المؤلفون: Cnaany, Yaacov, Goldstein, Ayelet, Lavy, Itay, Halpert, Michael, Chowers, Itay, Ben-Eli, Hadas^{Aff1, Aff3, IDs40123024009476_cor6}

المصدر: Ophthalmology and Therapy. 13(6):1783-1798

المؤلفون: Yaacov Cnaany, Ayelet Goldstein, Itay Lavy, Michael Halpert, Itay Chowers, Hadas Ben-Eli

المصدر: Ophthalmology and Therapy, Vol 13, Iss 6, Pp 1783-1798 (2024)

مصطلحات موضوعية: Cataract, Residents, Score, Risk factors, Complications, Experience, Ophthalmology, RE1-994

الوصف: Abstract Introduction This retrospective study explores the connection between preoperative patient risk factors, the experience of ophthalmology residents, and the outcomes of cataract surgeries performed at Hadassah Medical Center. It is hypothesized that with increased experience, residents may demonstrate greater proficiency in handling surgeries on higher-risk patients, potentially leading to improved surgical outcomes overall. Methods Data were examined from 691 consecutive cataract surgeries in 590 patients, conducted by ophthalmology residents at Hadassah Medical Center (January 2018 to February 2022). Demographics, surgeon experience, preoperative cataract risk assessment score, and pre- and postoperative corrected distance visual acuity (CDVA) were analyzed. The risk score was based on cataract density, previous vitrectomy, presence of phacodonesis, small pupil, extreme axial length (> 30 mm or

وصف الملف: electronic resource

Relation: https://doaj.org/toc/2193-8245; https://doaj.org/toc/2193-6528

URL الوصول: https://doaj.org/article/688c8197f4dd4b81a0e15ae552fa75c1

المؤلفون: Ishak, Basem, Pulido, Juan N., von Glinski, Alexander, Ansari, Darius, Oskouian, Rod J., Chapman, Jens R.

المصدر: Global Spine Journal; Mar2024, Vol. 14 Issue 2, p400-406, 7p

مصطلحات موضوعية: SPINAL surgery, ELECTRONIC health records, PATIENT experience, INTRAOPERATIVE monitoring, HEMODYNAMIC monitoring, PATIENTS' attitudes

مستخلص: Study design: Retrospective cohort study Objectives: Vasoplegia is a life-threatening form of distributive or vasodilatory shock that is characterized by reduced systemic vascular resistance with resultant hypotension and normal to elevated cardiac output affecting morbidity and mortality. Vasoplegia in the context of Spine Surgery has not been described previously. The purpose of this case series is to determine incidence, risk factors, complications and postoperative outcome in patients with vasoplegia after complex multi-level thoraco-lumbar spine surgery. Methods: A retrospective review of the electronic medical records at our institution was conducted between January 2014 and June 2018. All patients undergoing multi-level spine surgery (>6 levels) were screened for intraoperative hypotension. Patient demographics, surgical characteristics, neurological status, blood loss, risk factors, medical treatment, complications, hospital course and mortality were collected. All patients included in this study had a minimum follow-up period of 3 months. Results: Out of 8521 surgically treated patients, 994 patients with multi-level thoraco-lumbar spine surgery were identified. A total of 41 patients had intraoperative hypotensive events. Of those, 5 patients with vasoplegia could be identified after elimination of all other potential contributing factors. Vasoplegia did not influence the neurological outcome. One major and three minor complications occurred. All patients showed full recovery. The risk factors identified for vasoplegia include prolonged surgery with osteotomies. Conclusions: Vasoplegia is a rare condition with an incidence of.6%. Patients experiencing vasoplegia did not appear to experience worse surgical outcomes. The use of special intraoperative hemodynamic monitoring should be considered in selected cases. [ABSTRACT FROM AUTHOR]

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المؤلفون: Helbig, Silke, Thiemann, Neele, Hattingen, Elke, Loth, Andreas, Stöver, Timo, Leinung, Martin

المصدر: European Archives of Oto-Rhino-Laryngology; Mar2024, Vol. 281 Issue 3, p1231-1242, 12p

