Postoperative Complications

Predictive Risk Factors of Early Postoperative Enteric Fistula in Colon and Rectal Surgery

“…14 Failure to recognize and/or inadequately repair enterotomy is one of the known risk factors of PEF. 3 The NIS database does not reveal if the patients had previous abdominal surgery, which is one of the important predisposing risk factor for enterotomy creation and subsequent PEF. However, using lysis of abdominal adhesions as a marker of prior abdominal surgery, our study showed that patient who had lysis of abdominal adhesions had 4.25 times higher risk of PEF compared with patients without lysis of adhesions.…”

“…An enterotomy in and of itself is not necessarily a complication; rather, it is the failure to recognize and adequately repair the enterotomy that leads to trouble. 3 Enterocutaneous fistulas that arise spontaneously without antecedent iatrogenic injury are usually manifestations of progression of underlying Crohn's disease, large bowel malignancy, diverticular disease, radiation enteritis, or infections such as tuberculosis and actinomycosis. 3,4 Despite progress in the management of fistulas, PEF is correlated with high morbidity and mortality rates, greater costs, and extended hospital stays.…”

Sexual Dysfunction and Intimacy for Ostomates

“…Injury to these branches during dissection anterior to Denonvilliers' fascia, just lateral to the prostate leads to ED. 7 The pudendal nerve comprises motor and sensory components of the sacral nerves 2-4. The location of the bilateral pudendal nerves spares them from damage during abdominal proctectomy; however, the rectal and perineal branches of the nerves are divided during abdominoperineal resection.…”

“…8 Advent of total mesorectal excision focused on nerve-sparing techniques have decreased incidence of sexual dysfunction after transabdominal proctectomy; however, the incidence remains significant. 7,9 Due to the additive dysfunction inflicted from terminal pudendal nerve branch ligation, sexual dysfunction following abdominoperineal resection remains quite high.…”

Μελέτη Της Επίδρασης Των Επιπλοκών Των Χειρουργικών Επεμβάσεων Στο Παχύ Έντερο Στην Ποιότητα Ζωής Των Ασθενών

“…Θ κλωςτριδιακι λοίμωξθ του τραφματοσ παρουςιάηει εκτόσ από τθν ερυκρότθτα και τον τριγμό του δζρματοσ και ςυςτθματικά ςθμεία φλεγμονισ, όπωσ πυρετό, ταχυκαρδία, ςιψθ και καρδιαγγειακι κατάρριψθ (22) . Από το τραφμα εκρζει ζνα γκρι πυϊδεσ υγρό (20) . Θ εξζλιξθ τθσ νόςου είναι δυςοίωνθ και πρζπει άμεςα να γίνεται διάνοιξθ του τραφματοσ και βακφσ χειρουργικόσ κακαριςμόσ, ενδοφλζβια χοριγθςθ αντιβίωςθσ με πενικιλίνθ και χλωραμφενικόλθ και υποςτιριξθ του κυκλοφορικοφ ςυςτιματοσ με χοριγθςθ υγρϊν (22) .…”