Skin necrosis is a rare complication after thoracomyoplasty and usually needs conservative treatment. We described positive findings with surgical approach. A 54-year-old man showed bronchopleural fistula after undergoing right pneumonectomy for lung cancer, treated with thoracomyoplasty. On the 20th postoperative day, a skin wound lesion was noted, whose deterioration required a skin flap tran...

First, we wish to clarify a misunderstanding regarding our methods that was admittedly, poorly phrased: “For RP, we also adjusted for the presence of each postoperative complication during the index admission. For the other 3 procedures (RNx, PNx and RC), due to the smaller number of readmission and complication events, we grouped all postoperative complications and adjusted for the presence of...

Chronic postoperative pain is a common complication of inguinal hernia repair. An important Danish study revealed that 28.7% of patients undergoing hernioplasty suffered a varying degree of chronic pain, severe enough to interfere with normal daily activities in 11% of cases. The difficulty in treating this complication has led numerous surgeons to complete the surgical procedure ilioinguinal o...

Paraplegia is a rare complication of surgery for acute type A aortic dissection. We report a case of delayed postoperative paraplegia associated with necrosis of the thoracic vertebral bodies and soft tissue. The pathogenesis of delayed postoperative paraplegia is unknown, but our case report would strongly suggest ischemia of the descending thoracic intercostal arteries as the causative mechan...

QUESTION Can the risk of developing postoperative pulmonary complications be predicted after upper abdominal surgery? DESIGN Prospective observational study. PARTICIPANTS 268 consecutive patients undergoing elective upper abdominal surgery who received standardised pre- and postoperative prophylactic respiratory physiotherapy. OUTCOME MEASURES Predictors were 17 preoperative and intraoper...

Postoperative pulmonary complications contribute significantly to morbidity and morality in surgical patients. Pulmonary complications occur more frequently than cardiac complications. The complication rates for upper abdominal and thoracic surgery are the highest. A better understanding of the risk factors associated with postoperative pulmonary complications is essential to develop strategies...

Postoperative atrial fibrillation (POAF) following cardiac surgery represents a common, potentially morbid, and often misunderstood complication. Patients who develop POAF incur an increased cost of care, a prolonged hospital stay, and are at a higher risk for numerous adverse outcomes, including renal and respiratory failure, cardiac arrest, stroke, and death. The etiology of POAF is multifact...