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Journal articles on the topic 'Complications'

Author: Grafiati

Published: 4 June 2021

Last updated: 16 November 2024

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1

Marzola, Mario. "Micrografts, Micrografts, Micrografts Complications, Complications, Complications." International Society of Hair Restoration Surgery 9, no. 2 (March 1999): 52. http://dx.doi.org/10.33589/9.2.52.

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Shiga, Kiyoto, Takenori Ogawa, and Kengo Kato. "Total Laryngectomy Complications and Complication-free Salvage Surgery." Koutou (THE LARYNX JAPAN) 23, no. 1 (2011): 22–25. http://dx.doi.org/10.5426/larynx.23.22.

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Kohnen, Thomas. "Complications and complication management with foldable intraocular lenses." Journal of Cataract & Refractive Surgery 24, no. 9 (September 1998): 1167–68. http://dx.doi.org/10.1016/s0886-3350(98)80001-1.

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Broggi, Giovanni, Ivano Dones, Paolo Ferroli, Angelo Franzini, Silvia Genitrini, and Barbara Massa Micon. "Surgery for Movement Disorders: Complications and Complication Avoidance." Seminars in Neurosurgery 12, no. 02 (2001): 225–32. http://dx.doi.org/10.1055/s-2001-17128.

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Reyes, Luis, Antonio Anzueto, and Marcos Restrepo. "Complication of Community-Acquired Pneumonia (Including Cardiac Complications)." Seminars in Respiratory and Critical Care Medicine 37, no. 06 (December 13, 2016): 897–904. http://dx.doi.org/10.1055/s-0036-1593754.

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Ari, Abhijit, Taraknath Ghosh, Sayan Bose, Prashat Kumar Shetty, and Ruchi Chaudhary. "Rare Presentation of Epstein Barr Virus." Journal of Nepal Paediatric Society 35, no. 3 (June 2, 2016): 290–92. http://dx.doi.org/10.3126/jnps.v35i3.12159.

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Two rare complication of infection with the Epstein-Barr virus is the development of hemophagocytic Lymphohistiocytosis and opsoclonus myoclonus syndrome. Here we are describing two cases which are describing these complications of Epstein-Barr virus infection. As they mimic several other condition but a strong suspicion is needed to diagnose these rare complications early as it will help us to reduce morbidity and mortality of these complications.J Nepal Paediatr Soc 2015;35(3):290-292

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Nasser, Rani, Sanjay Yadla, Mitchell G. Maltenfort, James S. Harrop, D. Greg Anderson, Alexander R. Vaccaro, Ashwini D. Sharan, and John K. Ratliff. "Complications in spine surgery." Journal of Neurosurgery: Spine 13, no. 2 (August 2010): 144–57. http://dx.doi.org/10.3171/2010.3.spine09369.

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Object The overall incidence of complications or adverse events in spinal surgery is unknown. Both prospective and retrospective analyses have been performed, but the results have not been critically assessed. Procedures for different regions of the spine (cervical and thoracolumbar) and the incidence of complications for each have been reported but not compared. Authors of previous reports have concentrated on complications in terms of their incidence relevant to healthcare providers: medical versus surgical etiology and the relevance of perioperative complications to perioperative events. Few authors have assessed complication incidence from the patient's perspective. In this report the authors summarize the spine surgery complications literature and address the effect of study design on reported complication incidence. Methods A systematic evidence-based review was completed to identify within the published literature complication rates in spinal surgery. The MEDLINE database was queried using the key words “spine surgery” and “complications.” This initial search revealed more than 700 articles, which were further limited through an exclusion process. Each abstract was reviewed and papers were obtained. The authors gathered 105 relevant articles detailing 80 thoracolumbar and 25 cervical studies. Among the 105 articles were 84 retrospective studies and 21 prospective studies. The authors evaluated the study designs and compared cervical, thoracolumbar, prospective, and retrospective studies as well as the durations of follow-up for each study. Results In the 105 articles reviewed, there were 79,471 patients with 13,067 reported complications for an overall complication incidence of 16.4% per patient. Complications were more common in thoracolumbar (17.8%) than cervical procedures (8.9%; p < 0.0001, OR 2.23). Prospective studies yielded a higher incidence of complications (19.9%) than retrospective studies (16.1%; p < 0.0001, OR 1.3). The complication incidence for prospective thoracolumbar studies (20.4%) was greater than that for retrospective series (17.5%; p < 0.0001). This difference between prospective and retrospective reviews was not found in the cervical studies. The year of study publication did not correlate with the complication incidence, although the duration of follow-up did correlate with the complication incidence (p = 0.001). Conclusions Retrospective reviews significantly underestimate the overall incidence of complications in spine surgery. This analysis is the first to critically assess differing complication incidences reported in prospective and retrospective cervical and thoracolumbar spine surgery studies.

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Hatchimonji, Justin S., Robert A. Swendiman, Elinore J. Kaufman, Dane Scantling, Jesse E. Passman, Wei Yang, M. Kit Delgado, and Daniel N. Holena. "Multiple Complications in Emergency Surgery." American Surgeon 86, no. 7 (July 2020): 787–95. http://dx.doi.org/10.1177/0003134820934400.

