Preventing and Managing Surgical Complications: Perspectives from Surgeons: 2nd Edition

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Vascular and Endovascular Surgeon, Department of Surgery, Fundación Santa Fe de Bogotá, Bogota, Colombia
Interests: aorta surgery; vascular trauma; acute care surgery; limb salvage; endovascular surgery; robotic surgery; artificial intelligence in surgery
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Special Issue Information

Dear Colleagues,

"Every surgeon carries within himself a small cemetery, where from time to time he goes to pray—a place of bitterness and regret, where he must look for an explanation for his failures", René Leriche. Complications in general surgery and its supra specialties are devastating for the surgeon and for the patient. We must encourage the rise in the report and publication of perioperative complications to improve our outcomes and help other surgeons around the world to avoid complications and to teach them how to approach this issue. For that reason, this Special Issue titled: Preventing and Managing Surgical Complications: Perspectives from Surgeons: 2nd Edition, it is a vital opportunity for surgeons to achieve this goal.

Dr. Luis Felipe Cabrera-Vargas
Guest Editor

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Keywords

  • complications
  • surgery
  • acute care
  • vascular
  • general
  • breast
  • cancer
  • colorectal
  • gastrointestinal and abdominal wall hernia

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Published Papers (1 paper)

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Review

14 pages, 3091 KB  
Review
Fulminant Necrotizing Soft Tissue Infection Following Abdominal Liposuction: Comprehensive Literature Review and Case Report
by Claudia Viviana Jaimes Gonzalez, Joan Sebastian Barrera Guaca, Maria Angela Gomez Martinez, Felipe Caballero Paz and Luis Fernando Alvarez Molina
Complications 2025, 2(3), 23; https://doi.org/10.3390/complications2030023 - 11 Sep 2025
Viewed by 996
Abstract
Necrotizing soft tissue infection (NSTI) is a rapidly progressive, life-threatening soft tissue infection that involves the skin, subcutaneous tissue, and fascia, with a natural evolution to septic shock and death if not treated. NSTI is typically associated with trauma, and rarely reported as [...] Read more.
Necrotizing soft tissue infection (NSTI) is a rapidly progressive, life-threatening soft tissue infection that involves the skin, subcutaneous tissue, and fascia, with a natural evolution to septic shock and death if not treated. NSTI is typically associated with trauma, and rarely reported as a complication of aesthetic procedures such as liposuction. We report the case of a previously healthy 34-year-old woman who developed fulminant necrotizing soft tissue infection shortly after undergoing abdominal liposuction in a suspected non-accredited facility. She arrived at our institution with severe thoracoabdominal pain, ecchymosis, and refractory shock within hours postoperatively. Imaging studies performed in the emergency department revealed gas in the soft tissues, confirming the diagnosis. Emergent surgical debridement exposed extensive necrosis affecting a large body surface area. The patient required multiple surgeries, intensive care support, and broad-spectrum antibiotics to achieve infection control. Reconstructive treatment was initiated once stabilization was achieved, leading to full wound closure and a favorable clinical outcome. In addition, we provide a comprehensive review of the current literature regarding necrotizing soft tissue infection, emphasizing this condition as a postoperative complication, including its epidemiology, microbial etiology, pathophysiology, diagnostic challenges, treatment strategies, and reported cases. This review aims to contextualize this rare but severe postoperative complication and to guide clinicians in its early recognition and management, while also raising awareness about the potential consequences of aesthetic procedures performed in unregulated settings. Full article
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