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Postoperative complication

MedGen UID:
10871
•Concept ID:
C0032787
•
Pathologic Function
Synonyms: Complication, Postoperative; Complications, Postoperative; Postoperative Complication; Postoperative Complications
SNOMED CT: Postoperative complication (385486001); Postoperative problem (385486001)

Definition

Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. [from MeSH]

Professional guidelines

PubMed

The SIFIPAC/WSES/SICG/SIMEU guidelines for diagnosis and treatment of acute appendicitis in the elderly (2019 edition).
Fugazzola P, Ceresoli M, Agnoletti V, Agresta F, Amato B, Carcoforo P, Catena F, Chiara O, Chiarugi M, Cobianchi L, Coccolini F, De Troia A, Di Saverio S, Fabbri A, Feo C, Gabrielli F, Gurrado A, Guttadauro A, Leone L, Marrelli D, Petruzzelli L, Portolani N, Prete FP, Puzziello A, Sartelli M, Soliani G, Testini M, Tolone S, Tomasoni M, Tugnoli G, Viale P, Zese M, Ishay OB, Kluger Y, Kirkpatrick A, Ansaloni L
World J Emerg Surg 2020 Mar 10;15(1):19. doi: 10.1186/s13017-020-00298-0. PMID: 32156296Free PMC Article
Post-fundoplication symptoms and complications: Diagnostic approach and treatment.
Sobrino-Cossío S, Soto-Pérez JC, Coss-Adame E, Mateos-Pérez G, Teramoto Matsubara O, Tawil J, Vallejo-Soto M, Sáez-Ríos A, Vargas-Romero JA, Zárate-Guzmán AM, Galvis-García ES, Morales-Arámbula M, Quiroz-Castro O, Carrasco-Rojas A, Remes-Troche JM
Rev Gastroenterol Mex 2017 Jul-Sep;82(3):234-247. Epub 2017 Jan 5 doi: 10.1016/j.rgmx.2016.08.005. PMID: 28065591
Management of post-hepatectomy complications.
Jin S, Fu Q, Wuyun G, Wuyun T
World J Gastroenterol 2013 Nov 28;19(44):7983-91. doi: 10.3748/wjg.v19.i44.7983. PMID: 24307791Free PMC Article

Recent clinical studies

Etiology

Surgeon's guilt after postoperative complication.
Bhattacharya K, Bhattacharya N
Pol Przegl Chir 2022 Jan 26;94(4):45-48. doi: 10.5604/01.3001.0015.6986. PMID: 36047357
Malrotation of Long Bones.
Sullivan M, Bonilla K, Donegan D
Orthop Clin North Am 2021 Jul;52(3):215-229. Epub 2021 May 7 doi: 10.1016/j.ocl.2021.03.008. PMID: 34053567
Anesthetic considerations for urologic surgeries.
Koo CH, Ryu JH
Korean J Anesthesiol 2020 Apr;73(2):92-102. Epub 2019 Dec 17 doi: 10.4097/kja.19437. PMID: 31842248Free PMC Article
Transconjunctival epiblepharon repair.
Wladis EJ
Ophthalmic Plast Reconstr Surg 2014 May-Jun;30(3):271-2. doi: 10.1097/IOP.0000000000000167. PMID: 24777274
Management of post-hepatectomy complications.
Jin S, Fu Q, Wuyun G, Wuyun T
World J Gastroenterol 2013 Nov 28;19(44):7983-91. doi: 10.3748/wjg.v19.i44.7983. PMID: 24307791Free PMC Article

Diagnosis

Postoperative delirium.
Oh ST, Park JY
Korean J Anesthesiol 2019 Feb;72(1):4-12. Epub 2018 Aug 24 doi: 10.4097/kja.d.18.00073.1. PMID: 30139213Free PMC Article
Pyoderma Gangrenosum: A Review for the Gastroenterologist.
Plumptre I, Knabel D, Tomecki K
Inflamm Bowel Dis 2018 Nov 29;24(12):2510-2517. doi: 10.1093/ibd/izy174. PMID: 29788368
Anesthesia for Intestinal Transplantation.
Nguyen-Buckley C, Wong M
Anesthesiol Clin 2017 Sep;35(3):509-521. Epub 2017 Jul 5 doi: 10.1016/j.anclin.2017.04.007. PMID: 28784223
Postoperative Chylothorax.
Martucci N, Tracey M, Rocco G
Thorac Surg Clin 2015 Nov;25(4):523-8. Epub 2015 Sep 8 doi: 10.1016/j.thorsurg.2015.07.014. PMID: 26515952
Scheuermann's kyphosis.
Lowe TG
Neurosurg Clin N Am 2007 Apr;18(2):305-15. doi: 10.1016/j.nec.2007.02.011. PMID: 17556132

