Colonic Surgery: More Operative Procedures, Postoperative Care, and Postoperative Complications

1940 ◽  
Vol 40 (2) ◽  
pp. 163
Author(s):  
Joseph M. Miller ◽  
Charles W. Mayo
Keyword(s):  
Postoperative Complications ◽  
Postoperative Care ◽  
Operative Procedures ◽  
Colonic Surgery

scholarly journals The Superiority of Removable Contact Splints in the Healing of Diabetic Foot during Postoperative Care

2019 ◽  
Vol 2019 ◽  
pp. 1-10
Author(s):  
Vladimíra Fejfarová ◽  
Jaroslav Pavlů ◽  
Robert Bém ◽  
Veronika Wosková ◽  
Michal Dubský ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Observational Study ◽  
Diabetic Foot ◽  
Postoperative Care ◽  
Study Groups ◽  
Healing Time ◽  
Strong Trend ◽  
Forefoot Surgery ◽  
Secondary Outcomes ◽  
Loading Devices

Objective. Off-loading is one of the crucial components of diabetic foot (DF) therapy. However, there remains a paucity of studies on the most suitable off-loading for DF patients under postoperative care. The aim of our study was to evaluate the effect of different protective off-loading devices on healing and postoperative complications in DF patients following limb preservation surgery. Methods. This observational study comprised 127 DF patients. All enrolled patients had undergone foot surgery and were off-loaded empirically as follows: wheelchair+removable contact splint (RCS) (group R: 29.2%), wheelchair only (group W: 48%), and wheelchair+removable prefabricated device (group WP: 22.8%). We compared the primary (e.g., the number of healed patients, healing time, and duration of antibiotic (ATB) therapy) and secondary outcomes (e.g., number of reamputations and number and duration of rehospitalizations) with regard to the operation regions across all study groups. Results. The lowest number of postoperative complications (number of reamputations: p=0.028; rehospitalizations: p=0.0085; and major amputations: p=0.02) was in group R compared to groups W and WP. There was a strong trend toward a higher percentage of healed patients (78.4% vs. 55.7% and 65.5%; p=0.068) over a shorter duration (13.7 vs. 16.5 and 20.3 weeks; p=0.055) in the R group, as well. Furthermore, our subanalysis revealed better primary outcomes in patients operated in the midfoot and better secondary outcomes in patients after forefoot surgery—odds ratios favouring the R group included healing at 2.5 (95% CI, 1.04-6.15; p=0.037), reamputations at 0.32 (95% CI, 0.12-0.84; p=0.018), and rehospitalizations at 0.22 (95% CI, 0.08-0.58; p=0.0013). Conclusions. This observational study suggests that removable contact splint combined with a wheelchair is better than a wheelchair with or without removable off-loading device for accelerating wound healing after surgical procedures; it also minimises overall postoperative complications, reducing the number of reamputations by up to 77% and the number of rehospitalizations by up to 66%.

Approach to the neoaortic valve for replacement after the arterial switch procedure in patients with complete transposition

2001 ◽  
Vol 11 (6) ◽  
pp. 666-669 ◽  
Author(s):  
Ko Yoshizumi ◽  
Toshikatsu Yagihara ◽  
Hideki Uemura
Keyword(s):  
Postoperative Complications ◽  
Aortic Valve ◽  
Aortic Root ◽  
Posterior Wall ◽  
Anterior Wall ◽  
Pulmonary Trunk ◽  
Operative Procedures ◽  
Arterial Switch ◽  
Complete Transposition

We report our experience of aortic valvar replacement subsequent to the arterial switch procedure, incorporating the Lecompte maneuver, in patients with complete transposition. The anterior wall of the neoaorta was incised in continuity with the posterior wall of the pulmonary trunk. The aortic root was reconstructed with or without augmentation using a patch after the operative procedures to the aortic valve. With this approach, the neoaortic root could readily be exposed without extensive dissection, and valvar replacement was safely achieved. These patients experienced no postoperative complications.

scholarly journals Legal aspects in patients with complications and sequelae after rhinological surgery

2016 ◽  
Vol 6 (24) ◽  
pp. 217-224
Author(s):  
Manuela-Andra Savu ◽  
Codrut Sarafoleanu
Keyword(s):  
Postoperative Complications ◽  
Medical Care ◽  
Work Environment ◽  
Surgical Approach ◽  
Postoperative Care ◽  
Surgical Care ◽  
Legal Aspects ◽  
Surgical Team ◽  
New Techniques ◽  
Extensive Surgery

