Introduction. Iatrogenic pneumothoracis, barotraumas, and tracheoesophageal fistulae, especially after prolonged intubation, and tracheal stenosis are all entities involving thoracic surgeons’ consultation and management. With the surge of COVID-19 cases particularly in the critical care settings, various types of complications have been observed that require intervention from thoracic surgeons. Methods and Materials. A retrospective study was conducted in an academic healthcare institute in the Eastern Province of Saudi Arabia. We included all COVID-19 cases admitted to ICU in the period between March 15, 2020, and August 15, 2020, requiring thoracic surgery consultation and management. Non-COVID-19 critical cases and iatrogenic pneumothorax were excluded. Results. Of 122 patients who were admitted to ICU with COVID-19, 18 patients (14.75%) required thoracic surgery consultation and management. We discovered a significant association between the outcomes and reintubation rates and the rate of pneumothorax occurrence. The survival analysis showed improvement in patients who had thoracostomy tube insertion as a management than the group who were treated conservatively. On the other hand, there was a significant difference between the COVID ICU group who had thoracic complication and those who did not regarding the length of hospital stay. Conclusion. Noniatrogenic pneumothorax, subcutaneous emphysema, and mediastinal emphysema are well-known thoracic entities, but their presence in the context of COVID-19 disease is a harbinger for worse prognosis and outcomes. The presence of pneumothorax may be associated with better prognosis and outcome compared to surgical and mediastinal emphysema.
Background: Colorectal cancer in Egypt remains a heavy burden as about 40% of cases occur in individuals under 40years of age. The one-stage resection and anastomosis surgery on the left colon due to carcinomas was lately proposed to be safely done. Aim of the work was to evaluate the immediate results of the one-stage resection and anastomosis surgery procedure for left colonic cancer patients and analyzing the relationship between occurrence of complications and clinico-pathological circumstances.Methods: This is a prospective clinical study included 20 patients with mean age 59.4years (70% males and 30% females) having left side cancer colon. All patients underwent history taking, clinical examination and one-stage resection and anastomosis surgery.Results: High percentage of leakage was noticed in females >50years, in diabetics, adenocarcinoma and ischemic heart disease. The leakage rate increased in those who stayed more in the hospital and decreased with the intraoperative preparation. High death rate was noticed in females >50years and in diabetic patients with ischemic heart disease, adenocarcinoma, and obstructed colon. The pre and intraoperative preparation decreased the risk of death. High percentage of wound infection was noticed in males <50years and in diabetic patients with adenocarcinoma and obstructed colon. The risk of wound infection was increased in patients who received intraoperative preparation and who stayed a week or less in the hospital.Conclusions: The incidence of postoperative complications was sound within values generally reported in other studies. Nonetheless, more effort is required to determine risk factors for such postoperative complications to improve the long-term as well as short-term survival in colorectal cancer patients.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.