BACKGROUND Total en bloc spondylectomy (TES) is associated with a high complication rate because it is technically demanding and involves patients compromised by cancer. Specifically, perioperative complications are more likely to occur in patients receiving preoperative irradiation. We examined the perioperative complications associated with TES in patients receiving preoperative irradiation. ...

IMPORTANCE The decision whether to discontinue antiplatelet and/or anticoagulant medications before a facial plastic surgical procedure is a complicated and multifactorial process that involves weighing the risk of perioperative thromboembolic complications with bleeding-related complications. OBJECTIVE To determine the complication rates in patients who undergo a range of facial plastic surg...

Background and Objective: Anastomotic leak (AL) remains a common highly morbid complication after Ivor Lewis Esophagectomy. Leak is associated with increased morbidity, mortality, strictures even cancer recurrence. Unfortunately, despite advances in surgical technique perioperative care, the reported frequency of AL has remained largely unchanged.

brucella endocarditis is a rare, and life threatening complication of human brucellosis. children are usually infected by consumption of contaminated dairy product. clinical presentation is similar to rheumatic fever. aortic valve is most commonly involved. clinical manifestations of fever, arthritis/arthralgia, aortic insufficiency, echocardiographic evidence of vegetation, and negative findin...

T HORACOABDOMINAL aortic aneurysm (TAAA) repair presents a challenging and complex task for both the surgeon and anesthesiologist. Historically, morbidity and mortality for TAAA repair has been high, and is both surgeonand institution-dependent. However, the TAAA complication rate has improved significantly in the past decade via research, improved surgical technique, and perioperative manageme...

BACKGROUND Perioperative stroke is a potentially catastrophic complication of surgery. Patients undergoing vascular surgery suffer from systemic atherosclerosis and are expected to be at increased risk for this complication. We studied the incidence, predictors, and outcomes of perioperative stroke after noncarotid major vascular surgery using the American College of Surgeons National Quality I...

BACKGROUND To improve the clinical outcome, immunonutrition (IN) was usually used in the patients undergoing elective gastrointestinal caner surgery. However, its effectiveness remains uncertain. METHODS Randomized controlled trials (RCTs) published between 1995 and 2011 were identified and extracted by two reviewers independently from electronic databases, including PubMed, EMBASE, and Cochr...

BACKGROUND The objective of this study was to determine the relationship between perioperative complications and the severity of obstructive sleep apnoea (OSA) in patients undergoing bariatric surgery who had undergone preoperative polysomnography (PSG). METHODS The records of 797 patients, age >18 yr, who underwent bariatric operations (442 open and 355 laparoscopic procedures) at Mayo Clini...

Perioperative acute myocardial infarction is a life-threatening event. The aim of preoperative evaluation identifying at-risk patient developing postoperative complications and to undertake risk reduction measures prevent such complications. We report case male with good functional capacity unknown history cardiovascular disease undergoing radical cystectomy who suffered intra-operative cardiac...

BACKGROUND In small series, endoscopic third ventriculostomy (ETV) has been shown to potentially have efficacy similar to that of ventriculoperitoneal shunting (VPS) for idiopathic normal-pressure hydrocephalus (iNPH). Therefore, some clinicians have advocated for ETV to avoid the potential long-term complications associated with VPS. Complication rates for these procedures vary widely based on...