Abstract BACKGROUND. In time, the field of surgery has developed, introducing new techniques for old diseases. Along with this evolution, postoperative complications occurred and patients denounced doctors for insufficient medical care or inappropriate surgical approach. We observed an increased number of reclamations from patients who underwent rhinological surgery. All of those patients considered that medical care and the surgical act were improper, with poor outcome. MATERIAL AND METHODS. The purpose of our presentation is to sum all the causes that motivate the patients to formulate claims and to start the legal prosecution, in order to obtain financial compensation and the doctor’s conviction. We included all the patients who referred to our clinic (even if they were first treated by us or another surgical team), complaining of postoperative: persistent purulent rhinorrhea, nasal obstruction, crusts, cacosmia or anosmia, epistaxis, epiphora, unaesthetic nasal aspect. Some of these patients, before or after receiving our care, denounced the initial caregiver. RESULTS. Their main complaints involved poor preoperative notifications regarding the surgical method, risks and potential complications, extensive surgery, wrong surgical indication, inexperienced surgical team, poor postoperative care. Even if they were first treated in our clinic or not, these patients received medical and surgical care to correct all the negative post operatory outcomes. Some of the patients still pursued the legal pathway, engaging all the resources to prove doctor’s medical guilt. CONCLUSION. To avoid medico-legal situations, guidelines need to be established for the ENT surgeons, in order to confer a healthier work environment with minimum risks and complications.

scholarly journals Comparison of postoperative complications of tosillectomy, adenoidectomy and adenotonsillectomy

2020 ◽  
Vol 22 (1) ◽  
pp. 40-47
Author(s):  
Md Asgar Ali ◽  
Md Monjurul Alam ◽  
Akhil Chadra Biswas ◽  
Md Zahidul Islam ◽  
Md Toyab Ali
Keyword(s):  
Postoperative Complications ◽  
Postoperative Complication ◽  
Postoperative Care ◽  
Surgical Procedure ◽  
The World ◽  
Life Threatening ◽  
Secondary Haemorrhage

Tonsillectomy with or without adenoidectomy is a commonly performed ENT operation over the world, also in our country. Though the operation takes less time and postoperative complication is uncommon but its postoperative complication specially the reactionary haemorrhage as well as secondary haemorrhage is life threatening which heralds immediate appropriate and adequate intervention. So, not only the meticulous surgical procedure rather each and every surgeon should not leave any stone unturned regarding preoperative, peroperative and postoperative care to prevent postoperative complication. More and more study regarding postoperative complication(s) of tonsillectomy or adenoidectomy or adenotonsillectomy operation should be carried out to increase awareness and consciousness among the ENT surgeons. Bangladesh J Otorhinolaryngol; April 2016; 22(1): 40-47

COMPARATIVE STUDIES ON OPERATIVE PROCEDURES FOR GASTRODUODENAL ULCER IN VIEW OF LATE POSTOPERATIVE COMPLICATIONS

1984 ◽  
Vol 45 (3) ◽  
pp. 263-271
Author(s):  
Shuji KAGAWA ◽  
Tomoaki URAKAWA ◽  
Yasuo NAKAYAMA ◽  
Takayoshi TAKATA ◽  
Hiroyuki DEGUCHI ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Comparative Studies ◽  
Gastroduodenal Ulcer ◽  
Operative Procedures

Calcaneonavicular bar resection. A retrospective review

1993 ◽  
Vol 83 (1) ◽  
pp. 10-17 ◽  
Author(s):  
AH Cohen ◽  
TE Laughner ◽  
GR Pupp
Keyword(s):  
Retrospective Study ◽  
Surgical Technique ◽  
Retrospective Review ◽  
Postoperative Care ◽  
Preoperative Evaluation ◽  
Operative Procedures ◽  
Extensor Digitorum ◽  
Activity Levels ◽  
Increased Activity ◽  
Extensor Digitorum Brevis

The authors present a retrospective study evaluating the results of calcaneonavicular bar resection with interposition of the extensor digitorum brevis in ten patients with painful calcaneonavicular coalition. All operative procedures were supervised by one of the authors to ensure consistency in preoperative evaluation, surgical technique, and postoperative care. Results obtained from questionnaires showed significant improvement of preoperative symptoms with increased activity levels noted in all patients.

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