Articles: postoperative-complications.
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In an attempt to define what factors are important to the development of postanaesthetic complications, the data from a nine-year prospective study of anaesthetic practice in a large tertiary care institution were evaluated. A model of anaesthetic morbidity dependent upon factors of patient illness, surgical practice, anaesthetic technique and physician experience, and duration of anaesthesia was developed. Postoperative anaesthetic morbidity was defined as any anaesthetic-related complication which, in the opinion of the follow-up nurse, was associated with prolonged hospitalization or documented compromise of the patient. ⋯ The duration of anaesthetic exposure was an important determinant of risk (odds ratio = 2.53), with complications increasing with the length of anaesthetic time. As to factors under control of the anaesthetist those patients experiencing operating room complications (odds ratio = 3.36) or those receiving pure spinal (odds ratio = 5.53) or narcotic techniques (odds ratio = 2.14) had higher risks of postoperative complications. Finally, it would appear that the greater the experience of the anaesthetist the less the risk of postoperative problems (odds ratio = 0.52).
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Zentralbl. Neurochir. · Jan 1987
Case ReportsMigration of abdominal catheter of ventriculoperitoneal shunt into the scrotum.
Two cases are reported in which the abdominal catheters slipped into the scrotum through the unobliterated processus vaginalis.
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Vestn. Khir. Im. I. I. Grek. · Jan 1987
[Potentials of transosseous osteosynthesis in preventing posttraumatic osteomyelitis in open fractures].
An experience with the treatment of 547 patients with open fractures of long tubular bones of extremities is described. The method used for the treatment of the wounds and osteosynthesis gave less amount of complications and better results of the treatment.
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Langenbecks Arch Chir · Jan 1987
[Risk of ulcer following conversion operations of Billroth I stomachs in restorative reflux-preventing procedures--an animal experiment].
In an experimental study on 74 rats the ulcer risk was analyzed after Billroth-I-resection changed into secondary Roux-Y-gastro-jejunostomy resp. jejunal interposition. The following results were obtained: 1) 10 months postoperatively stomal ulcers were found in up to 75%. 2) The gastric pH was comparable with the control and significantly lower than after Billroth-I-resection. 3) An additional vagotomy caused a reduction but not an elimination of the ulcer risk. We conclude from our results that there is a protective role of the postresectional intestino-gastric reflux on the gastrojejunal anastomosis. A reflux-preventive procedure is therefore heavily ulcer-prone.