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Complications
Volume 1
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Complications, Volume 1, Issue 1 (June 2024) – 5 articles

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0 pages, 1853 KiB  
Case Report
Aortic Endograft Infections: A Race against Time
by Santiago Andrés Suárez-Gómez, Esteban Portilla-Rojas, María Fernanda Rodríguez, Natalia Velásquez-Solarte, Sara Restrepo, Luis Felipe Cabrera-Vargas, Nicolas Forero and Marcos Tarazona
Complications 2024, 1(1), 24-31; https://doi.org/10.3390/complications1010005 - 21 Jun 2024
Viewed by 466
Abstract
Abdominal aortic aneurysms (AAAs) are a highly asymptomatic vascular pathology with an increasing risk of rupture, leading to high mortality. Upon detection, treatment primarily involves lifestyle changes to slow the growth rate. Aneurysm rupture requires immediate surgical intervention due to its high mortality. [...] Read more.
Abdominal aortic aneurysms (AAAs) are a highly asymptomatic vascular pathology with an increasing risk of rupture, leading to high mortality. Upon detection, treatment primarily involves lifestyle changes to slow the growth rate. Aneurysm rupture requires immediate surgical intervention due to its high mortality. Endovascular aneurysm repair (EVAR) is a common treatment option, involving stent placement at the aneurysm site. However, the stent is a foreign body; therefore, it is susceptible to immune response and infection. This case series presents patients with infected endovascular stents following a diagnosis of abdominal infrarenal aortic aneurysm and EVAR. The patients’ follow-ups revealed varying prognoses, complications, and treatments post-infection. These findings are compared with outcomes reported in the medical literature. Preventing aortic stent graft infection through proper aseptic techniques is crucial. This practice reduces patient complications, shortens inpatient hospice stays, and, most importantly, enhances patient quality of life. Full article
(This article belongs to the Special Issue Preventing and Managing Surgical Complications: Perspectives from South American Centers)
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10 pages, 751 KiB  
Article
Efficiency of Orthopaedic Audits in a Level-1 Trauma Centre Using a Modified Clavien–Dindo Complications Classification
by Adrian J. Talia, Nicholas Furness and Susan M. Liew
Complications 2024, 1(1), 14-23; https://doi.org/10.3390/complications1010004 - 12 Jun 2024
Viewed by 398
Abstract
Background: Complications are an inevitable part of orthopaedic surgery, and how one defines complications can have an impact on the ability to learn from them. There have been issues with a commonly used classification system first outlined by Clavien and Dindo. Our aim [...] Read more.
Background: Complications are an inevitable part of orthopaedic surgery, and how one defines complications can have an impact on the ability to learn from them. There have been issues with a commonly used classification system first outlined by Clavien and Dindo. Our aim was to evaluate a modification of this classification system developed for use in our department, with our hypothesis being that this could make our audit presentations more efficient. Methods: A modified Clavien–Dindo Classification was prospectively applied to all complications recorded in the orthopaedic departmental audits at our institution for a 12-month period. The audit discussion was recorded and analysed and compared with the complication audits for the preceding 12-month period. Results: We analysed eight audit presentations before and eight audit presentations after the introduction of a modified Clavien–Dindo classification to our orthopaedic complications over a 2-year period. The number of PowerPoint™ slides (103 vs. 84, p = 0.03) and the time spent on each presentation (88 vs. 71 min, p = 0.02) decreased significantly with the introduction of the modified classification. The novel system was found to have high inter-observer reliability. Conclusions: The modified Clavien–Dindo classification system is a reproducible classification system for orthopaedic complications. It made our audit presentations more efficient. Full article
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3 pages, 156 KiB  
Editorial
Complications in Vascular and Endovascular Surgery: To Defeat Your Enemy, You Must Know Your Enemy
by Mario D’Oria
Complications 2024, 1(1), 11-13; https://doi.org/10.3390/complications1010003 - 21 Mar 2024
Viewed by 555
Abstract
In recent decades, the field of vascular surgery has been revolutionized by the introduction and ever-rising growth of endovascular techniques for almost all arterial and venous diseases, mainly owing to their reduced morbidity and mortality rates as compared with conventional open surgical approaches [...] Read more.
In recent decades, the field of vascular surgery has been revolutionized by the introduction and ever-rising growth of endovascular techniques for almost all arterial and venous diseases, mainly owing to their reduced morbidity and mortality rates as compared with conventional open surgical approaches [...] Full article
5 pages, 201 KiB  
Protocol
Systematic Review and Meta-Analysis Assessing Perioperative and Oncologic Outcomes in Patients Undergoing Urologic Procedures with a History of Prior Abdominal/Pelvic Surgery: Study Protocol
by Michael B. Eppler, Aref S. Sayegh, Ryan Davis, Sij Hemal, Mihir Desai, Rene Sotelo, Inderbir Gill and Giovanni E. Cacciamani
Complications 2024, 1(1), 6-10; https://doi.org/10.3390/complications1010002 - 18 May 2023
Viewed by 1476
Abstract
Prior abdominal/pelvic surgery (PAS) has the potential to impact perioperative and oncologic outcomes in patients undergoing urologic surgery. There is a need to study outcomes in this population to determine if reoperation is safe and feasible. This review will follow the Preferred Reporting [...] Read more.
Prior abdominal/pelvic surgery (PAS) has the potential to impact perioperative and oncologic outcomes in patients undergoing urologic surgery. There is a need to study outcomes in this population to determine if reoperation is safe and feasible. This review will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and has been registered with PROSPERO (ID: CRD42022361935). The search for articles will be conducted in PubMed, Scopus, and Web of Science, and additional articles may be identified by reviewing the manuscripts of the included literature. Outcomes of interest will be used to determine if reoperation is safe and feasible in this population. Full article
5 pages, 635 KiB  
Editorial
Complications—A New Open-Access Journal for Improving Our Understanding of Prevention and Management of Surgical, Interventional and Anesthesiologic Complications and Adverse Events
by Giovanni E. Cacciamani
Complications 2024, 1(1), 1-5; https://doi.org/10.3390/complications1010001 - 31 Dec 2022
Viewed by 2220
Abstract
The reporting of surgical, interventional, and anesthesiologic complications is essential for improving the quality of healthcare delivery and for standardizing and reproducing outcomes data. To address underlying issues in the reporting of complications and adverse events, it may be necessary to provide education [...] Read more.
The reporting of surgical, interventional, and anesthesiologic complications is essential for improving the quality of healthcare delivery and for standardizing and reproducing outcomes data. To address underlying issues in the reporting of complications and adverse events, it may be necessary to provide education and training, establish standardized definitions and reporting requirements, and create incentives for healthcare providers to report complications. Complications, a new international peer-reviewed open access journal, aims to provide best practice and expert opinion recommendations on the prevention, diagnosis, pathogenesis, and management of complications in basic, translational, and clinical research, as well as epidemiology. The journal invites authors to address four components of perioperative adverse events: assessment, reporting, analysis of anticipatable factors, and management. The usability and practical implications of this information can have significant implications for academic and clinical practice. The prioritization of the assessment and reporting of adverse events to standardize their management and improve the understanding of the impact of these events on patients’ peri-operative course. Full article
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