193,193 results match your criteria postoperative morbidity


Health Care Utilization and Associated Economic Burden of Postoperative Surgical Site Infection after Spinal Surgery with Follow-Up of 24 Months.

J Neurol Surg A Cent Eur Neurosurg 2021 Apr 12. Epub 2021 Apr 12.

Department of Neurosurgery, University of Louisville, Louisville, Kentucky, United States.

Background:  Surgical site infection (SSI) may lead to vertebral osteomyelitis, diskitis, paraspinal musculoskeletal infection, and abscess, and remains a significant concern in postoperative management of spinal surgery. SSI is associated with greater postoperative morbidity and increased health care payments.

Methods:  We conducted a retrospective analysis using MarketScan to identify health care utilization payments and risk factors associated with SSI that occurs postoperatively. Read More

View Article and Full-Text PDF

Preserving NLST mortality benefits and acceptable morbidity for lung cancer surgery in a community hospital.

J Surg Oncol 2021 Apr 12. Epub 2021 Apr 12.

Division of Thoracic Surgery, Brigham and Women's Hospital, Boston, Massachusetts, USA.

Background And Objectives: The aim of this study was to demonstrate whether academic thoracic surgeons could achieve morbidity and mortality rates in community hospitals equivalent to those seen in National Lung Screening Trial (NLST).

Methods: This was a retrospective review of community hospital lung cancer procedures for clinical Stage I-III non-small-cell lung cancers from 2007 through 2014. Variables include age, comorbidities, computed tomography (CT) characterization, and operative techniques. Read More

View Article and Full-Text PDF

[Clinical-epidemiological characterization of neonatal necrotizing enterocolitis of seven public hospitals].

Rev Chilena Infectol 2020 Dec;37(6):667-674

Hospital Clínico San Borja Arriarán, Santiago, Chile.

Background: Necrotizing enterocolitis (NEC) presents high mortality and postoperative, gastrointestinal and neurodevelopmental morbidity. There is limited information about NEC in Chile.

Aim: To describe the clinical/epidemiological behavior of newborns who underwent NEC. Read More

View Article and Full-Text PDF
December 2020

The Role of Visceral Obesity, Sarcopenia and Sarcopenic Obesity on Surgical Outcomes After Liver Resections for Colorectal Metastases.

World J Surg 2021 Apr 11. Epub 2021 Apr 11.

Department of General - and Visceral Surgery, Medical Center-University of Freiburg, Hugstetterstrasse 55, 79106, Freiburg, Germany.

Background: The impact of body compositions on surgical results is controversially discussed. This study examined whether visceral obesity, sarcopenia or sarcopenic obesity influence the outcome after hepatic resections of synchronous colorectal liver metastases.

Methods: Ninety-four consecutive patients with primary hepatic resections of synchronous colorectal metastases were identified from a single center database between January 2013 and August 2018. Read More

View Article and Full-Text PDF

Surgical management of displaced femoral neck fractures in patients with dementia: a comparison in mortality between hemiarthroplasty and pins/screws.

Eur J Trauma Emerg Surg 2021 Apr 11. Epub 2021 Apr 11.

Division of Trauma and Emergency Surgery, Department of Surgery, Orebro University Hospital, Orebro, 701 85, Sweden.

Introduction: Dementia is common in patients with hip fractures and is strongly associated with increased postoperative mortality. The choice of surgical intervention for displaced femoral neck fractures (dFNF) in patients with dementia has been a matter of debate. This study aims to investigate how short- and long-term mortality differs between those who have been operated with hemiarthroplasty or pins/screws. Read More

View Article and Full-Text PDF

An 83-year-old-male with bronchopleural fistula and empyema successfully treated with multidisciplinary management of thoracostomy, endoscopic, and surgical treatment: a case report.

Ann Transl Med 2021 Mar;9(5):427

Division of Endocrinology and Metabolism, Department of Medicine, Zhejiang University Medical School Second Affiliated Hospital, Hangzhou, China.

Bronchopleural fistula (BPF) with empyema is a severe complication in patients undergoing lobectomy or pneumonectomy and is associated with high morbidity and mortality rates. Although a wide variety of treatment options exist, refractory cases with larger fistulas are still difficult to cure, especially in elderly patients. Here, we report a case of an 83-year-old man with stage I squamous cell lung carcinoma who underwent minimally invasive right lower lobectomy. Read More

View Article and Full-Text PDF

Laparoscopic versus open radical antegrade modular pancreatosplenectomy for pancreatic cancer: a single-institution comparative study.

