63,695 results match your criteria perioperative complications


A simplified procedure of nerve-sparing radical hysterectomy.

J Obstet Gynaecol Res 2022 Jan 20. Epub 2022 Jan 20.

Department of Obstetrics and Gynecology, Tottori University School of Medicine, Yonago, Tottori Prefecture, Japan.

Aim: We devised a simplified nerve-sparing radical hysterectomy that is simpler than commonly used procedures.

Methods: We retrospectively examined 16 cases of classical non-nerve-sparing radical hysterectomy (non-nerve-sparing group) and 16 cases of simplified nerve-sparing radical hysterectomy (nerve-sparing group) performed between 2019 and 2020. We examined and compared the duration of surgery, blood loss, perioperative complications, postoperative urinary function (presence or absence of urinary sensation, number of days with residual urine measurement, and frequency and duration of oral sustained release urapidil capsules and self-catheterization), and short-term prognosis between the two groups. Read More

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January 2022

Advances in Interventional Therapies for Painful Diabetic Neuropathy: A Systematic Review.

Anesth Analg 2022 Jan 20. Epub 2022 Jan 20.

Department of Pain Management, Anesthesiology Institute.

Background: Painful diabetic neuropathy (PDN) is one of the major complications of diabetes mellitus. It is often debilitating and refractory to pharmaceutical therapies. Our goal was to systematically review and evaluate the strength of evidence of interventional management options for PDN and make evidence-based recommendations for clinical practice. Read More

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January 2022

Severe Intraoperative Hyperglycemia and Infectious Complications After Elective Brain Neurosurgical Procedures: Prospective Observational Study.

Anesth Analg 2022 Jan 20. Epub 2022 Jan 20.

Department of Anesthesiology, Critical Care and Pain Medicine, Sapienza University, Rome, Italy.

Background: Postoperative infections after brain surgery are a serious complication potentially worsening the outcome of surgical treatment. Severe intraoperative hyperglycemia (SIH) contributes to both infectious and noninfectious postoperative complications. However, there are a lack of data on the incidence of SIH in patients undergoing elective neurosurgical brain procedures and its association with the risk of postoperative infections. Read More

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January 2022

Neurological outcomes following awake and asleep craniotomies with motor mapping for eloquent tumor resection.

Clin Neurol Neurosurg 2022 Jan 12;213:107128. Epub 2022 Jan 12.

Department of Neurological Surgery, The University of Texas Southwestern Medical Center, Dallas, TX, United States; Simmons Comprehensive Cancer Center, The University of Texas Southwestern Medical Center, Dallas, TX, United States. Electronic address:

Objective: Cortical mapping has been used as a tool to ensure maximal safe resection of intracranial tumors for several decades. Post-surgical motor and language deficits, including seizures, weakness, aphasia, and dysarthria have been well-documented in patients undergoing these operations, particularly on eloquent cortical regions. However, it is not known whether awake versus asleep cortical mapping contributes to differences in postoperative neurological deficits. Read More

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January 2022

Posterior hinge fixation for the treatment of unstable traumatic sacroiliac joint injuries.

Orthop Traumatol Surg Res 2022 Jan 17:103203. Epub 2022 Jan 17.

CHU de Rouen, Institut Régional du Rachis, Service de chirurgie orthopédique et traumatologique, 1, rue de Germont, 76 000 Rouen, France.

Introduction: Posterior hinge fixation (PHF) is a sacroiliac joint fixation method indicated for the surgical treatment of unstable pelvic ring fractures (Tile C).

Hypothesis: PHF yields good functional outcomes based on the Majeed score at more than 1 year of follow-up.

Methods: A single-center, retrospective study of patients who had a Tile C pelvic ring fracture, who were operated by PHF and who were evaluated at a minimum follow-up of 1 year. Read More

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January 2022

Horner Syndrome Following Intercostal Nerve Block Via an Anterolateral Approach in Breast Lumpectomy: A Prospective Nested Case-control Study.

Pain Physician 2022 Jan;25(1):E55-E65

Department of Anesthesiology, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China; Department of Anesthesiology, Zhongshan Hospital Fudan University, Shanghai, China; Department of Anesthesiology, Zhongshan Wusong Hospital Affiliated to Fudan University, Shanghai, China; Fudan Zhangjiang Institute, Shanghai, China; Shanghai Key Laboratory of Perioperative Stress and Protection.