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Background While the use of the failure-to-rescue (FTR) metric, or death after complication, has expanded beyond elective surgery to emergency general surgery (EGS), little is known about the trajectories patients take from index complication to death. Methods We conducted a retrospective cohort study of EGS operations using the National Surgical Quality Improvement Project (NSQIP) dataset, 2011-2017. 16 major complications were categorized as infectious, respiratory, thrombotic, cardiac, renal, neurologic, or technical. We tabulated common combinations of complications. We then use logistic regression analyses to test the hypotheses that (1) increase in the number and frequency of complications would yield higher FTR rates and (2) secondary complications that span a greater number of organ systems or mechanisms carry a greater associated FTR risk. Results Of 329 183 EGS patients, 69 832 (21.2%) experienced at least 1 complication. Of the 11 195 patients who died following complication (16.0%), 8205 (63.4%) suffered more than 1 complication. Multivariable regression analyses revealed an association between the number of complications and mortality risk (odds ratio [OR] 2.37 for 2 complications vs 1, P < .001). There was a similar increase in mortality with increased complication accrual rate (OR 3.29 for 0.2-0.4 complications/day vs <0.2, P < .001). Increasing the number of types of complication were similarly associated with mortality risk. Discussion While past FTR analyses have focused primarily on index complication, a broader consideration of ensuing trajectory may enable identification of high-risk cohorts. Efforts to reduce mortality in EGS should focus on attention to those who suffer a complication to prevent a cascade of downstream complications culminating in death.

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Akture, Erinc, and Philipp Taussky. "163 Analysis and Categorization of Complications Presented at a Neurosurgical Morbidity and Mortality Conference: A Prospective Study." Neurosurgery 64, CN_suppl_1 (August 24, 2017): 241. http://dx.doi.org/10.1093/neuros/nyx417.163.

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Abstract INTRODUCTION There is no widely accepted neurosurgical complication classification system. We propose a novel neurosurgical complication classification system focusing on operative complications. We base our classification on our previously published paper on complications in endovascular neurosurgery. The system compiles the complication in five groups; indication errors, technical complications, judgement errors, critical events and procedural errors. METHODS We created our own neurosurgical complication classification system and prospectively analyzed and classified all our complications accordingly during the monthly morbidity and mortality conference at a single institution. The complications were captured and presented by neurosurgery chief residents. The classification was done by a single neurosurgery attending during the M&M conference. We compiled and analyzed our six-month results. We also performed a subgroup analysis of complications in neurosurgical subspecialties (general, spine, skull base, neuro-oncology, trauma, vascular, peripheral nerve and functional). RESULTS >There was a total of 64 neurosurgical complications during the six-month period; 55% of those were critical events and 28% were technical complications followed by Indication errors (9%), procedural (5%) and judgement errors (3%). Within the neurosurgical subspecialties, vascular neurosurgery (28%) had the most complications followed by spine (25%), trauma (14%), neuro-oncology (14%), general neurosurgery (11%), peripheral nerve (1%) and functional neurosurgery. CONCLUSION In this study, we present a novel neurosurgical complication classification system. Our six-month analysis reveals that the most common subtype of complications were critical events followed by technical complications. The subspecialty with most complications were vascular neurosurgery followed by spine and neuro-trauma. Our study has limitations in terms of subjective complication reporting and subjective analysis, as well as difficulty in interpreting patient outcomes and implications of the complications on patient life. Despite all the challenges, complication classification is a vital step in analyzing and understanding complications.

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Arshad, Zaki, Aiman Aslam, Sofyan Al-shdefat, Rahul Khan, Omar Jamil, and Maneesh Bhatia. "Complications following ankle arthroscopy." Bone & Joint Journal 105-B, no. 3 (March 1, 2023): 239–46. http://dx.doi.org/10.1302/0301-620x.105b3.bjj-2022-0796.r1.

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AimsThis systematic review aimed to summarize the full range of complications reported following ankle arthroscopy and the frequency at which they occur.MethodsA computer-based search was performed in PubMed, Embase, Emcare, and ISI Web of Science. Two-stage title/abstract and full-text screening was performed independently by two reviewers. English-language original research studies reporting perioperative complications in a cohort of at least ten patients undergoing ankle arthroscopy were included. Complications were pooled across included studies in order to derive an overall complication rate. Quality assessment was performed using the Oxford Centre for Evidence-Based Medicine levels of evidence classification.ResultsA total of 150 studies describing 7,942 cases of ankle arthroscopy in 7,777 patients were included. The overall pooled complication rate was 325/7,942 (4.09%). The most common complication was neurological injury, accounting for 180/325 (55.4%) of all complications. Of these, 59 (32.7%) affected the superficial peroneal nerve. Overall, 36/180 (20%) of all nerve injuries were permanent. The overall complication rate following anterior ankle arthroscopy was 205/4,709 (4.35%) compared to a rate of 35/528 (6.6%) following posterior arthroscopy. Neurological injury occurred in 52/1,998 (2.6%) of anterior cases using distraction, compared to 59/2,711 (2.2%) in cases with no distraction. The overall rate of major complications was 16/7,942 (0.2%), with the most common major complication – deep vein thrombosis – occurring in five cases.ConclusionThis comprehensive systematic review demonstrates that ankle arthroscopy is a safe procedure with a low overall complication rate. The majority of complications are minor, with potentially life-threatening complications reported in only 0.2% of patients.Cite this article: Bone Joint J 2023;105-B(3):239–246.

