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Surgical Complications Updated 4/2011

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BASICS

  • Description
  • Epidemiology
  • Risk Factors
  • General Prevention
  • Pathophysiology
  • Etiology
  • Associated Conditions

DIAGNOSIS

  • Signs and Symptoms
  • Tests

TREATMENT

  • Medication (Drugs)
  • Additional Treatment
  • Surgery
  • In-patient Considerations

Ongoing Care

  • Follow-Up Recommendations
  • Diet
  • Prognosis
The following is an excerpt....
BASICS

Description
  • Broadly defined: any negative outcome percieved either by surgeon or patient.
  • A lack of consensus exists on how to define complications.
  • Multiple classification systems exist based on severity.
Epidemiology

Incidence

Incidence of complications can vary with type of operation, operative time, hospital, surgeon, and patient characteristics amongst other factors.

  • Mortality rate in general and vascular surgery patients is 3.5–6.9%. (1)
  • Overall complication rate in general and vascular surgery patients is 24.6–26.9%. (1)
  • Postoperative fever is very common. Incidence ranges widely (14–91%) depending on definition and patient population (2)

  • 2000: ~ 8.96 postoperative pulmonary emboluses per 1,000 surgical discharges in US (3)
  • 2000: ~ 2.057 postoperative abdominal wound dehiscences per 1 ...

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