Gland Surg 2021 Mar;10(3):1057-1066

Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Background: Laparoscopic distal pancreatosplenectomy is an effective and safe surgical modality for treating benign and borderline distal pancreatic tumors, but rarely for pancreatic cancer. This study aimed to compare the feasibility and safety of laparoscopic and open radical antegrade modular pancreatosplenectomy for pancreatic cancer.

Methods: Fifty-one patients with pancreatic cancer who underwent radical antegrade modular pancreatosplenectomy at Ningbo Medical Center Lihuili Hospital between January 2014 and July 2018 were enrolled. Read More

View Article and Full-Text PDF

Risk factors for hemodynamic instability during laparoscopic pheochromocytoma resection: a retrospective cohort study.

Gland Surg 2021 Mar;10(3):892-900

2nd Department of General Surgery, Jagiellonian University Medical College, Kraków, Poland.

Background: Adrenalectomy for pheochromocytoma, a rare catecholamine-secreting tumour, is a challenging procedure because of the high risk of intraoperative hemodynamic instability, which can cause life-threatening complications. Our study aimed to identify predictive factors for hemodynamic instability during pheochromocytoma resection as well as to assess the risk factors for postoperative morbidity.

Methods: Data of 96 patients, who underwent laparoscopic adrenalectomy were analysed retrospectively. Read More

View Article and Full-Text PDF

Simultaneous bilateral thoracoscopic lobectomy for synchronous bilateral multiple primary lung cancer-single center experience.

J Thorac Dis 2021 Mar;13(3):1717-1727

Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.

Background: The aim of this study was to investigate the feasibility and safety of simultaneous bilateral thoracoscopic lobectomy and compare perioperative and late outcomes between simultaneous and staged bilateral thoracoscopic lobectomy.

Methods: Between January 2013 and December 2017, the medical records of patients who underwent bilateral thoracoscopic lobectomy for synchronous bilateral multiple primary lung cancer (SPLC) were reviewed retrospectively. Univariate analysis was used to examine the factors associated with morbidity. Read More

View Article and Full-Text PDF

Sterile processing in low- and middle-income countries: an integrative review.

J Infect Prev 2021 Jan 29;22(1):28-38. Epub 2020 Aug 29.

School of Nursing and Midwifery, Faculty of Health, Community and Education, Mount Royal University, Calgary, AB, Canada.

Background: Worldwide disparities in surgical capacity are a significant contributor to health inequalities. Safe surgery and infection prevention and control depend on effective sterile processing (SP) of surgical instruments; however, little is known about SP in low- and middle-income countries (LMICs), where surgical site infection is a major cause of postoperative morbidity and mortality.

Aim: To appraise and synthesise available evidence on SP in LMICs. Read More

View Article and Full-Text PDF
January 2021

Effect of caudal bupivacaine alone and with adjuvant fentanyl and nalbuphine to minimize the catheter-related bladder discomfort after tubeless percutaneous nephrolithotomy: A prospective randomized study.

J Anaesthesiol Clin Pharmacol 2020 Oct-Dec;36(4):524-530. Epub 2021 Jan 18.

Department of Anaesthesiology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India.

Background And Aims: Catheter-related bladder discomfort (CRBD) is a major cause of postoperative morbidity following urological procedures. The aim of this study was to compare the effect of caudal bupivacaine alone and with adjuvant fentanyl and nalbuphine to minimize the severity of CRBD after tubeless percutaneous nephrolithotomy (PCNL).

Material And Methods: A randomized prospective study was conducted on one hundred thirty-two (American society of Anaesthesiologist physical status I to II) patients who presented for tubeless PCNL under general anesthesia. Read More

View Article and Full-Text PDF
January 2021

Hospital Magnet Status Associates With Inpatient Safety in Parkinson Disease.

J Neurosci Nurs 2021 Mar 12. Epub 2021 Mar 12.

Questions or comments about this article may be directed to Whitley W. Aamodt, MD MPH, at W.W.A. is a Movement Disorders Fellow, Translational Center for Excellence for Neuroepidemiology and Neurological Outcomes Research, Department of Neurology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA. Jasmine Travers, PhD RN, is Assistant Professor of Nursing, New York University Rory Meyers College of Nursing, New York, NY. Dylan Thibault, MS, is Biostatistician, Translational Center for Excellence for Neuroepidemiology and Neurological Outcomes Research, Department of Neurology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA. Allison W. Willis, MD MS, is Associate Professor of Neurology, Translational Center for Excellence for Neuroepidemiology and Neurological Outcomes Research, Department of Neurology, and Department of Biostatics, Epidemiology, and Informatics, University of Pennsylvania Perelman School of Medicine; and CICADA: Center for Improving Care Delivery for the Aging-A Resource Center for Minority Aging Research (RCMAR) and Leonard Davis Institute of Health Economics, University of Pennsylvania, PA.