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Pidgeon, Tyler S., Peter Casey, Rita E. Baumgartner, Harrison Ferlauto, and David S. Ruch. "Complications of Volar Locked Plating of Distal Radius Fractures: A Prospective Investigation of Modern Techniques." HAND 15, no. 5 (February 15, 2019): 698–706. http://dx.doi.org/10.1177/1558944719828001.

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Although volar locked plating (VLP) of distal radius fractures is common, complications remain a considerable concern for upper extremity specialists using modern techniques. Complications following VLP of DR fractures were recorded prospectively from January 2005 to January 2017. Fractures were characterized using the AO classification, and complications were described by severity. Severe complications required operative treatment and/or resulted in permanent impairment, moderate complications required nonoperative treatment, and mild complications resolved without intervention. The available Current Procedural Terminology data for uncomplicated VLP were used to calculate the complication rate. Statistical analysis compared severe and nonsevere complications. Thirty-seven patients (27 women; 39 radii) experienced complications following VLP of DR fractures, resulting in a complication rate of 13.2%. For those with complications, the mean age was 48.5 ± 13.5 years (range: 19-78 years) and the mean follow-up was 13.7 ± 9.0 months (range: 3-36 months). A majority (28/39: 71.8%) had type C fractures. The most common complications were hardware complication requiring removal (18) and malunion (6). There were only 3 tendon ruptures. There were 25 unplanned returns to the operating room in 24 radii (22 patients). The most common reason was removal of hardware (18). Patients with severe complications more commonly had AO type C fractures and required longer follow-up. Modern VLP of DR fractures has a complication rate of 13.2%. Hardware complication requiring removal was the most notable complication of VLP. Tendon rupture has become rare with modern techniques. AO type C fractures were associated with more severe complications.

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Adankie, Birhanemeskel, Tadesse Melekie, and Gashaw Getahune. "EFFECT OF CHECKLIST ON THE OCCURRENCE OF POSTOPERATIVE COMPLICATION ON SURGICAL PATIENT." International Journal of Surgery and Medicine 3, no. 1 (2017): 1. http://dx.doi.org/10.5455/ijsm.postoperative-complications-surgery.

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Vasudhevan, Ajantha Swamy, Dhivya Mohan Sumathi, Ashwath Kumar Chinnaraju Selvakumar, and Rajabalaji Rajabalaji. "A Comparative Study of Mean Platelet Volume in Diabetic Population With and Without Vascular Complication." Indonesian Journal of Medical Laboratory Science and Technology 5, no. 1 (April 28, 2023): 42–52. http://dx.doi.org/10.33086/ijmlst.v5i1.3465.

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Diabetes mellitus leads to long-term complications involving multiple organs and systems of the human body. Among the list of complications, a relatively vascular complication increases the morbidity of the condition. Patients with diabetes mellitus are influenced by various factors like hyperglycaemic state, insulin resistance, oxidative stress, and metabolic condition like obesity, and all the mentioned conditions also present with platelet hyperactivity. Mean platelet volume (MPV) can be used as one of the laboratory parameters to know the function and activation of the platelets, which reflects the vascular profile of the patient. So, the present study compares the values of mean platelet volume among the diabetic groups to determine the relation between the vascular complication and the mean platelet volume. This study was conducted with 90 participants, who were divided into three groups. Group A is non-diabetics, group B is type 2 Diabetics, and Group C is type 2 Diabetics with vascular complications and MPV. On analyzing the statistical mean value of mean platelet volume, group B's (type 2 diabetics) value was higher than group A's (non-diabetics) and statistically significant with a p – value of 0.001. Similarly, the mean value of group C (type 2 diabetes with complications) was higher than group B (type 2 diabetics) and statistically significant with a p – value of 0.049 in the diabetics with and without vascular complications. On comparing the MPV of different study groups, the MPV is higher in the diabetic group with complicatiosn compared with the diabetics without complications.

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Parish, Jonathan M., Anthony M. Asher, and Domagoj Coric. "Complications and Complication Avoidance With Cervical Total Disc Replacement." International Journal of Spine Surgery 14, s2 (August 2020): S50—S56. http://dx.doi.org/10.14444/7091.

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Naessens, James M., Christopher G. Scott, Todd R. Huschka, and David C. Schutt. "Do Complication Screening Programs Detect Complications Present at Admission?" Joint Commission Journal on Quality and Safety 30, no. 3 (March 2004): 133–42. http://dx.doi.org/10.1016/s1549-3741(04)30015-8.

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Carr, Michele M., and Pesek Sarah. "S257 – Complications in Pediatric Adenoidectomy." Otolaryngology–Head and Neck Surgery 139, no. 2_suppl (August 2008): P161. http://dx.doi.org/10.1016/j.otohns.2008.05.433.

