Delayed Postoperative Hemorrhage Complicating Major Supramesocolic Surgery Management and Outcomes

Devant, Emmanuel; Girard, Édouard; Abba, J.; Ghelfi, Julien; Sage, Pierre-Yves; Sengel, Christian; Risse, Olivier; Bricault, Ivan; Trilling, Bertrand; Chirica, Mircéa

doi:10.1007/s00268-021-06116-1

Cited by 2 publications

(2 citation statements)

References 67 publications

(209 reference statements)

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“…Indeed, early and delayed PPH displays different etiologies, frequencies and treatment. Delayed post-pancreatectomy hemorrhage is the most common; it shows mainly arterial origin, with pseudoaneurysms formation in one-third of the cases [ 67 , 68 , 69 ]. Delayed PPH is often the result of vessel erosion in case of fistula, abscess, or inflammation [ 70 , 71 ].…”

Section: Transcatheter Embolization (Stent–graft)mentioning

confidence: 99%

Interventional Radiological Management and Prevention of Complications after Pancreatic Surgery: Drainage, Embolization and Islet Auto-Transplantation

Mosconi

Cocozza

Piacentino

et al. 2022

JCM

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Pancreatic surgery still remains burdened by high levels of morbidity and mortality with a relevant incidence of complications, even in high volume centers. This review highlights the interventional radiological management of complications after pancreatic surgery. The current literature regarding the percutaneous drainage of fluid collections due to pancreatic fistulas, percutaneous transhepatic biliary drainage due to biliary leaks and transcatheter embolization (or stent–graft) due to arterial bleeding is analyzed. Moreover, also, percutaneous intra-portal islet auto-transplantation for the prevention of pancreatogenic diabetes in case of extended pancreatic resection is also examined. Moreover, a topic not usually treated in other similar reviewsas percutaneous intra-portal islet auto-transplantation for the prevention of pancreatogenic diabetes in case of extended pancreatic resection is also one of our areas of focus. In islet auto-transplantation, the patient is simultaneously donor and recipient. Differently from islet allo-transplantation, it does not require immunosuppression, has no risk of rejection and is usually efficient with a small number of transplanted islets.

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Section: Transcatheter Embolization (Stent–graft)mentioning

confidence: 99%

Interventional Radiological Management and Prevention of Complications after Pancreatic Surgery: Drainage, Embolization and Islet Auto-Transplantation

Mosconi

Cocozza

Piacentino

et al. 2022

JCM

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“…Postoperative hemorrhage is one of the most dreaded complications of major supramesocolic surgical procedures, such as resection of the liver. 50 Massive blood loss leads to hemorrhagic shock and death if prompt hemostasis is not undertaken. 51 The incidence of intraperitoneal hemorrhage ranges from 4.2% to 10%.…”

Section: Postoperative Hemorrhagementioning

confidence: 99%

Surgical management of the postoperative complications of hepato-pancreato-biliary surgery

Houghton

Rubio

2022

Int J Gastrointest Interv

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Gastrointestinal surgery is a vast field with many types of procedures, of which hepato-pancreato-biliary (HPB) operations are among the most frequently performed worldwide. Several complications of HPB surgery may occur. Most of these complications, such as wound infection, bleeding, abdominal wall eventrations, and intestinal obstruction, also occur with other procedures. This review analyzes surgical management-related complications associated with HPB surgery, including pancreatic fistula, bile leakage, biliary stenosis, and bile duct damage. Most of the complications of HPB surgery can be managed conservatively or with minimally invasive procedures. Nevertheless, surgical management still plays an important role.

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Delayed Postoperative Hemorrhage Complicating Major Supramesocolic Surgery Management and Outcomes

Cited by 2 publications

References 67 publications

Interventional Radiological Management and Prevention of Complications after Pancreatic Surgery: Drainage, Embolization and Islet Auto-Transplantation

Interventional Radiological Management and Prevention of Complications after Pancreatic Surgery: Drainage, Embolization and Islet Auto-Transplantation

Surgical management of the postoperative complications of hepato-pancreato-biliary surgery

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