Abstract: BACKGROUND: Persons with Parkinson disease (PD) have complex care needs that may benefit from enhanced nursing care provided in Magnet-designated hospitals. Our primary objective was to determine whether an association exists between hospital Magnet status and patient safety events for PD inpatients in the United States. METHODS: We conducted a retrospective cohort study using the Nationwide Inpatient Sample and Agency for Healthcare Research and Quality databases from 2000 to 2010. Read More

View Article and Full-Text PDF

Fascicular Turnover Flap: An Approach for Facial Nerve Reconstruction.

J Craniofac Surg 2021 Apr 5. Epub 2021 Apr 5.

Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX Division of Surgical Oncology, Santa Terezinha University Hospital, Joaçaba Division of Head and Neck Surgery, National Cancer Institute, Rio de Janeiro Division of Head and Neck Surgery, CEPON, Florianópolis Division of Head and Neck Surgery, São Paulo University, São Paulo, Brazil.

Abstract: Facial nerve injuries are a common complication associated with parotidectomy. These functionally debilitating injuries are conventionally treated with nonvascularized nerve grafting; however, this reconstructive modality produces moderate donor site morbidity and has limited efficacy for repairing large defects. In addition, nonvascularized nerve grafts are highly susceptible to radiotherapy and require a well-vascularized wound bed to produce adequate therapeutic results. Read More

View Article and Full-Text PDF

Is surgery for serous cystic neoplasms of the pancreas still indicated? Sixteen years of experience at a high-volume center.

Pancreatology 2021 Apr 5. Epub 2021 Apr 5.

Department of Surgery, St. Josef Hospital, Ruhr University Bochum, Gudrunstr. 56, 44791, Bochum, Germany. Electronic address:

Background: Current guidelines discourage surgery for serous cystic neoplasms (SCN) of the pancreas, because of their benign character, slow growth, and excellent prognosis. Nevertheless, SCN continue to contribute up to 30% of resected cystic pancreatic lesions worldwide.

Methods: Spectrum of indications and outcomes of surgery were analysed in a retrospective series of 133 SCN at a single high-volume center in Germany between 2004 and 2019. Read More

View Article and Full-Text PDF

Optimal Management of Patients Treated With Minimally Invasive Cardiac Surgery in the Era of Enhanced Recovery After Surgery and Fast-Track Protocols: A Narrative Review.

J Cardiothorac Vasc Anesth 2021 Feb 15. Epub 2021 Feb 15.

Department of Cardiac Surgery, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.

Objectives: Use of minimally invasive cardiac surgery (MICS) is increasing, but to exert its maximum effect on patient outcomes, MICS must be coupled with improved perioperative management, including the Enhanced Recovery after Surgery (ERAS) and fast-track protocols. This study aimed to evaluate the impact of ERAS and fast track in this context.

Design: NARRATIVE REVIEW: The authors performed a narrative review that included patients treated with MICS and patients treated with the ERAS/fast-track protocols in the MEDLINE/PubMed database. Read More

View Article and Full-Text PDF
February 2021

Analysis of the 'Evaluation Indicators' of an Enhanced Recovery After Bariatric Surgery Pathway in the First Six Months After Implementation.

Obes Surg 2021 Apr 10. Epub 2021 Apr 10.

Jaume I University, Castellón, Spain.

The implementation of a clinical pathway in bariatric surgery (BS) might facilitate systemic care. Focusing on enhanced recovery after surgery (ERAS) programs may also improve surgical outcomes depending on the degree of adherence achieved. We hypothesized that the implementation of an ERAS clinical pathway in BS (ERABS) improves clinical outcomes compared to traditional treatment in a tertiary care hospital. Read More

View Article and Full-Text PDF

Limited Resection Versus Pancreaticoduodenectomy for Duodenal Gastrointestinal Stromal Tumors? Enucleation Interferes in the Debate: A European Multicenter Retrospective Cohort Study.

Ann Surg Oncol 2021 Apr 10. Epub 2021 Apr 10.

Department of Digestive and Oncological Surgery, University Lille, Claude Huriez University Hospital, CHU de Lille, Lille, France.