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Objectives 1) To determine the rate of complication following adenoidectomy without tonsillectomy. 2) To determine how the rate of complication varies between pediatric patients under 36 months of age and those from 37 months to 17 years. Methods The charts of 253 patients ages 6 months to 17 years who underwent adenoidectomy without associated tonsillectomy between July 2003 and January 2007 at the Hershey Medical Center were reviewed for any complication following the procedure. Comparison was made between the group under 36 months of age and the group older than 36 months. Results At least 1 complication was encountered in 24.9% of the patients. However, complications requiring extra attention such as a prolonged hospital stay or visit to the emergency department affected only 6.32% of the patients. The most common intra-operative complications was lip abrasion, the most common early post-operative one was fever, and the most common late complication was a diagnosis of otitis media. No statistically significant difference in the rates of complications was seen between patients under 36 months of age vs. those over. Conclusions Though the rate of complications due to adenoidectomy is fairly high, the rate of more serious complications is low. There is no statistically significant difference in rate of complication between the age groups studied.

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Maniu, Alma, Violeta Necula, Oana Harabagiu, and M. Cosgarea. "Current opinions in the management of otitis media complications." ORL.ro 1, no. 1 (March 10, 2016): 30–34. http://dx.doi.org/10.26416/orl.30.1.2016.649.

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Introduction . The aim of this study was to determine the frequency and management of complications of AOM and COM over a period of 15 years in E.N.T Clinic “Iuliu Haţieganu”, University of Medicine and Pharmacy Cluj-Napoca, and to discuss the new concept in their treatment. Methods . Between January 2001 to December 2015, patients admitted to E.N.T. Department, “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, with the diagnosis of otitis media and an associated intratemporal or intracranian complication were analyzed retrospectively. The overall incidence of all complications and of each complication individually was determined. Results . A total of 930 patients were diagnosed with otitis media. Complications of otitis media were diagnosed in 35 patients; thus, the incidence of complications was 3.37%. We identified 27 (2.9%) intratemporal complications and 8 (0.86%) intracranial complications. The most frequent complication was labyrinthine fistula in 13 (1.39%) patients. Conclusion . The incidence of otitis complications remains significant in our department. Chronic otitis media with cholesteatoma is the most frequent etiology of complications. Labyrinthine fistula is the most common complication of otitis media.

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Wu, Haibin, Karen N. Eggleston, Jieming Zhong, Ruying Hu, Chunmei Wang, Kaixu Xie, Yiwei Chen, Xiangyu Chen, and Min Yu. "How do type 2 diabetes mellitus (T2DM)-related complications and socioeconomic factors impact direct medical costs? A cross-sectional study in rural Southeast China." BMJ Open 8, no. 11 (November 2018): e020647. http://dx.doi.org/10.1136/bmjopen-2017-020647.

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ObjectiveTo evaluate type 2 diabetes mellitus (T2DM)-related direct medical costs by complication type and complication number, and to assess the impacts of complications as well as socioeconomic factors on direct medical costs.DesignA cross-sectional study using data from the region’s diabetes management system, social security system and death registry system, 2015.SettingTongxiang, China.ParticipantsIndividuals diagnosed with T2DM in the local diabetes management system, and who had 2015 insurance claims in the social security system. Patients younger than 35 years and patients whose insurance type changed in the year 2015 were excluded.Main outcome measuresThe mean of direct medical costs by complication type and number, and the percentage increase of direct medical costs relative to a reference group, considering complications and socioeconomic factors.ResultsA total of 19 015 eligible individuals were identified. The total cost of patients with one complication was US$1399 at mean, compared with US$248 for patients without complications. The mean total cost for patients with 2 and 3+ complications was US$1705 and US$2994, respectively. After adjustment for socioeconomic confounders, patients with one complication had, respectively, 83.55% and 38.46% greater total costs for inpatient and outpatient services than did patients without complications. The presence of multiple complications was associated with a significant 44.55% adjusted increase in total outpatient costs, when compared with one complication. Acute complications, diabetic foot, stroke, ischaemic heart disease and diabetic nephropathy were the highest cost complications. Gender, age, education level, insurance type, T2DM duration and mortality were significantly associated with increased expenditures of T2DM.ConclusionsComplications significantly aggravated expenditures on T2DM. Specific kinds of complications and the presence of multiple complications are correlated with much higher expenditures. Proper management and the prevention of related complications are urgently needed to reduce the growing economic burden of diabetes.

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Nabi, Shayista. "Hysteroscopic Complications." European Journal of Medical and Health Sciences 4, no. 3 (May 5, 2022): 13–16. http://dx.doi.org/10.24018/ejmed.2022.4.3.1312.

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Operative Hysteroscopy is a minimally invasive, safe and well tolerated procedure. Prevention of complications is crucial for patient care. The complication rate in diagnostic hysteroscopy is low 0.012%. Complications from operative hysteroscopy are more common and potentially more serious. These risks are highest with more complex hysteroscopic procedures like myomectomy and adhesiolysis. Complications of Operative Hysteroscopy can be early or late complications. Early include anesthetic complications, complications of distention media, cervical trauma, haemorrhage, perforation, and air embolism. Late ones are infections, adhesions. As Hysteroscopy continues to become popular, the importance of preventing, identifying, and managing complications is of utmost importance. Some problems are inherent in operative hysteroscopy, but large number of complications can be prevented by proper preoperative evaluation and surgical techniques. Appropriate training programmes and expertise are key to safe and successful hysteroscopy.