مصطلحات موضوعية: COCHLEAR implants, MAGNETIC resonance imaging, VISUAL analog scale, PATIENT experience, REOPERATION

مستخلص: Purpose: Monocentric, prospective study to investigate whether concomitant support of cochlear implant (CI) patients by CI-trained otolaryngologists and application of a standardized head bandage can minimize potential complications during magnetic resonance imaging (MRI). Methods: Thirty-seven patients with 46 CIs underwent MRI with a prophylactic head bandage. All participants and the otolaryngologist at the CI center completed pre- and post-MRI questionnaires documenting body region scanned, duration of MRI and bandage wear, field strength during the scan, and any complications. If pain was experienced, it was assessed using a visual analog scale (1–10). Results: MRI was performed without adverse events in 37.8% of cases. Magnet dislocation requiring surgical revision occurred in 2% of cases. Pain was reported in 86% of cases, often due to the tightness of the dressing. Patients with rotating, MRI-compatible magnets reported significantly less pain than participants with older-generation implants. In 11% of cases, the MRI was discontinued. Conclusion: Serious complications during MRI in cochlear implant patients are rare. Pain is the most common adverse event, probably mainly due to the tight bandage required by most implant types. With newer generations of magnets, these patients experience less pain, no dislocation of the magnets, and no need for bandaging. Although magnet dislocation cannot be completely prevented in older generations of implants, it appears to be reduced by good patient management, which recommends examination under the guidance of physicians trained in the use of hearing implants. [ABSTRACT FROM AUTHOR]

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المؤلفون: Sultan, Arian^{Aff1, IDs00392023022861_cor1}, Scheurlen, Cornelia, Wörmann, Jonas, van den Bruck, Jan-Hendrik, Filipovic, Karlo, Erlhöfer, Susanne, Dittrich, Sebastian, Schipper, Jan-Hendrik, Lüker, Jakob, Sinning, Jan-Malte, Nguyen, Dinh Quang, Fischer, Sören, Steven, Daniel, Winter, Stefan

المصدر: Clinical Research in Cardiology. :1-8

المؤلفون: Lin, Yen-Sheng, DeClercq, Joshua J., Ayers, Gregory D., Gilmor, Ruby J., Collett, Garen, Jain, Nitin B.

المصدر: Journal of Clinical Medicine; Jan2024, Vol. 13 Issue 1, p160, 14p

مصطلحات موضوعية: TOTAL hip replacement, SURGICAL complications, REOPERATION, PATIENT experience, LOGISTIC regression analysis, APPENDECTOMY

مستخلص: Background: Total hip arthroplasty (THA) has become a growing treatment procedure for debilitating hip pathologies. Patients experienced post-operative complications and revision surgeries according to large THA registries. To fully understand the short-term and long-term post-operative outcomes following THA, the purpose of this study is to examine the incidence of post-operative complications following primary THA and to examine how this trend has changed over 10 years within community hospitals in the US using large databases. Methods: This study queried the State Inpatient Database (SID) for primary THA between 2006 and 2015. Individual patients were followed forward in time until the first instance of a post-operative complication. The multivariable logistic regression analyses were computed to examine which post-operative complications were independent predictors of pre-operative comorbidities. Results: Median age of patients was 67 years, and 56% of patients were female. Females with avascular necrosis (AVN) as an indication for THA had a 27% higher risk of complication. Females with osteoarthritis (OA) as an indication for THA had a 6% higher risk of complication. Post-operative complications occurred with higher frequencies in the first two months of THA and the highest risks of THA complications within the first 6 months. Conclusion: The most common indication is OA in elders with primary THA. Females and those of black ethnicity showed the greatest risks of THA complications. Data from our large study can be used to understand post-operative complications and readmissions after THA. Our study also provides data on risk factors associated with these complications. [ABSTRACT FROM AUTHOR]

: Copyright of Journal of Clinical Medicine is the property of MDPI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Cross, Hannah^{Aff1, Aff2}, Krahé, Charlotte^{Aff1, Aff3}, Spiby, Helen, Slade, Pauline^{Aff1, IDs12884023058465_cor4}