Therapy

Intraoperative hypotension and postoperative outcomes: a meta-analysis of randomised trials.
D'Amico F, Fominskiy EV, Turi S, Pruna A, Fresilli S, Triulzi M, Zangrillo A, Landoni G
Br J Anaesth 2023 Nov;131(5):823-831. Epub 2023 Sep 20 doi: 10.1016/j.bja.2023.08.026. PMID: 37739903
Comparison of Laparoscopic Versus Robot-Assisted Surgery for Rectal Cancers: The COLRAR Randomized Controlled Trial.
Park JS, Lee SM, Choi GS, Park SY, Kim HJ, Song SH, Min BS, Kim NK, Kim SH, Lee KY
Ann Surg 2023 Jul 1;278(1):31-38. Epub 2023 Jan 3 doi: 10.1097/SLA.0000000000005788. PMID: 36594748
Surgical Outcome Results From SWOG S1505: A Randomized Clinical Trial of mFOLFIRINOX Versus Gemcitabine/Nab-paclitaxel for Perioperative Treatment of Resectable Pancreatic Ductal Adenocarcinoma.
Ahmad SA, Duong M, Sohal DPS, Gandhi NS, Beg MS, Wang-Gillam A, Wade JL 3rd, Chiorean EG, Guthrie KA, Lowy AM, Philip PA, Hochster HS
Ann Surg 2020 Sep 1;272(3):481-486. doi: 10.1097/SLA.0000000000004155. PMID: 32740235Free PMC Article
Dexmedetomidine for prevention of delirium in elderly patients after non-cardiac surgery: a randomised, double-blind, placebo-controlled trial.
Su X, Meng ZT, Wu XH, Cui F, Li HL, Wang DX, Zhu X, Zhu SN, Maze M, Ma D
Lancet 2016 Oct 15;388(10054):1893-1902. Epub 2016 Aug 16 doi: 10.1016/S0140-6736(16)30580-3. PMID: 27542303
Postoperative Chylothorax.
Martucci N, Tracey M, Rocco G
Thorac Surg Clin 2015 Nov;25(4):523-8. Epub 2015 Sep 8 doi: 10.1016/j.thorsurg.2015.07.014. PMID: 26515952

Prognosis

Long-term follow-up after single-incision laparoscopic surgery.
Barutcu AG, Klein D, Kilian M, Biebl M, Raakow R, Pratschke J, Raakow J
Surg Endosc 2020 Jan;34(1):126-132. Epub 2019 Mar 12 doi: 10.1007/s00464-019-06739-5. PMID: 30863926
Esophagojejunal anastomotic leakage following gastrectomy for gastric cancer.
Makuuchi R, Irino T, Tanizawa Y, Bando E, Kawamura T, Terashima M
Surg Today 2019 Mar;49(3):187-196. Epub 2018 Oct 13 doi: 10.1007/s00595-018-1726-8. PMID: 30317492
Sarcopenia and Postoperative Complication Risk in Gastrointestinal Surgical Oncology: A Meta-analysis.
Simonsen C, de Heer P, Bjerre ED, Suetta C, Hojman P, Pedersen BK, Svendsen LB, Christensen JF
Ann Surg 2018 Jul;268(1):58-69. doi: 10.1097/SLA.0000000000002679. PMID: 29373365
Perioperative Vision Loss after Non-Ocular Surgery.
Chwalisz B, Gilbert AL, Gittinger JW Jr
Semin Ophthalmol 2018;33(1):17-22. Epub 2017 Sep 7 doi: 10.1080/08820538.2017.1353807. PMID: 28881162
Pylorus-preserving pancreaticoduodenectomy.
Yeo CJ
Surg Oncol Clin N Am 1998 Jan;7(1):143-56. PMID: 9443992