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Wakasugi, Takuma, Ritsuro Shirasaka, Toshiyuki Kawauchi, Koji Fujita, and Atsushi Okawa. "Complications of Intramedullary Fixation for Distal Radius Fractures in Elderly Patients: A Retrospective Analysis Using McKay’s Complication Checklist." Journal of Hand Surgery (Asian-Pacific Volume) 23, no. 01 (February 6, 2018): 71–75. http://dx.doi.org/10.1142/s2424835518500091.

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Background: Intramedullary fixation for distal radius fractures is reported to be free of hardware irritation and less invasive than other fixation methods. Some specific complications associated with intramedullary fixation, such as radial nerve sensory neuritis, have been reported, but no study has focused on the complication rates of intramedullary fixation for distal radius fractures in the elderly population. Furthermore, no studies have analyzed common complications, such as carpal tunnel syndrome and flexor tenosynovitis including trigger finger, among patients with distal radius fractures treated by intramedullary fixation based on a comprehensive complication checklist. Methods: We reviewed the medical records of 52 elderly patients with distal radius fractures treated with intramedullary nail fixation. We investigated the postoperative complications in these patients using McKay’s complication checklist. Results: 5 patients experienced radial nerve sensory disorder, and one patients developed carpal tunnel syndrome. All neurological symptoms resolved spontaneously, and these neurological complications were categorized as mild. Further, 3 patients developed trigger finger at the A1 pulley and needed triamcinolone injections for symptomatic relief. There were no tendinous complications around the implanted hardware. All tendinous complications were categorized as moderate complications and resolved with steroid injection therapy. Among skeletal complications, 1 case of postoperative volar displacement resolved with good functional outcome without the need for corrective osteotomy. This was considered a mild complication. The total complication rate was 19.2%. All complications were categorized as mild or moderate, and no patients experienced severe complications that needed further surgery such as hardware removal. Conclusions: Intramedullary fixation for distal radius fractures was free from tendinous complications such as tenosynovitis and tendon ruptures around the implant, which are frequently caused by volar locking plate fixation. However, this less invasive technique could not avoid common complications such as trigger finger and carpal tunnel syndrome associated with distal radius fractures.

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Bell, Jacob, Munish Goyal, Sallie Long, Anagha Kumar, Joseph Friedrich, Jonathan Garfinkel, Suzi Chung, and Shimae Fitzgibbons. "Anatomic Site-Specific Complication Rates for Central Venous Catheter Insertions." Journal of Intensive Care Medicine 35, no. 9 (September 19, 2018): 869–74. http://dx.doi.org/10.1177/0885066618795126.

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Background: Central venous catheter (CVC) complication rates reflecting the application of modern insertion techniques to a clinically heterogeneous patient populations are needed to better understand procedural risk attributable to the 3 common anatomic insertion sites: internal jugular, subclavian, and femoral veins. We sought to define site-specific mechanical and duration-associated CVC complication rates across all hospital inpatients. Methods: A retrospective chart review was conducted over 9 months at Georgetown University Hospital and Washington Hospital Center. Peripherally inserted central catheters and tunneled or fluoroscopically placed CVC’s were excluded. Mechanical complications (retained guidewire, arterial injury, and pneumothorax) and duration-associated complications (deep vein thrombosis or pulmonary embolism, and central line-associated bloodstream infections) were identified. Results: In all, 1179 CVC insertions in 801 adult patients were analyzed. Approximately 32% of patients had multiple lines placed. Of 1179 CVCs, 73 total complications were recorded, giving a total rate of one or more complications occurring per CVC of 5.9%. There was no statistically significant difference between site-specific complications. A total of 19 mechanical complications were documented, with a 1.5% complication rate of one or more mechanical complications occurring. A total of 54 delayed complications were documented, with a 4.4% complication rate of 1 or more delayed complications occurring. There were no statistically significant differences between anatomic sites for either total mechanical or total delayed complications. Conclusions: These results suggest that site-specific CVC complication rates may be less common than previously reported. These data further inform on the safety of modern CVC insertion techniques across all patient populations and clinical settings.

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Von Arx, Thomas, Scott Lozanoff, and Martin Zinkernagel. "Ophthalmologic complications after intraoral local anesthesia." SWISS DENTAL JOURNAL SSO – Science and Clinical Topics 124, no. 7/8 (July 28, 2014): 784–806. http://dx.doi.org/10.61872/sdj-2014-07-08-02.

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Introduction: The first ophthalmologic complication in conjunction with a dental anesthesia was reported in 1936. The objective of the present study was a detailed analysis of case reports about that topic. Material and methods: After conducting a literature search in PubMed this study analyzed 108 ophthalmologic complications following intraoral local anesthesia in 65 case reports with respect to patient-, anesthesia-, and complication- related factors. Results: The mean age of the patients was 33.8 years and females predominated (72.3%). The most commonly reported complication was diplopia (39.8%), mostly resulting from paralysis of the lateral rectus muscle. Other relatively frequent complications included ptosis (16.7%), mydriasis (14.8%) and amaurosis (13%). Ophthalmologic complications were mainly associated with block anesthesia of the inferior alveolar nerve (45.8%) or the posterior superior alveolar nerve (40.3%). Typically, the ophthalmologic complications in conjunction with intraoral local anesthesia had an immediate to short onset, and disappeared as the anesthesia subsided. Discussion and conclusion: The increased number of ophthalmologic complications after intraoral local anesthesia in females may suggest a gender effect. Double vision (diplopia) is the most frequently described complication, which is usually completely reversible like the other reported ophthalmologic complications.