المصدر: BMC Pregnancy and Childbirth. 23(1)

المؤلفون: Vloka, Caroline, Perera, Chandrashan, Ng, John

المصدر: Orbit; Dec2023, Vol. 42 Issue 6, p587-591, 5p

مصطلحات موضوعية: CELLULITIS, PATIENT experience, ADULTS, CHILD development, PATIENTS' attitudes, SINUS augmentation

مستخلص: There have been many publications evaluating the visual outcomes of patients treated for orbital cellulitis. The aim of this study was to evaluate non-visual complications of post-septal orbital cellulitis (NVCOC) present 30 days after discharge from index hospitalization. This was an IRB-approved, retrospective chart review. Ninety patients (45 pediatric, 45 adults) were identified with OC. NVCOC were significantly more common in adult patients as compared to children (40.0% vs 15.6% respectively; p < 0.05). The most common NVCOC among children was persistent ptosis, while clinically significant scarring was most common in adults. NVCOC were less persistent in children as compared to adults with 71.4% of complications in children resolving spontaneously by 6 month follow up as compared to 11.1% adults. (p < 0.05). The only statistically significant risk factor identified for the development of NVCOC in children and adults was the presence of ICE (intracranial extension) during index hospitalization (p < 0.05) and the presence of an infected orbital implant (p < 0.05) respectively. Adult patients experience NVCOC complications more often than children. Furthermore, the nonvisual complications in children are more likely to resolve spontaneously than those in adults. The intracranial spread of infection is a significant risk factor for late complications in children. The presence of an orbital wall/floor implant is a significant risk factor for late complications in adults. There are many differences in the etiology, pathophysiology, and course of NVCOC in children and adults, so information on these two populations should be reported separately. [ABSTRACT FROM AUTHOR]

: Copyright of Orbit is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Khalaj, Alireza, Barzin, Maryam, Ebadinejad, Amir, Mahdavi, Maryam, Ebrahimi, Navid, Valizadeh, Majid, Hosseinpanah, Farhad

المصدر: Obesity Surgery; Nov2023, Vol. 33 Issue 11, p3463-3471, 9p

مصطلحات موضوعية: GASTRIC bypass, SURGICAL complications, BARIATRIC surgery, SLEEVE gastrectomy, PROTEIN-energy malnutrition, PATIENT experience

مستخلص: Background: The increasing prevalence of bariatric procedures has led to a surge in revisional surgeries. Failure of bariatric surgery can be attributed to inadequate weight loss or complications necessitating revisional surgery. In this study, we investigated the indications and outcomes of revisional surgery due to complications following primary bariatric surgery. Materials and Methods: A retrospective study was conducted using data from the Tehran Obesity Treatment Study, which included patients who underwent revisional bariatric surgery between March 2013 and September 2021 due to complications following primary bariatric surgery. Results: Of the 5382 patients who underwent primary bariatric surgery (sleeve gastrectomy, one-anastomosis gastric bypass, and Roux-en-Y gastric bypass), 203 (3.70%) required revisional surgery, with 37 cases performed due to surgical complications. The indications of revisional operations were gastroesophageal reflux disease (GERD) (n=17, 45.9%), protein-calorie malnutrition (PCM) (n=14, 37.8%), unexplained abdominal pain (n=5, 13.5%), and phytobezoar (n=1, 0.03%). In the postoperative follow-up, most patients exhibited improvement in signs and symptoms related to underlying causes. However, eight patients experienced early or late complications of grade III or higher according to the Clavien-Dindo classification, with one death resulting from liver failure. Conclusion: Revisional bariatric surgery may effectively address complications from primary bariatric surgery, with the majority of patients experiencing improvements in symptoms. While the overall incidence of revisional surgery due to complications is relatively low, our findings suggest that GERD and PCM are the most common indications for revisional surgery. [ABSTRACT FROM AUTHOR]

: Copyright of Obesity Surgery is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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