Background: Lumpectomy is important for preventing malignant changes in benign tumors and diagnosing malignant tumors. Intercostal nerve blocks (ICNBs) are useful for breast lumpectomy as either the primary anesthetic or as an adjuvant anesthetic procedure. To our knowledge, no studies have evaluated the association between Horner syndrome and ICNB. Read More

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January 2022

Safety of Interlaminar Cervical Epidural Injections: Experience With 12,168 Procedures in a Single Pain Clinic.

Pain Physician 2022 Jan;25(1):49-58

Nura Pain Clinic, Minneapolis, MN.

Background: Cervical epidural steroid injections have long been utilized to treat intraspinal inflammation causing cervicalgia and/or cervical radiculopathy, and much has been written about safety and efficacy. There are published opinions, without evidence basis, that these injections should not be performed above C7-T1 for fear of dural puncture, spinal cord injury, and other complications that might occur more frequently at higher spinal levels. However, many experienced interventional pain physicians believe that epidural injections targeted to the level of spinal inflammation may be more effective. Read More

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January 2022

Neurophysiological Intraoperative Monitoring in Patients with Cochlear Implant Undergoing Posterior Spinal Fusion: A Case Report.

JBJS Case Connect 2022 Jan 20;12(1). Epub 2022 Jan 20.

Penn State Hershey Medical Center, Bone and Joint Institute, Hershey, Pennsylvania.

Case: Transcranial electric stimulation motor-evoked potentials (tcMEPs) are the most sensitive technique in multimodality intraoperative neuromonitoring (IONM) for posterior spinal fusion (PSF). The presence of a cochlear implant (CI) is considered a contraindication to IONM because of theoretical risk of implant device and local tissue damage from voltages induced by tcMEPs. We present the case of a 10-year-old girl with CI who underwent successful PSF with tcMEP and monopolar electrocautery (MoEC) without perioperative complications or CI damage. Read More

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January 2022

Association of Multiprofessional Preoperative Assessment and Information for Patients With Head and Neck Cancer With Postoperative Outcomes.

JAMA Otolaryngol Head Neck Surg 2022 Jan 20. Epub 2022 Jan 20.

Department of Otorhinolaryngology-Head and Neck Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Importance: Multidisciplinary perioperative assessment for patients undergoing complex oncologic head and neck cancer (HNC) surgery is widely implemented. However, to our knowledge, the association of multiprofessional preoperative assessment, information, and briefing with postoperative outcomes has not been evaluated.

Objective: To compare postoperative complications, length of hospital stay (LOS), readmissions, mortality, and costs per case among patients undergoing complex oncologic HNC surgery before and after the implementation of a comprehensive preoperative multiprofessional assessment and information day (MUPAID). Read More

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January 2022

Partial Vaginectomy, Complete Vaginectomy, Partial Vestibule-Vaginectomy, Vulvo-Vestibule-Vaginectomy and Vulvo-Vestibulectomy: Different Surgical Procedure in Order to Better Approach Vaginal Diseases.

Animals (Basel) 2022 Jan 14;12(2). Epub 2022 Jan 14.

Department of Veterinary Medical Sciences, University of Bologna, Via Tolara di Sopra 50, Ozzano dell'Emilia, 40064 Bologna, Italy.

Total or partial vulvo-vaginectomy or vaginectomy are not routinely performed due to the complexity of the techniques and because they are considered radical treatments. Little information can be found in the literature, as the same technique is often named in a different way by different authors, confusing the reader. Therefore, the aim of this essay is to describe five different surgical techniques: partial vaginectomy, complete vaginectomy, partial vestibule-vaginectomy, vulvo-vestibule-vaginectomy and vulvo-vestibulectomy. Read More

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January 2022

Comparison of the Success with Two Bending Angles for Lighted stylet Intubation in Children: A Prospective Randomised Study.

Paediatr Anaesth 2022 Jan 20. Epub 2022 Jan 20.

The First Central Clinical School, Tianjin Medical University, Tianjin, 300192, China.

Background And Aim: The bend angle of a lighted stylet is an important factor for successful orotracheal intubation. The aim of this study was to test the differences in the success of endotracheal intubation using lighted stylet with 70° versus 90° bend angles in children aged 4-6 years with normal airways.

Methods: A total of 136 children with normal airways required orotracheal intubation were enrolled and were randomly allocated to the 90° or 70° bend angle groups. Read More

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January 2022

Effect of Wrist-Ankle Acupuncture on Postoperative Analgesia after Total Knee Arthroplasty.