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D’Angelo, Robert, Richard M. Smiley, Edward T. Riley, and Scott Segal. "Serious Complications Related to Obstetric Anesthesia." Anesthesiology 120, no. 6 (June 1, 2014): 1505–12. http://dx.doi.org/10.1097/aln.0000000000000253.

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Abstract Background: Because of the lack of large obstetric anesthesia databases, the incidences of serious complications related to obstetric anesthesia remain unknown. The Society for Obstetric Anesthesia and Perinatology developed the Serious Complication Repository Project to establish the incidence of serious complications related to obstetric anesthesia and to identify risk factors associated with each. Methods: Serious complications were defined by the Society for Obstetric Anesthesia and Perinatology Research Committee which also coordinated the study. Thirty institutions participated in the approximately 5-yr study period. Data were collected as part of institutional quality assurance and sent to the central project coordinator quarterly. Results: Data were captured on more than 257,000 anesthetics, including 5,000 general anesthetics for cesarean delivery. There were 157 total serious complications reported, 85 of which were anesthesia related. High neuraxial block, respiratory arrest in labor and delivery, and unrecognized spinal catheter were the most frequent complications encountered. A serious complication occurs in approximately 1:3,000 (1:2,443 to 1:3,782) obstetric anesthetics. Conclusions: The Serious Complication Repository Project establishes the incidence of serious complications in obstetric anesthesia. Because serious complications related to obstetric anesthesia are rare, there were too few complications in each category to identify risk factors associated with each. However, because many of these complications can lead to catastrophic outcomes, it is recommended that the anesthesia provider remains vigilant and be prepared to rapidly diagnose and treat any complication.

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Akter, Soniya, Saif Uddin Ahmed, Samia Mubin, K. M. Reaz Morshed, Md Atikur Rahman, Tahmina Akter, Akter-uj jaman, and Md Nadim Uddin. "Influence of Tumor Characteristics on Early Surgical Complications in Operable Gastric Cancer." SAS Journal of Surgery 9, no. 10 (October 25, 2023): 854–65. http://dx.doi.org/10.36347/sasjs.2023.v09i10.005.

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Background: Gastric cancer is the 5th most common cause of cancer related death in Bangladesh. Curative resection remains the main modality of its successful treatment but the rate of postoperative complications is still high. Besides surgical factors, patient’s clinicopathological characteristics influence complications. Aims: To observe the nature of complications and correlate the tumor characteristics with nature of complications. Methods: Following convenience sampling 46 patients of operable gastric cancer who underwent gastrectomy in the Department of General Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), from July 2021 to June 2022 were observed for their postoperative complications rate, type, and grade by Clavien-Dindo classification system. Data were analyzed with Statistical Packages for Social Sciences (SPSS- 22.0) and Chi-square test (2) was done to find out the association of complications with the tumor characteristics. Results: Tumor located in fundus and corpus found in 10 cases, out of which 4(40.0%) and 6(60.0%) had developed major and minor complication respectively (p<0.05). Five 5 cases were adenocarcinoma (signet ring), among them 1(20.0%) developed major complication and 4(80.0%) developed minor complication. Five cases were adenocarcinoma (mucinous), 3(60.0%) developed major complication and 2(40.0%) developed minor complications (p<0.05). Grade III lesion was observed in 20 cases, out of which 5(25.0%) developed major complication and 15(75.0%) developed minor complications (p<0.05). Tumor size more than 6 cm was found in 3 cases, among them 1(33.3%) had major and 2(66.7%) had minor complication. Tumor size belonged to 3 - 6 cm was found in 34 cases, out of which 4(11.8%) had developed major complication, 28(81.4%) minor complication and 2(5.9%) had no complication (p<0.05). Tumor located in fundus and corpus, adenocarcinoma (signet ring), adenocarcinoma (mucinous), grade III lesion, tumor size 3 cm or more, .........

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Barnawi, Amjad I., Danah Y. Albouri, Aljowhara H. Alsaeed, Bassam A. Fallatah, Ahmed E. Mahmoud, and Yasser A. El-Goneimy. "Intra-operative Predictors of Neurological Outcomes After Cardiac Surgery." Journal of Acute Care and Resuscitation 1, no. 2 (May 2024): 37–44. http://dx.doi.org/10.4103/jacresus.jacresus_1_24.

