation was 35.0 months (95% CI 28.9–41.1). Following the second operation, the median PFS was 68.0 months (95% CI 49.1–86.9). The patients undergoing a second operation for meningioma had higher rates of post-operative complications, which is associated with poorer clinical outcomes. The decisions surrounding second operations must be balanced against the surgical risks and should take patient goals into consideration.

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

Gender as a Predictor of Complications in Endoscopic Sinus Surgery

2021 ◽  
pp. 000348942098741
Author(s):  
Rahul K. Sharma ◽  
Sonam Dodhia ◽  
Justin S. Golub ◽  
Jonathan B. Overdevest ◽  
David A. Gudis
Keyword(s):  
Risk Factors ◽  
Regression Analysis ◽  
Endoscopic Sinus Surgery ◽  
Lower Risk ◽  
Sinus Surgery ◽  
Smoking History ◽  
Patient Specific ◽  
Specific Risk ◽  
Operative Complications ◽  
Post Operative Complications

Background: Understanding patient-specific risk factors for complications of functional endoscopic sinus surgery (ESS) is critical. Previous work has investigated such risk factors, but a population-based analysis has not been performed to date. Objectives: This study analyzes the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database to identify patient-specific risk factors associated with complications following ESS. Methods: A retrospective cohort study of patients who underwent ESS was conducted using the NSQIP database from 2011 to 2017. Patients were identified using CPT-codes for ESS procedures. The primary outcome analyzed was any postoperative complication. Simultaneous procedures with ESS were controlled for with regression analysis. Post-operative complications and 30-day readmission were evaluated using multivariate logistic regression controlling for age, gender, race, comorbidities (diabetes mellitus, hypertension, chronic obstructive pulmonary disease, congestive heart failure, renal failure, steroid use, and cancer history), smoking history, and intraoperative factors. Results: A total of 1279 patients who underwent ESS were identified. The average age of patients was 46.1 (SD = 16.8). Most patients (58.2%) had no major comorbidities. 594 (46.4%) patients had a tonsillectomy, adenoidectomy, or uvulopharyngoplasty at the same time as ESS. 101 (7.9%) patients experienced a complication post-operatively. 46 (3.6%) patients experienced a readmission postoperatively. The most common complication was reoperation (N = 40, 3.1%). Regression analysis revealed that gender was the only demographic factor associated with risk of post-operative complications, with women having a significantly lower risk than men (OR = 0.61, 95% CI 0.37-0.99, P = .046). Conclusions: ESS is typically performed on a relatively young and healthy population. Women have a significantly lower risk of complications after controlling for comorbidities. Further analysis of gender-specific differences in surgical outcomes should be evaluated to understand this phenomenon.

Tu1478 Risk Factors Associated With Post-Operative Complications After Gastric Bypass: A Nationwide Analysis

2015 ◽  
Vol 148 (4) ◽  
pp. S-903
Author(s):  
Violeta Popov ◽  
Marwan Abou Gergi ◽  
Allison R. Schulman ◽  
Christopher C. Thompson
Keyword(s):  
Risk Factors ◽  
Gastric Bypass ◽  
Factors Associated ◽  
Operative Complications ◽  
Post Operative Complications

Hypothyroidism in patients treated with radiotherapy for head and neck carcinoma: standardised long-term follow-up study

2016 ◽  
Vol 130 (5) ◽  
pp. 478-481 ◽  
Author(s):  
J R Alba ◽  
J Basterra ◽  
J C Ferrer ◽  
F Santonja ◽  
E Zapater
Keyword(s):  
Risk Factors ◽  
Head And Neck ◽  
Head And Neck Carcinoma ◽  
Particle Accelerator ◽  
Laryngeal Surgery ◽  
Neck Carcinoma ◽  
Operative Complications ◽  
Long Term Follow Up ◽  
Tumour Location ◽  
Post Operative Complications

AbstractObjective:Hypothyroidism is a common complication when radiotherapy is part of the treatment for head and neck tumours. This study aimed to show the incidence of hypothyroidism and possible risk factors in these patients.Methods:Factors related to the population, tumour, treatment and occurrence of hypothyroidism were analysed in 241 patients diagnosed with head and neck carcinoma.Results:Approximately 53 per cent of patients were diagnosed with radiation-induced hypothyroidism. Its occurrence was related to: tumour location, laryngeal surgery type, neck dissection type, post-operative complications, cervical radiotherapy and radiotherapy unit type (linear particle accelerator or telecobalt therapy technology).Conclusion:Control of thyroid function should be standardised for several years after treatment, particularly in patients with risk factors, such as those treated with telecobalt therapy, those with post-operative complications and for whom the thyroid parenchyma is included in the irradiated area (laryngeal or pharyngeal location and bilateral cervical radiation).

EquineReview

UK-Vet Equine ◽  
2019 ◽  
Vol 3 (3) ◽  
pp. 114-114
Author(s):  
Kate McGovern
Keyword(s):  
Risk Factors ◽  
Clinical Outcomes ◽  
Operative Complications ◽  
Post Operative Complications

Introduction: this edition of Equine Review considers papers on risk factors for post-operative complications following umbilical resection in foals, use of intrasplenic phenyleprine in nephrosplenic entrapment of the large colon, and clinical outcomes following chemotherapy for lymphomas in equids.

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