Chin J Integr Med 2022 Jan 19. Epub 2022 Jan 19.

Department of Thoracic Surgery, Tangshan People's Hospital, North China University of Science and Technology, Tangshan, Hebei Province, 063000, China.

Objective: To evaluate the effect of wrist-ankle acupuncture (WAA) in pain and functional recovery after total knee arthroplasty (TKA).

Methods: From June to September 2020, 94 participants were included from the Second Hospital of Tangshan and randomly assigned to the WAA group (47 cases) and the sham WAA group (47 cases) by a random number table, receiving real or sham WAA treatment, respectively. The primary outcome measure involved the visual analogue scale (VAS) scores at rest and in motion. Read More

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January 2022

Ultrasound guiding the rapid diagnosis and treatment of perioperative pneumothorax: A case report.

World J Clin Cases 2021 Dec;9(35):11043-11049

Department of Anesthesia, Sichuan Provincial Orthopedic Hospital (Chengdu Sports Hospital and Chengdu Research Institute for Sports Injury), Chengdu 610041, Sichuan Province, China.

Background: Pneumothorax is one of the most common causes of acute dyspnea. In patients under general anesthesia, the symptoms may not be obvious, which may delay diagnosis and treatment. Computed tomography is the gold standard for the diagnosis of pneumothorax, but is not suitable for rapid diagnosis of this complication. Read More

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December 2021

Value of the controlling nutritional status score and psoas muscle thickness per height in predicting prognosis in liver transplantation.

World J Clin Cases 2021 Dec;9(35):10871-10883

Department of Liver Transplant, Tianjin First Central Hospital, Tianjin 300110, China.

Background: Patients with end-stage liver disease usually have varying degrees of malnutrition, and severe malnutrition may affect the prognosis of patients after liver transplantation (LT). However, there is no recommended standard for the nutrition assessment of patients waiting for LT, and it is unknown whether malnutrition has an impact on the occurrence of postoperative complications.

Aim: The study aim was to investigate the value of the controlling nutritional status (CONUT) score and psoas muscle thickness per height (PMTH) in predicting prognosis in LT. Read More

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December 2021

Effect of Preoperative Chronic Opioid Use on Mortality and Morbidity in Vascular Surgical Patients.

Cureus 2021 Dec 17;13(12):e20484. Epub 2021 Dec 17.

Department of Anesthesiology and Intensive Therapy, Semmelweis University, Budapest, HUN.

Introduction Opioid derivates are an essential part of everyday clinical pain management practice. They have excellent analgesic, sedative, and sympatholytic effects and are widely used in various conditions. Beyond advantageous aspects, there are numerous problems with the chronic use of these agents. Read More

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December 2021

A Case of Infective Endocarditis Due to Oral Streptococci After Perioperative Oral Function Management.

Cureus 2021 Dec 15;13(12):e20446. Epub 2021 Dec 15.

Oral and Maxillofacial Surgery, Kobe City Medical Center General Hospital, Kobe, JPN.

Infective endocarditis is an extremely serious disease that can present with a variety of clinical manifestations, including infection of valves and endocardium, in patients with cardiac disease, and is associated with risk factors such as invasive dental procedures, caries, and periodontal disease. On the other hand, it has been shown that perioperative oral function management before various surgeries, such as those for malignant tumors, cardiovascular disease, and transplantation, may prevent or reduce postoperative complications. Close coordination between the dentist and cardiac surgeon is especially necessary before heart valve surgery because of the risk of severe complications. Read More

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December 2021

Early mobilization in enhanced recovery after surgery pathways: current evidence and recent advancements.

J Comp Eff Res 2022 Jan 20. Epub 2022 Jan 20.

Ohlson Research Initiative, Cumming School of Medicine, University of Calgary, Calgary AB, Canada.

Early mobilization is a crucial component of enhanced recovery after surgery (ERAS) pathways that counteract the adverse physiological consequences of surgical stress and immobilization. Early mobilization reduces the risk of postoperative complications, accelerates the recovery of functional walking capacity, positively impacts several patient-reported outcomes and reduces hospital length of stay, thereby reducing care costs. Modifiable barriers to early mobilization include a lack of education and a lack of resources. Read More

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January 2022

[Short-term efficacy and perioperative safety of catheter-based intervention for pulmonary vein stenosis caused by fibrosing mediastinitis].