Background: The optimal surgical procedure for duodenal gastrointestinal stromal tumors (D-GISTs) remains poorly defined. Pancreaticoduodenectomy (PD) allows for a wide resection but is associated with a high morbidity rate.

Objectives: The aim of this study was to compare the short- and long-term outcomes of PD versus limited resection (LR) for D-GISTs and to evaluate the role of tumor enucleation (EN). Read More

View Article and Full-Text PDF

Identifying predictors of ventral hernia recurrence: systematic review and meta-analysis.

BJS Open 2021 Mar;5(2)

Centre of Medical Imaging, University College Hospital, London, UK.

Background: Ventra hernias are increasing in prevalence and many recur despite attempted repair. To date, much of the literature is underpowered and divergent. As a result there is limited high quality evidence to inform surgeons succinctly which perioperative variables influence postoperative recurrence. Read More

View Article and Full-Text PDF

Outcomes following synchronous liver resection, cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for colorectal liver and peritoneal metastases: A bi-institutional study.

Surg Oncol 2021 Apr 2;37:101553. Epub 2021 Apr 2.

Peter MacCallum Cancer Centre, Department of Surgical Oncology, Australia; Sir Peter MacCallum Department of Oncology, University of Melbourne, Australia.

Purpose: Synchronous liver resection, cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) for colorectal liver (CRLM) and peritoneal metastases (CRPM) has traditionally been contraindicated. However, latest practice promotes specialist, multidisciplinary-led consideration for select patients. This study aimed to evaluate the perioperative and oncological outcomes of synchronous resection in the management of CRLM and CRPM from two tertiary referral centres. Read More

View Article and Full-Text PDF

Metabolic and bariatric surgery is likely safe, but underutilized in adolescents aged 13-17 years.

Surg Obes Relat Dis 2021 Mar 8. Epub 2021 Mar 8.

Department of Surgery, UMass Medical School-Baystate, Springfield, Massachusetts; Baystate Children's Hospital, Springfield, Massachusetts.

Background: Bariatric surgery is now accepted for adolescents; however, we may need to improve access to surgery for this vulnerable age group.

Objectives: To compare the demographic characteristics and short-term safety outcomes of adolescents, college-aged individuals, and young adults who have had metabolic and bariatric surgery.

Setting: Bariatric surgery centers. Read More

View Article and Full-Text PDF

Early enteral feeding versus traditional feeding in neonatal congenital gastrointestinal malformation undergoing intestinal anastomosis: A randomized multicenter controlled trial of an enhanced recovery after surgery (ERAS) component.

J Pediatr Surg 2021 Mar 18. Epub 2021 Mar 18.

Department of Neonatal Surgery, Guangzhou Women and Children's Medical Center, Guangzhou, China. Electronic address:

Purpose: the aim of this clinical trial was to evaluate the safety and efficacy of early enteral feeding (EEN) following intestinal anastomosis in neonates with congenital gastrointestinal malformation.

Methods: a multicenter, prospective, randomized controlled trial (registered under chictr.org. Read More

View Article and Full-Text PDF

Left-side vs. right-side hepatectomy for hilar cholangiocarcinoma: a meta-analysis.

World J Surg Oncol 2021 Apr 10;19(1):107. Epub 2021 Apr 10.

Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, Zhejiang Province, China.

Goals: We aim to draw a conclusion which type of hepatectomy could be the priority for hilar cholangiocarcinoma patients.

Background: Surgery is established as only potentially curative treatment for hilar cholangiocarcinoma. However, whether hepatectomy should be preferred to the left-side hepatectomy, which includes left hemihepatectomy, extended left hemihepatectomy, and left trisectionectomy, or right-side hepatectomy, which represents right hemihepatectomy, extended right hemihepatectomy, and right trisectionectomy, is debated. Read More

View Article and Full-Text PDF

Prophylactic Central Neck Dissection in Papillary Thyroid Carcinoma: All Risks, No Reward.

J Surg Res 2021 Apr 7;264:230-235. Epub 2021 Apr 7.

Department of Surgery, The University of Alabama at Birmingham, Birmingham, Alabama. Electronic address:

Background: Central neck dissection (CND) remains a controversial intervention for papillary thyroid carcinoma (PTC) patients with clinically negative nodes (cN0) in the central compartment. Proponents state that CND in cN0 patients prevents locoregional recurrence, while opponents deem that the risks of complications outweigh any potential benefit. Thus, there remains conflicting results amongst studies assessing oncologic and surgical outcomes in cN0 PTC patients who undergo CND. Read More

View Article and Full-Text PDF

Comparisons of postoperative outcomes after breast cancer surgery in patients with and without renal replacement therapy: a matched-pair cohort study using a Japanese nationwide inpatient database.

