The term "elderly" in the cardiac surgical experience refers to patients chronologically aged 2:70 years. Chronologic age is less important than physiologic age; in the physiologically aged patient, techniques used in most surgical procedures are likely to be attended by a markedly increased risk of morbidity and mortality (I). There are four aspects involved in a decision to perform a cardiac ...

Introduction Surgery is a frequent health care intervention with an estimated 6 million non-cardiac surgical procedures performed every year in the United States, with progressive growth in the number of procedures noted each subsequent year(1). Preoperative medical evaluations have been a cornerstone of pre-surgical care planning and patient management. The clinical providers who carry out the...

Damage Control Resuscitation and Surgery is the concept of controlled hypotension, haemostatic resuscitation and abbreviated surgical procedures following severe trauma; the practice of which has resulted in improved mortality and morbidity. We describe a rare case of thoraco-abdominal impalement successfully managed based on the concept of Damage Control Resuscitation.

Pentalogy of Cantrell is a rare congenital abnormality. Even with high-quality medical care and staged corrective surgeries in professional hospitals, the mortality rate still very high long-term prognosis poor. Survival largely determined by complexity severity cardiac abnormalities, efficiency abdominal wall closure postoperative complications. A 24-year-old male patient complete pentalogy wa...

BACKGROUND Worldwide distribution of surgical interventions is unequal. Developed countries account for the majority of surgeries and information about non-cardiac operations in developing countries is scarce. The purpose of our study was to describe the epidemiological data of non-cardiac surgeries performed in Brazil in the last years. METHODS AND FINDINGS This is a retrospective cohort stu...

volvulus of the small bowel, although being rare, carries a high risk of strangulation and ischemic necrosis. preoperative diagnosis is difficult and may be complicated by pregnancy, labor and the post-cesarean-section state. delay in diagnosis and surgical intervention increases morbidity and mortality rates. we present a 20- year- old primigravida woman (ga=10 weeks) with massive intestinal n...

Over 230 million surgeries are performed annually worldwide, cardiac complications being the most common causes of postoperative morbidity and mortality. As life expectancy has extended worldwide, a growing number of patients with multiple comorbidities have undergone noncardiac surgeries. Consequently, cardiovascular complications associated with those procedures are expected to increase, and ...

Abstract Aim One remaining question in ventral hernia repair is whether to perform concurrent abdominal surgery or plan two-stage procedures. The aim was explore the risk for reoperation and mortality due surgical complication during index admission. Method Eleven-year data were retrieved from National Patient Register 68,058 primary admissions included, divided into minor major surgery. Result...

BACKGROUND/AIMS Chronic obstructive pulmonary disease is a well-known independent risk factor for the development of postoperative pulmonary and cardiac complications after thoracic or nonthoracic surgery. We aimed to determine the risk factors and complications of abdominal surgery in chronic obstructive pulmonary disease patients. MATERIAL AND METHODS Thirty-two patients diagnosed with chro...

background and objective: the aim of this study was to analyze our indications, surgical procedures, and clinical outcomes of patients undergoing reoperation after surgical correction of tetralogy of fallot (tof). methods: thirty seven consecutive patients who underwent reoperation late after intra-cardiac repair of tof within a period of 10 years were assessed. results: the most common indicat...