Complications after abdominal surgery

Martins-Romeo, Daniela de Araujo; Domínguez, A. Rivera

doi:10.1016/j.rxeng.2022.09.012

Cited by 3 publications

(5 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…NF is typically diagnosed based on high clinical suspicion due to history and clinical examination but can only be confirmed with surgery [ 1 , 3 ]. This indicates that an accurate diagnosis of NF is based on clinical judgment by the clinicians; however, since NF is a rare disease, most clinicians are unaware of its initial presenting signs and symptoms thus delaying treatment [ 2 , 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…The clinical manifestations of NF vary widely as it lacks the obvious early cutaneous manifestations of infectious skin disease; however, NF is usually considered in patients who present with signs of skin infection following recent surgery [ 1 , 3 , 8 - 12 ]. Symptoms that may be present earlier in the disease include disproportionate pain.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Anterior Abdominal Wall Necrotizing Fasciitis Following Laparoscopic Sleeve Gastrectomy With Hiatal Hernia Repair: A Case Report

Fozo,

Thirunavukarasu,

Ogundolie

et al. 2024

Cureus

View full text Add to dashboard Cite

Necrotizing fasciitis (NF), commonly known as necrotizing soft tissue infection (NSTI), or flesh-eating disease is a rare but rapidly fatal aggressive bacterial infection of soft tissue and deep skin that results in the destruction of the underlying fascia. Symptoms include fever, tachycardia, hypotension, leukocytosis, pain, and large areas of red and swollen skin. Early diagnosis and aggressive management are compulsory for a better prognosis. In this case report, we present a 58-year-old obese woman who initially presented to the emergency department three weeks post-sleeve gastrectomy with hernia repair and was initially suspected of having a large, uncomplicated abdominal wall abscess. Several repeated drainages of the abdominal wall abscess and continued deterioration of the patient revealed foul-smelling, necrotic tissue and the subsequent diagnosis of NF. This case report highlights the importance of high clinical suspicion for NF and early, aggressive debridement and treatment to improve patient outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Anterior Abdominal Wall Necrotizing Fasciitis Following Laparoscopic Sleeve Gastrectomy With Hiatal Hernia Repair: A Case Report

Fozo,

Thirunavukarasu,

Ogundolie

et al. 2024

Cureus

View full text Add to dashboard Cite

show abstract

“…The identification of risk factors associated with these complications stands as a crucial endeavor for healthcare providers, enabling the anticipation and mitigation of potential issues. Several factors have been documented in the medical literature as contributing to a higher likelihood of postoperative complications [1,2,4]. These risk factors encompass age, medical history, surgical complexity, body mass index (BMI), smoking, substance abuse, nutritional status, and preoperative medications [7,8].…”

Section: Discussionmentioning

confidence: 99%

“…Post-surgical complications are unfortunate and very common problems that can occur even after the most minor operations. Especially in colorectal surgery, there is a 28% chance of developing at least one of these complications [1]. The most common complications of colorectal surgery are directly related to the site of surgery; these include infections, gastrointestinal (GI) issues such as ileus and obstruction, surgical site hematomas, and wound dehiscence [2].…”

Section: Introductionmentioning

confidence: 99%

“…Several risk factors for developing the mentioned surgical complications have been identified in literature. History of strokes, coronary artery disease, myocardial infarction, heart failure, as well as old age, ascites, hypoalbuminemia, and hypernatremia have all been shown to increase the risk of postoperative complications in colorectal surgery patients [1,2]. The presence of multiple post-surgical complications has been associated with increased hospital length of stay as well as increased mortality in these patients.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Multiple Thrombotic, Infectious, and Cardiopulmonary Complications Following Laparoscopic Converted to Open Colectomy Procedure: A Case Report and Literature Review

Georgiyeva,

Nudelman,

Kumar

et al. 2023

Cureus

View full text Add to dashboard Cite

All surgeries, from minor procedures, such as sutures, to major surgeries, such as open abdominal surgery, carry with them risk for complications. Among the most frequently encountered complications are surgical site infections and thrombotic complications. Less frequently, cardiac complications such as atrial fibrillation are seen. In this case report, we discuss the various complications encountered during the hospital stay of a 61-year-old male following a laparoscopic converted to open colectomy procedure for the treatment of a colorectal mass. Following surgery, a surgical pathology report revealed a newly diagnosed stage 3b colorectal adenocarcinoma. Multiple abscesses in the abdominopelvic cavity were discovered on computed tomography (CT), revealing a major surgical site infectious process. These findings warranted emergent surgical intervention and placement of multiple Jackson-Pratt drains. Due to previously untreated carcinoma promoting a prothrombotic state, the patient developed numerous thrombotic complications such as segmental pulmonary embolism, superior mesenteric vein thrombosis, and superficial thrombophlebitis of the saphenous veins. He also developed new-onset paroxysmal atrial fibrillation secondary to postoperative pain, as well as bilateral pleural effusions. Here, we shed light on the mechanisms of development of such complications, as well as the management and methods for prevention.

show abstract

Risk factor analysis and prediction modeling for the occurrence of perioperative complications in abdominal wall incisional hernia patients

Shi,

Feng,

et al. 2024

Preprint

View full text Add to dashboard Cite

Aim: The occurrence of perioperative complications in patients with abdominal wall incisional hernia not only affects their postoperative recovery but also increases their financial burden and pain. Therefore, the influencing factors predicting the occurrence of perioperative complications in abdominal wall incisional hernia should be determined, so that clinicians can perform perioperative patient management and early interventions before surgery to reduce the occurrence of complications. Methods: This retrospective analysis included 212 patients with incisional hernia of the abdominal wall in Shaanxi Provincial People’s Hospital from January 2013 to December 2020. The least absolute shrinkage and selection operator regression model was applied to optimize factor selection, and multivariable logistic regression analysis was conducted to construct a predictive model. The performance and clinical utility of the nomogram were determined, and internal validation was conducted. Results: The prediction nomogram showed that abnormal preoperative pulmonary function, defect in the central region of the anterior abdominal wall, hernia size, and intraoperative bleeding were predictors of perioperative complications in abdominal wall incisional hernia. The model showed an area under the receiver operating characteristic curve of 0.771 (95% confidence interval: 0.687–0.767). Decision curve analysis demonstrated that the perioperative complications risk nomogram had a good net clinical benefit. Conclusions: We developed a nomogram to help clinicians identify abdominal wall incisional hernia patients who are at a greater risk of perioperative complications, which may aid in early intervention and reduce the incidence of perioperative complications in them.

show abstract

Complications after abdominal surgery

Cited by 3 publications

References 19 publications

Anterior Abdominal Wall Necrotizing Fasciitis Following Laparoscopic Sleeve Gastrectomy With Hiatal Hernia Repair: A Case Report

Anterior Abdominal Wall Necrotizing Fasciitis Following Laparoscopic Sleeve Gastrectomy With Hiatal Hernia Repair: A Case Report

Multiple Thrombotic, Infectious, and Cardiopulmonary Complications Following Laparoscopic Converted to Open Colectomy Procedure: A Case Report and Literature Review

Risk factor analysis and prediction modeling for the occurrence of perioperative complications in abdominal wall incisional hernia patients

Contact Info

Product

Resources

About