Clinical prediction guides

Safety and efficacy of ureteroscopy for urolithiasis in octogenarians.
Koterazawa S, Kanno T, Takahashi T, Somiya S, Ito K, Haitani T, Arakaki R, Kawase N, Higashi Y, Yamada H
Int J Urol 2023 Feb;30(2):161-167. Epub 2022 Oct 28 doi: 10.1111/iju.15073. PMID: 36305661
Relationship between Preoperative Nutritional Status and Clinical Outcomes in Patients with Head and Neck Cancer.
Wang EY, Chen MK, Hsieh MY, Kor CT, Liu YT
Nutrients 2022 Dec 15;14(24) doi: 10.3390/nu14245331. PMID: 36558490Free PMC Article
Outcomes and complications of primary reverse shoulder arthroplasty with minimum of 2 years' follow-up: a systematic review and meta-analysis.
Galvin JW, Kim R, Ment A, Durso J, Joslin PMN, Lemos JL, Novikov D, Curry EJ, Alley MC, Parada SA, Eichinger JK, Li X
J Shoulder Elbow Surg 2022 Nov;31(11):e534-e544. Epub 2022 Jul 21 doi: 10.1016/j.jse.2022.06.005. PMID: 35870805
Value of Postoperative Serum Albumin to Predict Postoperative Complication Severity in Spinal Tuberculosis.
Jiang G, Du X, Zhu Y, Zhang M, Qin W, Xiong T, Ou Y
Biomed Res Int 2022;2022:4946848. Epub 2022 Feb 9 doi: 10.1155/2022/4946848. PMID: 35187165Free PMC Article
Genetic and clinical risk prediction model for postoperative atrial fibrillation.
Kolek MJ, Muehlschlegel JD, Bush WS, Parvez B, Murray KT, Stein CM, Shoemaker MB, Blair MA, Kor KC, Roden DM, Donahue BS, Fox AA, Shernan SK, Collard CD, Body SC, Darbar D
Circ Arrhythm Electrophysiol 2015 Feb;8(1):25-31. Epub 2015 Jan 7 doi: 10.1161/CIRCEP.114.002300. PMID: 25567478Free PMC Article

Recent systematic reviews

Processed electroencephalography-guided general anaesthesia to reduce postoperative delirium: a systematic review and meta-analysis.
Sumner M, Deng C, Evered L, Frampton C, Leslie K, Short T, Campbell D
Br J Anaesth 2023 Feb;130(2):e243-e253. Epub 2022 Feb 17 doi: 10.1016/j.bja.2022.01.006. PMID: 35183345
Efficacy of different preoperative skin antiseptics on the incidence of surgical site infections: a systematic review, GRADE assessment, and network meta-analysis.
Jalalzadeh H, Groenen H, Buis DR, Dreissen YE, Goosen JH, Ijpma FF, van der Laan MJ, Schaad RR, Segers P, van der Zwet WC, Griekspoor M, Harmsen WJ, Wolfhagen N, Boermeester MA
Lancet Microbe 2022 Oct;3(10):e762-e771. Epub 2022 Aug 16 doi: 10.1016/S2666-5247(22)00187-2. PMID: 35985350
Comparative analysis of weight loss and resolution of comorbidities between laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass: A systematic review and meta-analysis based on 18 studies.
Han Y, Jia Y, Wang H, Cao L, Zhao Y
Int J Surg 2020 Apr;76:101-110. Epub 2020 Mar 6 doi: 10.1016/j.ijsu.2020.02.035. PMID: 32151750
Sarcopenia and Postoperative Complication Risk in Gastrointestinal Surgical Oncology: A Meta-analysis.
Simonsen C, de Heer P, Bjerre ED, Suetta C, Hojman P, Pedersen BK, Svendsen LB, Christensen JF
Ann Surg 2018 Jul;268(1):58-69. doi: 10.1097/SLA.0000000000002679. PMID: 29373365
Laparoscopic and robotic-assisted versus open radical prostatectomy for the treatment of localised prostate cancer.
Ilic D, Evans SM, Allan CA, Jung JH, Murphy D, Frydenberg M
Cochrane Database Syst Rev 2017 Sep 12;9(9):CD009625. doi: 10.1002/14651858.CD009625.pub2. PMID: 28895658Free PMC Article

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