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Abstract Background: Despite the advancement in surgical techniques, neurological complications encountered post-cardiac surgery remain significant. Stroke, seizure, and deep coma are major postoperative neurological complications reported in numerous patients. This study aims to identify perioperative predictors for neurological complications and focus on the relationship between these predictors and major neurological complications, particularly stroke, seizure, and deep coma. Materials and Methods: This retrospective cohort study was conducted among patients who underwent cardiac surgery between January 2014 and December 2020 at King Fahd Hospital of University, Khobar, Saudi Arabia. Out of 432 patients who had surgery, only 331 patients met the inclusion criteria. A comparison was made between patients who developed postoperative neurological complications and those who did not. The collected data was analyzed using the Statistical Package of Social Sciences program version 29 (Armonk, NY: IBM Corp. USA). Results: There were 50 patients with postoperative neurological complications compared to 281 patients with no complications. The rate of perioperative haemodynamic instability was higher in the complication group (14/48, 29.2%) compared to the non-complication group (47/238, 19.7%). Stroke was the highest neurological complication encountered (14/50, 28%). Conclusions: Perioperative haemodynamic instability is more common in patients with postoperative neurological complications compared to patients with no complications. Additionally, stroke is the most common major neurological complication. Aortic surgeries, combined surgeries, and haemodynamic instability are the most common perioperative predictors of stroke.

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Mili, Mohan Kumar, Sukanya Kalita, Monikuntal Sarmah, Sharmistha Talukdar, and Suhanee Goswami. "Complications of chronic otitis media and their management: a study at tertiary care centre." International Journal of Research in Medical Sciences 11, no. 11 (October 30, 2023): 4082–87. http://dx.doi.org/10.18203/2320-6012.ijrms20233379.

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Background: Chronic otitis media is a disease associated with complications. Due to ignorance, poor literacy and late presentation the management becomes challenging and difficult. The aim is to find the incidence of complications of COM and their management. Methods: This is a hospital based observational study carried out on 50 patients with COM admitted in the Department of Otorhinolaryngology of a tertiary care centre during a period of 1 year. Results: Out of 50 patients, 19 cases of safe COM and 31 of unsafe COM. 31% of safe COM patients had complications with 100% extracranial complication (mastoiditis). 45% of unsafe COM had complications, where most common extracranial complication was mastoiditis and intracranial complication was brain abscess. Complications were more common in the age group of 21-30 years. In all the patients, multiple intravenous antibiotics were given covering gram positive, gram negative and anaerobic organisms. The intracranial complications were initially managed by neurosurgery or neurology followed by disease eradication at source. 2 mortalities were seen in cases with intracranial complication due to late presentation. Conclusions: The complications of COM still pose a great challenge. Late presentation leads to difficulty in management and consequently higher mortality. This study mainly emphasizes the importance of early diagnosis and prompt treatment to avoid complications.

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Atchley, Travis J., Blake Sowers, Anastasia A. Arynchyna, Curtis J. Rozzelle, and Brandon G. Rocque. "Complications of neuroendoscopic septostomy." Journal of Neurosurgery: Pediatrics 29, no. 2 (February 1, 2022): 185–91. http://dx.doi.org/10.3171/2021.8.peds2165.

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OBJECTIVE The advent of neuroendoscopy revolutionized the management of complex hydrocephalus. Fenestration of the septum pellucidum (septostomy) is often a therapeutic and/or necessary intervention in neuroendoscopy. However, these procedures are not without risk. The authors sought to record the incidence and types of complications. They attempted to discern if there was decreased likelihood of septostomy complications in patients who underwent endoscopic third ventriculostomy (ETV)/choroid plexus cauterization (CPC) as compared with those who underwent other procedures and those with larger ventricles preoperatively. The authors investigated different operative techniques and their possible relationships to septostomy complications. METHODS The authors retrospectively reviewed all neuroendoscopic procedures with Current Procedural Terminology code 62161 performed from January 2003 until June 2019 at their institution. Septostomy, either alone or in conjunction with other procedures, was performed in 118 cases. Basic demographic characteristics, clinical histories, operative details/findings, and adverse events (intraoperative and postoperative) were collected. Pearson chi-square and univariate logistic regression analyses were performed. Patients with incomplete records were excluded. RESULTS Of 118 procedures, 29 (24.5%) septostomies had either intraoperative or postoperative complications. The most common intraoperative complication was bleeding, as noted in 12 (10.2%) septostomies. Neuroendocrine dysfunction, including apnea, bradycardia, neurological deficit, seizure, etc., was the most common postoperative complication and seen after 15 (12.7%) procedures. No significant differences in complications were noted between ventricular size or morphology or between different operative techniques or ventricular approaches. There was no significant difference between the complication rate of patients who underwent ETV/CPC and that of patients who underwent septostomy as a part of other procedures. Greater length of surgery (OR 1.013) was associated with septostomy complications. CONCLUSIONS Neuroendoscopy for hydrocephalus due to varying etiologies provides significant utility but is not without risk. The authors did not find associations between larger ventricular size or posterior endoscope approach and lower complication rates, as hypothesized. No significant difference in complication rates was noted between septostomy performed during ETV/CPC and other endoscopic procedures requiring septostomy.

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Berman, Charles L. "Complications." Dental Clinics of North America 33, no. 4 (October 1989): 635–63. http://dx.doi.org/10.1016/s0011-8532(22)03117-2.

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Martin, Ronald F. "Complications." Surgical Clinics of North America 101, no. 5 (October 2021): xiii—xv. http://dx.doi.org/10.1016/j.suc.2021.07.003.

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Laurent Dubois. "Complications." William and Mary Quarterly 68, no. 2 (2011): 224. http://dx.doi.org/10.5309/willmaryquar.68.2.0224.

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Bonner, Kevin F. "Complications." Sports Medicine and Arthroscopy Review 30, no. 1 (February 2, 2022): 1. http://dx.doi.org/10.1097/jsa.0000000000000344.

