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Results for “Intraoperative Complications”

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At least 19 recordsLinked to original sources
PubMed1992

[Intraoperative complications in cataract surgery. A prospective study].

In a prospective study the important intraoperative complications encountered by two experienced and eight less experienced surgeons after 1708 cataract operations were analyzed. In 2.3% a lesion of the iris or iris sphincter occurred. The overall incidence of capsular ruptures was 0.94%. Zonular dialysis was found in 0.67%. If a severe intraoperative complication with a large capsular or zonular rupture is defined by the necessity for an anterior vitrectomy or the impossibility of implanting a standard posterior chamber lens, the rate of complications was about 0.4%. For the two experienced surgeons, only two anterior chamber lenses as stand-by lens were implanted out of 1500 operations.

Cataract Extraction↗
PubMed1992

[Intraoperative complications during cementation of hip arthroplasty. Avoiding air embolization during cementation].

Circulatory collapse is known to occur during cementation of hip arthroplasty. The pathogenesis is multifarious, but the most important cause is believed to be formation of air embolism during insertion and cementation of the femoral component followed by air embolism in the heart. Inserting the cement retrogradely with a cement gun following distal plugging of the femoral cavity with spongiosa and using a plastic catheter for suction drainage reduces the air embolisation. Cement producing as little heat as possible during the setting should be used. Maintaining anaesthesia with N2O air embolism and should be avoided during and after cementation. Pre- and intraoperative care of the patient's circulation and oxygenation is essential. The use of pulse oximetry, capnography and precordially recorded Doppler ultrasound are recommended for monitoring air embolism.

Anesthesia, Inhalation↗
PubMed1992

Drill bit failure with implant involvement--an intraoperative complication in orthopaedic surgery.

This paper aims to investigate whether drill bit fragments which are in contact with an implant behave differently to those without contact to the implant and if so in what way. There is particular emphasis on whether two metals in contact are subject to corrosion and whether the products of such a corrosion lead to undesirable tissue reactions. The orthopaedic surgeon must know whether a drill bit fragment should be removed if it is in contact with an implant, in particular, whether there will be negative consequences for the tissue if it is left in the body. It is necessary to establish how much additional trauma is justified in removing a broken fragment and how the surgeon can determine intraoperatively whether there is contact between the fragment and the implant. Finally, this investigation aims to establish whether the fragment can be left in the body until implant removal or whether it can be left permanently in situ.

Animals↗
PubMed1992

Drill bit failure without implant involvement--an intraoperative complication in orthopaedic surgery.

The aetiology, frequency and consequences of drill bit failure during surgical intervention in human and animal bone tissue are investigated and discussed to provide the surgeon confronted with this problem with a scientifically based procedure. The literature on this subject is rather inadequate, i.e. only one publication in the last decade could be found dealing with this topic and this was a veterinary case. The Laboratory for Experimental Surgery in Davos has received several enquiries from the medical profession worldwide as to correct procedure in the case of drill bit failure. Three sources of information were investigated in order to furbish a reply to these enquiries, these were the AO/ASIF documentation centre in Berne, a survey of 280 surgeons and orthopedic doctors in Switzerland and a survey of 83 AO/ASIF foundation members. One broken tap (tool steel) was removed two years after the operation and metallographic investigations carried out. A frequency of 3 drill bit failure per 1000 internal fixations (0.3%) is apparent in nearly all data. The reasons for drill bit failure were investigated. Drill bit failure occurs more frequently in the proximal femur and when using angled plates. On the basis of this enquiry the following guidelines can be offered to the surgeon. A broken drill bit which is not in contact with an implant can be left in the body without any risk of delayed recovery. However, if the drill fragment is situated near a joint or if it can be easily removed without further trauma to the bone, then it should be removed. Once the fracture has healed the broken drill bit should be removed along with the implant provided no exceptional difficulties are involved.

Adult↗
PubMed1992

[Resection of esophageal cancer without thoracotomy by manual dissection and eversion stripping].

