Postoperative leakage and abscess formation after colorectal surgery

Chambers, William; Mortensen, N. J. McC.

doi:10.1016/j.bpg.2004.06.026

Cited by 125 publications

(109 citation statements)

References 75 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For example, failure of overall recovery may be due to a myriad of factors, but it is only by drilling down and identifying persistent pain and its cause (e.g., anastomotic bowel leak or bile duct injury) that timely targeted treatment can be instituted to restore the recovery trajectory. 65,66 Clinical vs research recovery assessment Real-time recovery also highlights the difference between assessments of recovery in the research vs clinical setting. Research is inherently retrospective, thus inducing a necessary time delay between identification of poor recovery and timely intervention for the original study population.…”

Section: Domain-specific Assessmentmentioning

confidence: 99%

The importance of postoperative quality of recovery: influences, assessment, and clinical and prognostic implications

Bowyer

Royse

2015

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

Quality of recovery is a complex construct whose definition is influenced heavily by the opinions and biases of the individual patient, clinician, or institution. As a result, recovery assessment tools differ in their fundamental definitions of recovery, breadth, and assessment time frame. Accurate assessment of recovery is essential as suboptimal recovery has both economic and prognostic implications. Quality of care is often substituted as a surrogate at the institutional level for quality of recovery, but it is ideologically distinct from patients' perceived quality of care, recovery, and satisfaction. Recovery tools also differ in their assessment of recovery as a continuous vs dichotomous variable and in their focus at the group vs individual level. Ideally, recovery measures should assess outcomes in a simple dichotomous fashion and maintain relevancy by assessing in multiple domains at various time points. Assessment of recovery in a dichotomous fashion also has both clinical and research applications. It allows identification of suboptimal recovery at both individual and group levels, respectively, and when performed in real time, it allows the opportunity for timely targeted intervention specific to individual patients as well as for resource rationalization.Résumé La qualité de récupération est un construit complexe dont la définition est fortement influencée par les opinions et les biais du patient, du clinicien, voire de l'établissement. Dès lors, les outils d'évaluation de la récupération diffèrent de par la définition-même de la récupération, leur envergure, et le cadre temporel de l'évaluation. Une évaluation précise de la récupération est essentielle; en effet, une récupération sous-optimale a des implications tant économiques que pronostiques. Au niveau institutionnel, on utilise souvent la qualité des soins comme substitut de la qualité de récupération mais, d'un point de vue idéologique, ce concept se distingue de la qualité des soins, de la récupération et de la satisfaction telles que perçues par les patients. Les outils de récupération diffèrent également dans leur évaluation de la récupération en tant que variable continue ou dichotomique et dans leur emphase sur le groupe ou l'individu. Dans l'idéal, les mesures de la récupération devraient évaluer les pronostics de manière dichotomique simple et maintenir leur pertinence en évaluant plusieurs domaines à différents moments dans le temps. L'évaluation dichotomique de la récupération a également des applications cliniques et en recherche. Elle permet d'identifier une récupération sous-optimale tant au niveau du groupe que de l'individu. D'autre part, lorsque ce type d'évaluation est réalisé en temps réel, elle nous donne la possibilité d'intervenir d'une manière ciblée et opportune spécifique à chaque patient tout en rationnalisant les ressources.Author contributions Andrea Bowyer and Colin Royse contributed substantially to the conception and design of the manuscript and drafted the version to be published.

show abstract

Section: Domain-specific Assessmentmentioning

confidence: 99%

The importance of postoperative quality of recovery: influences, assessment, and clinical and prognostic implications

Bowyer

Royse

2015

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

show abstract

“…4) Postoperative leakage has been reported in 5%-6% of gastric cases (with lymphadenectomy), 5) 3.4%-6.0% of colorectal cases, 6) 7%-16% of pancreatic cases, 7,8) and 7.2% of hepatic cases, 9) all of which are closely associated with intraabdominal abscess formation. A delayed or repeat occurrence of an abdominal or pelvic abscess has been reported in patients with a history of abdominal surgery.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Retroperitoneal Approach to Repairing a Ruptured Right Iliac Artery Aneurysm in a Patient who has Undergone Transperitoneal Abdominal Surgery

Yamamoto

Fukuhiro

Yamaura

et al. 2011

ATCS

View full text Add to dashboard Cite

An 84-year-old woman with a history of surgery for cholangiocarcinoma presented to Akita University Hospital with severe right lower abdominal pain, respiratory distress, and hypotension. Computed tomography scanning revealed a ruptured right common iliac artery aneurysm with a massive right retroperitoneal hematoma and a right internal iliac artery aneurysm. Under the bilateral retroperitoneal approach, we preformed an in-situ repair of an aneurysm rupture from the aorta to the left common and right external iliac arteries using a bifurcated knitted Dacron graft, and then we ligated the right internal iliac artery. The postoperative course of the patient was uneventful. The patient was discharged from hospital 52 days after surgery. In conclusion, a bilateral retroperitoneal approach may be a safe and useful strategy for in-situ repair of a right iliac artery aneurysm rupture in patients with peritoneal adhesions after transperitoneal abdominal surgery.

show abstract

“…Foram confeccionadas anastomoses manuais e mecânicas no serviço. Entretanto, as anastomoses realizadas com grampeadores apresentaram maior deiscência (26,1 %) quando comparadas às manuais (3,1 %), discordando de outras experiências (15,16) .…”

Section: Complicação Cirúrgicaunclassified

Cirurgias colorretais no Hospital Universitário da Universidade Federal de Sergipe: três anos da criação do Serviço de Coloproctologia (série histórica)

Neto

Júnior

Santiago

et al. 2008

Rev bras. colo-proctol.

View full text Add to dashboard Cite

show abstract

Postoperative leakage and abscess formation after colorectal surgery

Cited by 125 publications

References 75 publications

The importance of postoperative quality of recovery: influences, assessment, and clinical and prognostic implications

The importance of postoperative quality of recovery: influences, assessment, and clinical and prognostic implications

Bilateral Retroperitoneal Approach to Repairing a Ruptured Right Iliac Artery Aneurysm in a Patient who has Undergone Transperitoneal Abdominal Surgery

Cirurgias colorretais no Hospital Universitário da Universidade Federal de Sergipe: três anos da criação do Serviço de Coloproctologia (série histórica)

Contact Info

Product

Resources

About