Zhonghua Xin Xue Guan Bing Za Zhi 2022 Jan;50(1):55-61

Department of Cardiology, Gansu Provincial Hospital, Lanzhou 730000, China.

To evaluate the short-term efficacy and perioperative safety of catheter-based intervention in patients with pulmonary vein stenosis caused by fibrosing mediastinitis (FM). It was a case series study. Consecutive patients with pulmonary vein stenosis caused by FM, who underwent percutaneous pulmonary vein angioplasty in Gansu Provincial Hospital from January 2018 to June 2020, were retrospective enrolled. Read More

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January 2022

[Efficacy and safety of percutaneous transluminal pulmonary angioplasty in patients with chronic thromboembolic pulmonary hypertension].

Zhonghua Xin Xue Guan Bing Za Zhi 2022 Jan;50(1):49-54

Department of Cardiovascular Surgery, Wuhan Asia Heart Hospital, Wuhan 430000, China.

To explore the efficacy and safety of percutaneous transluminal pulmonary angioplasty (PTPA) in patients with chronic thromboembolic pulmonary hypertension (CTEPH). This prospective single arm study included 19 CTEPH patients (7 male, age(56.3±12. Read More

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January 2022

Short-term outcomes of minimally invasive retromuscular ventral hernia repair using an enhanced view totally extraperitoneal (eTEP) approach: systematic review and meta-analysis.

Hernia 2022 Jan 19. Epub 2022 Jan 19.

Department of General Surgery, Clinica Universidad de Navarra, University of Navarra, Av. Pío XII, 36, 31008, Pamplona, Spain.

Background: The enhanced view totally extraperitoneal (eTEP) approach is becoming increasingly more widely accepted as a promising technique in the treatment of ventral hernia. However, evidence is still lacking regarding the perioperative, postoperative and long-term outcomes of this technique. The aim of this meta-analysis is to summarize the current available evidence regarding the perioperative and short-term outcomes of ventral hernia repair using eTEP. Read More

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January 2022

A goal-directed therapy protocol for preventing acute kidney injury after laparoscopic liver resection: a retrospective observational cohort study.

Surg Today 2022 Jan 19. Epub 2022 Jan 19.

Department of Surgery, Ageo Central General Hospital, Saitama, Japan.

Purpose: Postoperative acute kidney injury (AKI) remains a serious complication of liver resection with restrictive fluid therapy. However, unlike open hepatectomy, laparoscopic liver resection (LLR) does not have established anesthesia management strategies. We compared our goal-directed therapy (GDT) protocol for LLR with/without carperitide and the conventional restrictive method regarding AKI prevention. Read More

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January 2022

Completely minimally invasive versus hybrid Ivor-Lewis oesophagectomy for oesophageal and gastro-oesophageal junctional cancer: a UK multi-centre comparative study.

Surg Endosc 2022 Jan 19. Epub 2022 Jan 19.

Upper GI Cancer Centre, Watford General Hospital, Vicarage Road, Watford, UK.

Background: Limited robust evidence exists comparing outcomes following completely minimally invasive oesophagectomy (CMIO) to hybrid oesophagectomy (HO) in the treatment of resectable oesophageal and gastro-oesophageal junctional (GOJ) cancer. This multi-centre study aims to assess postoperative morbidity between HO and CMIO according to the full Esophagectomy Complications Consensus Group (ECCG) complication platform.

Methods: All consecutive patients undergoing an Ivor-Lewis HO or Ivor-Lewis CMIO for cancer between 2016 and 2018 in three UK tertiary centres were included. Read More

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January 2022

Feasibility of continuous epidural analgesia in patients with failed back surgery syndrome and spinal stenosis.

J Anesth 2022 Jan 19. Epub 2022 Jan 19.

Orthopedic University Hospital Friedrichsheim, University Hospital Frankfurt, Marienburgstrasse 2, 60528, Frankfurt am Main, Germany.

Purpose: The purpose of this study was to outline the feasibility of continuous epidural analgesia in the treatment of failed back surgery syndrome (FBSS) or spinal stenosis.

Methods: We queried our prospective collected institutional database to include all consecutive patients, who underwent continuous epidural analgesia with accompanying intensive physiotherapeutic exercise within a timeframe of 4 years. Patients suffered from FBSS or spinal stenosis; protocolled continuous epidural analgesia was planned for 4 days within the framework of an inpatient multimodal pain therapy concept. Read More

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January 2022

Association Between Hospital Perioperative Quality and Long-term Survival After Noncardiac Surgery.