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Johnson, P. J. "Complications." Current Opinion in Gastroenterology 7, no. 3 (June 1991): 401–9. http://dx.doi.org/10.1097/00001574-199106000-00011.

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ISLAM, SAIFUL. "Complications." Nature 341, no. 6238 (September 1989): 100. http://dx.doi.org/10.1038/341100c0.

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Mason, Mark E. "Complications." Journal of Oral and Maxillofacial Surgery 67, no. 9 (September 2009): 21. http://dx.doi.org/10.1016/j.joms.2009.05.364.

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Brauner, Annelie, Niels Hoiby, Jens Kjartansson, Inger Kuhn, Pia Svenberg-Appelgren, and Bengt Wretlind. "Complications." Journal of Burn Care & Rehabilitation 7, no. 5 (September 1986): 440. http://dx.doi.org/10.1097/00004630-198609000-00023.

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Fong, P. H., P. Ratnagopal, and K. L. Wong. "Complications." Journal of Burn Care & Rehabilitation 7, no. 5 (September 1986): 440. http://dx.doi.org/10.1097/00004630-198609000-00024.

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Rousseau, Paul. "Complications." Palliative and Supportive Care 7, no. 3 (September 2009): 379–80. http://dx.doi.org/10.1017/s1478951509990319.

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Olmstead, Marvin L. "Complications." Veterinary Clinics of North America: Small Animal Practice 21, no. 4 (July 1991): 641–46. http://dx.doi.org/10.1016/s0195-5616(91)50076-0.

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Gawande, A. "Complications." Journal of the Royal Army Medical Corps 153, no. 3 (September 1, 2007): 223. http://dx.doi.org/10.1136/jramc-153-03-20.

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Harvey, Carol V. "Complications." Orthopaedic Nursing 25, no. 6 (November 2006): 410???412. http://dx.doi.org/10.1097/00006416-200611000-00010.

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Wheeler, S. L. "Complications." Implant Dentistry 5, no. 2 (1996): 130. http://dx.doi.org/10.1097/00008505-199600520-00038.

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Wheeler, S. L. "Complications." Implant Dentistry 4, no. 2 (May 1996): 130. http://dx.doi.org/10.1097/00008505-199605000-00038.

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Herring, John A. "Complications." Journal of Pediatric Orthopaedics 40, Supplement 1 (July 2020): S22—S24. http://dx.doi.org/10.1097/bpo.0000000000001498.

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&NA;. "COMPLICATIONS." Nursing 21, no. 7 (July 1991): 14–15. http://dx.doi.org/10.1097/00152193-199107000-00007.

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STANLEY, ROBERT, and Bonnie Handerhan. "COMPLICATIONS." Nursing 22, no. 10 (October 1992): 96–97. http://dx.doi.org/10.1097/00152193-199210000-00032.

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SCHUMAN, RICHARD. "COMPLICATIONS." Nursing 23, no. 4 (April 1993): 77–82. http://dx.doi.org/10.1097/00152193-199304000-00022.

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Hillman, Bruce J. "Complications." Journal of the American College of Radiology 8, no. 5 (May 2011): 294. http://dx.doi.org/10.1016/j.jacr.2011.01.001.

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Coulehan, Jack. "Complications." JAMA: The Journal of the American Medical Association 270, no. 3 (July 21, 1993): 293. http://dx.doi.org/10.1001/jama.1993.03510030013002.

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Cooke, P. H., and J. Kenwright. "Complications." Current Orthopaedics 4, no. 3 (July 1990): 183–89. http://dx.doi.org/10.1016/0268-0890(90)90019-c.

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Lanz, O. I., S. R. Werre, and D. W. Hummel. "Complications of cementless total hip replacement." Veterinary and Comparative Orthopaedics and Traumatology 23, no. 06 (2010): 424–32. http://dx.doi.org/10.3415/vcot-09-07-0071.

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SummaryCementless total hip implants are relatively new to the veterinary market and therefore complication rates and prognostic indicators associated with the procedure have not been thoroughly documented. The objective of this study was to determine the prevalence of complications and identify prognostic indicators of success or failure for the Zurich cementless total hip replacement (THR). Medical records of 163 dogs that underwent Zurich cementless-THR were reviewed continuous and categorical variables, clinical outcomes and complications were recorded. Complications were separated into intra-operative (IOC), short-term (STC), and long-term (LTC). Bivariate and multivariate statistical analysis was used to compare complications. The clini-cal significance of this study was to provide surgeons with prognostic indicators of success or failure when evaluating prospective Zurich cementless-THR patients, and to report the complication rate of Zurich cementlessTHR. The complication rates of Zurich cementless-THR were then compared to previously-reported complication rates of cemented-THR and other cementless-THR systems. Short-term complications, LTC, and IOC rates of Zurich cementless-THR were found to be 6.75%, 10.4%, and 11.0% respectively. The most common complications were intra-operative femoral fracture, luxation of the implant, and septic loosening of the implant. Increased body weight and prior cemented-THR or fe-moral head and neck ostectomy of the contra-lateral hip were identified as negative prognostic indicators. The overall complication rate identified was greater than those previously reported for other cementless- and cemented-THR systems.

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