Breast Cancer 2021 Apr 10. Epub 2021 Apr 10.

Department of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.

Background: Although patients receiving renal replacement therapy (RRT) have more comorbidities and higher mortality and morbidity risks than the general population, surgery during breast cancer treatment is crucial because of limitations in anticancer agents for patients with renal insufficiency. We aimed to compare the short-term postoperative outcomes between patients with and without RRT.

Methods: Patients who underwent surgery for stages 0-III breast cancer between July 2010 and March 2017 were retrospectively identified in a Japanese nationwide inpatient database and divided into those with RRT (RRT group, n = 1547) and those without RRT (control group, n = 364,047). Read More

View Article and Full-Text PDF

Minimally Invasive Living Donor Liver Transplantation: Pure Laparoscopic Explant Hepatectomy and Graft Implantation Using Upper Midline Incision.

Liver Transpl 2021 Apr 10. Epub 2021 Apr 10.

Department of Surgery, Seoul National University College of Medicine, Seoul, South Korea.

Minimally invasive approaches, including laparoscopic procedures, have increasingly been applied in surgery due to their advantages such as reduced surgical trauma, a better quality of life, shorter hospital stay, and less postoperative morbidity compared with open surgeries. Minimally invasive approaches in liver transplantation (LT) may have similar advantages for the recipients, including less pain and a shorter hospital stay, which could facilitate rehabilitation. Read More

View Article and Full-Text PDF

Comparison of the Short-term Operative, Oncological,and Functional Outcomes between two types of robot-assisted total mesorectal excision for Rectal Cancer: da Vinci Versus Micro Hand S surgical robot.

Int J Med Robot 2021 Apr 10. Epub 2021 Apr 10.

Tianjin University, Nankai District Wei Jin Road No. 92, Tianjin, People's Republic of China.

Objective: This study aimed to evaluate the difference of two various robotic technology applied in R-TME.

Methods: From May 2017 to December 2018, consecutive patients with rectal cancer who underwent da Vinci R-TME or Micro Hand S R-TME were enrolled. The comparative study was conducted on Short-term Operative, Oncological, and Functional Outcomes between two type of R-TME. Read More

View Article and Full-Text PDF

[Salvage laryngectomy after primary radio- and radiochemotherapy : A retrospective study. German version].

HNO 2021 Apr 9. Epub 2021 Apr 9.

Hals-Nasen-Ohrenklinik, Kopf- und Hals-Chirurgie, Universitätskliniken Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Waldstraße 1, 91054, Erlangen, Deutschland.

Background: Recurrent and residual laryngeal cancer after organ-preserving radio- or radiochemotherapy is associated with a poor prognosis. Salvage surgery is the most important therapeutic option in these cases.

Objective: The study assessed rates of recurrence and residual tumor as well as survival and complication rates after salvage laryngectomy at the authors' academic cancer center. Read More

View Article and Full-Text PDF

Economic burden of diabetes-related hypoglycemia on patients, payors, and employers.

J Diabetes Complications 2021 Mar 22:107916. Epub 2021 Mar 22.

Great Plains Diabetes, 834 N. Socora, Suite 4, Wichita, KS 67212, United States of America. Electronic address:

The economic and psychological consequences of diabetes-related hypoglycemic events are multifold and shared across various parties, including patients and their family or caregivers, payors, and employers. Hypoglycemic events contribute to increased morbidity, mortality, and a substantial portion of diabetes economic burden. Both severe and non-severe hypoglycemic episodes contribute to economic and psychological burden, and can have short-term consequences, such as emergency services, hospitalization, clinic visits, and increased use of diabetes supplies. Read More

View Article and Full-Text PDF

Endonasal resection of orbital cavernous venous malformations with septal preservation.

Am J Otolaryngol 2021 Apr 5:103021. Epub 2021 Apr 5.

Department of Otolaryngology - Head and Neck Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA. Electronic address:

Purpose: Multiple surgical approaches have been described to maximize visualization and accessibility for resection while minimizing morbidity in the patient with orbital intraconal tumors. Transnasal endoscopic approaches have become increasingly standard in select orbital cavernous venous malformations but often require a partial septectomy. The purpose of this manuscript is to communicate a septal preserving modified transseptal approach. Read More

View Article and Full-Text PDF