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

A special issue of Complications (ISSN 2813-4966).

Deadline for manuscript submissions: 30 April 2026 | Viewed by 4957

Special Issue Editor

Dr. Luis Felipe Cabrera-Vargas

E-Mail Website
Guest Editor
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
Special Issues, Collections and Topics in MDPI journals

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

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Complications is an international peer-reviewed open access quarterly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1000 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

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

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Related Special Issue

Published Papers (2 papers)

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Review

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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 2190
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
(This article belongs to the Special Issue Preventing and Managing Surgical Complications: Perspectives from Surgeons: 2nd Edition)
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28 pages, 678 KB  
Systematic Review
Factors Influencing Major Amputation and Death Following Limb Salvage Surgery in a Diabetic Population: Systematic Review and Real-World Comparison
by Kit Ferguson, Sifat M. Alam, Connor Phillips, Lia Spencer, Michelle Goodeve, Selina Begum, Harrison Travis, Jade Tang, Richard Feinn, Douglas McHugh and Ewan Kannegieter
Complications 2025, 2(4), 26; https://doi.org/10.3390/complications2040026 - 22 Oct 2025
Viewed by 2128
Abstract
Diabetic foot ulcers drive non-traumatic lower-limb amputation; limb salvage surgery is often pursued to preserve function and survival. Predictors of adverse outcomes remain incompletely defined, and evidence for multidisciplinary team (MDT) care is heterogeneous. We aimed to clarify risk factors for major amputation [...] Read more.
Diabetic foot ulcers drive non-traumatic lower-limb amputation; limb salvage surgery is often pursued to preserve function and survival. Predictors of adverse outcomes remain incompletely defined, and evidence for multidisciplinary team (MDT) care is heterogeneous. We aimed to clarify risk factors for major amputation and death after diabetic limb salvage and evaluate MDT impact. We systematically reviewed 49 studies (2020–2025) reporting major amputation or mortality after limb salvage in diabetes (PROSPERO CRD420251044859). Risk factors spanned demographic, clinical, and surgical domains (e.g., older age, male sex, renal/cardiovascular disease, ischemia, osteomyelitis, advanced ulcer classification). MDT models generally showed lower amputation rates and improved wound healing, with occasional survival benefits; heterogeneity precluded meta-analysis. As a real-world comparator, the Mid Essex Diabetes Amputation Reduction Plan (MEDARP) treated 72 high-risk patients using a “toe and flow” MDT. Major amputation occurred in 6.9% and mortality in 12.5%, both at or below published ranges, with gains in patient-reported outcomes. Findings support MDT-based strategies, but conclusions should be interpreted cautiously given the predominantly observational evidence, and highlight the need for standardized outcome definitions and reporting. Full article
(This article belongs to the Special Issue Preventing and Managing Surgical Complications: Perspectives from Surgeons: 2nd Edition)
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