At the department of surgery of the university of Cologne-Lindenthal, 184 patients (142 with squamous cell carcinoma of the esophagus, 42 with adenocarcinoma of the gastroesophageal junction) underwent blunt dissection of esophageal cancer between 1983 and 1991. Tumor expansion classified by the pathologist was stage I in 13.6%, stage II in 31.0%, stage III in 41.8%, and stage IV in 13.6% of all cases. Histological tumor differentiation was graded well in 4.3%, moderate in 71.7%, and poor in 19.6%. Principally a gastric tube was used for esophageal replacement (96.3%), while interposition of the large bowel was performed in 5 cases. All the patients were prospectively monitored for perioperative complications. 64.7% fared without any complications intraoperatively. The most frequent intraoperative complications were damage of the pleura parietalis (16.3%), rupture of the tumor during dissection (13.0%), and lesion of the spleen (11.4%). 29.9% of the patients had a postoperative course without any complications. Pleural effusion (38.6%) and insufficiency of the cervical anastomosis (22.8%) were the most frequent complications seen postoperatively. Hospital mortality amounted to 6.0%. Six months after the operation most patients deemed their quality of life satisfying or excellent, respectively. The cumulative survival rate (without hospital mortality) was 78.3% after the first year, 24.7% after the third year and 20.6% after the fifth year.

Adenocarcinoma↗
PubMed1992

Surgical complications of intraoperative radiation therapy: the Radiation Therapy Oncology Group experience.

Intraoperative radiotherapy (IORT) is being used with increasing frequency in many institutions in the United States but little is known about the surgical complication rates. The Radiation Therapy Oncology Group initiated three prospective studies in IORT in 1986 and we report here the experience in advanced malignancies of the stomach, pancreas, and rectum. The incidence and nature of major surgical complications were reviewed and presented with their implications in regard to future IORT trials. Two hundred twenty-seven patients were entered on three studies by 20 participating institutions between 1985 and 1989. One hundred twenty-nine patients received IORT while 98 patients were found to have too advanced disease to be benefited by IORT and underwent palliative surgical procedures only. IORT doses ranged from 12-22 Gy and bowel anastomoses were not irradiated. Wound infection in the IORT group was 6% vs. 2% in the non-IORT patients but this was not significant at the P = 0.05 level. Other complications included anastomotic leak (n = 5), operative bleeding (n = 10), pancreatitis (n = 2), and were not statistically different in the IORT and non-IORT groups. The mortality rate for the IORT and non-IORT groups combined was 1.8%. This large multi-institutional experience in patients with advanced malignancy demonstrates that patients receiving IORT do not have a higher surgical complication rate than those not receiving IORT. Long-term survival data await the implementation of Phase III trials in advanced intra-abdominal malignancy.

Combined Modality Therapy↗
PubMed1991

Complications of reamed intramedullary nailing of the tibia.

A retrospective review of 60 acute fractures of the tibia treated with reamed intramedullary nailing was undertaken to document the spectrum of complications associated with this procedure. Forty-five tibial fractures were followed to radiographic union; follow-up averaged 25 months (range, 10-63 months). Complications were categorized into intraoperative, early postoperative, and late postoperative groups. Intraoperative complications occurred in 6 of the 60 (10%) fractures and included propagation of the tibial fracture into the insertion site of the nail in four cases. In each of two other fractures, at least one of the proximal interlocking screws was documented to have poor bony purchase. These complications did not affect final fracture alignment or clinical result. Early complications included soft-tissue complications, complications of fixation, and neurologic complications. Four patients developed hematomas at the nail insertion site. Eight fractures were stabilized in greater than 5 degrees of varus or valgus. Neurologic deficits directly related to the procedure were documented in 18 patients (30%). The majority were minor sensory neuropraxias of the peroneal nerve. Sixteen (89%) of these nerve palsies were transient, resolving within 3-6 months. Two patients had persistent nerve deficits at 1-year follow-up. In the late complications group, 10 of the 45 (22%) tibial fractures followed to union developed patellar tendinitis. Nonunion developed in two fractures, both of which required additional surgical procedures to obtain fracture union. Two deep infections occurred, both of which resolved after local wound care, fracture union, and nail removal. Overall, 26 of the 45 tibial fractures available for follow-up (58%) developed some complication attributable to the procedure.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