JAMA Surg 2022 Jan 19. Epub 2022 Jan 19.

Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, Texas.

Importance: There is known variation in perioperative mortality rates across hospitals. However, the extent to which this variation is associated with hospital-level differences in longer-term survival has not been characterized.

Objective: To evaluate the association between hospital perioperative quality and long-term survival after noncardiac surgery. Read More

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January 2022

Safety and outcomes of performing laparoscopic Roux-en-Y gastric bypass and sleeve gastrectomy at an ambulatory site of a tertiary care hospital in Ontario.

Can J Surg 2022 Jan-Feb;65(1):E38-E44. Epub 2022 Jan 18.

From the Division of General Surgery, Department of Surgery, Queen's University, Kingston, Ont. (Deghan Manshadi, Robertson, Zevin); the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Dehghan); and the Department of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, Ont. (Reimer)

Background: In Ontario, bariatric surgery is publicly funded and is performed only in accredited tertiary care hospitals. The purpose of our study was to report on the safety and outcomes of performing bariatric surgery at an ambulatory site of a tertiary care hospital in southern Ontario.

Methods: We conducted a retrospective cohort study of all adult (age ≥ 18 yr) patients who underwent primary laparoscopic Roux-en-Y gastric bypass (LRYGB) or laparoscopic sleeve gastrectomy (LSG) at the ambulatory site of our tertiary care hospital between September 2016 and August 2018. Read More

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January 2022

Morbimortality assessment in abdominal surgery: are we predicting or overreacting?

BMC Surg 2022 Jan 18;22(1):19. Epub 2022 Jan 18.

School of Medicine, Universidad del Rosario, Bogotá, Colombia.

Background: High-risk surgical procedures represent a fundamental part of general surgery practice due to its significant rates of morbidity and mortality. Different predictive tools have been created in order to quantify perioperative morbidity and mortality risk. POSSUM (Physiological and Operative Severity Score for the enumeration of Mortality and morbidity) is one of the most widely validated predictive scores considering physiological and operative variables to precisely define morbimortality risk. Read More

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January 2022

Transhepatic perforation of the gallbladder with massive intraperitoneal hemorrhage as a rare complication of acute cholecystitis.

Rozhl Chir 2022 ;100(12):603-606

Introduction: Perforation of the gallbladder into the hepatic parenchyma with massive bleeding into the abdominal cavity is a very rare but life-threatening complication of acute cholecystitis. Initially, the clinical finding may not differ significantly from the normal course of acute cholecystitis, but later there is a significant deterioration associated with hemorrhagic shock. Monitoring of the patients clinical condition as well as radiological methods have a crucial role in early and accurate diagnosis. Read More

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January 2022

Dexmedetomidine Can Reduce the Level of Oxidative Stress and Serum miR-10a in Patients with Lung Cancer after Surgery.

Thorac Cardiovasc Surg 2022 Jan 18. Epub 2022 Jan 18.

Department of Operating Room, The First People's Hospital of Jinan, Jinan, Shandong Province, China.

Objective:  Lung cancer is a primary cause of cancer death. This study assessed the action of dexmedetomidine (DEX) on oxidative stress (OS) and microRNA 10a (miR-10a) in patients with lung cancer.

Methods:  Patients were given 1 µg/kg DEX before anesthesia and control patients were given saline. Read More

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January 2022

Severe thrombotic events associated with pre-procedural interruption of anticoagulation in systemic lupus erythematosus with secondary antiphospholipid syndrome: Cases and literature review.

Lupus 2022 Jan 18:9612033221074920. Epub 2022 Jan 18.

12297Department of Rheumatology at NYU Langone Health, New York, NY, USA.

Background: The American College of Chest Physicians (ACCP) and National Institutes for health and care Excellence in the United Kingdom (NICE) recommend that patients who are high risk for thrombotic events but require cessation of oral anticoagulation with warfarin, due to bleeding risk of a planned procedure, undergo bridging therapy with heparin. However, those conditions which are considered high risk are not universal, nor do guidelines differentiate between low molecular weight heparin (LMWH) and unfractionated heparin. Triple positive antiphospholipid syndrome (APS) is a thrombophilic state with a very high risk for thrombotic events during periods of anticoagulation cessation. Read More

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January 2022