Complications following male circumcision in Scandinavia were relatively rare, but serious complications did occur. Based on the analyses of the severe cases, we argue that circumcision should only be performed at hospitals with 24-hour emergency departments.
in the 171 patients (50.1%), soft pancreas in 150 (44.0%), dilated pancreatic duct (more than 3mm) in 178 (52.2%) and pancreatic stent placement 179 (52.5%). The incidence of clinically relevant postoperative pancreatic fistula (CR-POPF: ISGPF grades B and C) was 11.4% (n = 39). Clavien-Dindo classification of these 39 patients with CR-POPF was grade II in 9, grade IIIa in 24, grade IVa in 2, grade IVb in 2 and grade V in 2. Severe complications (grade IIIa or more) were found in 103 patients (30.2%): CR-POPF (8.2%, n = 28), intra-abdominal abscess (6.7%, n = 23), bleeding (n = 14, 4.1%), pneumonia (n = 8, 2.3%) and others (n = 23). Conclusion: Our standardized duct-to-mucosa PJ using PWST is a safe and reliable procedure regardless of pancreatic duct size and pancreatic texture.
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