ABSTRACT
Hip surgeries are some of the most common and successful orthopedic procedures. Although rarely, abdominal complications do occur and are associated with unfavorable outcomes.We aimed to identify and describe the severe abdominal complications that appear in patients under-going elective or traumatic hip surgery. A four year retrospective electronic database research identified 408 elective primary hip replacements,51 hip revisions and 1040 intra and extracapsular proximal femur fractures. Out of these, three males and 4 females between 64 - 84 years old were identified to have developed acute abdominal complications: perforated acute ulcer (3),acute cholecystitis (2), volvulus (1), toxic megacolon with peritonitis (1) and acute colonic pseudo-obstruction (1).Complications debuted 3 - 10 days after index orthopedic surgery. Acute perioperative abdominal complications are rarely encountered during orthopedic surgery. When these do occur, they do so almost exclusively in patients with hippathology, comorbidities and most often lead to life threatening situations. We thus emphasize the need for early identification and appropriate management by both orthopedic and general surgery doctors in order to improve patient safety.
Subject(s)
Abdomen, Acute/etiology , Arthroplasty, Replacement, Hip/adverse effects , Digestive System Diseases/etiology , Abdomen, Acute/diagnosis , Abdomen, Acute/surgery , Aged , Aged, 80 and over , Cholecystitis, Acute/etiology , Cholecystolithiasis/etiology , Colonic Pseudo-Obstruction/etiology , Digestive System Diseases/diagnosis , Digestive System Diseases/surgery , Elective Surgical Procedures/adverse effects , Fatal Outcome , Female , Femoral Neck Fractures/surgery , Gallstones/etiology , Hip Fractures/surgery , Humans , Intestinal Volvulus/etiology , Male , Megacolon, Toxic/etiology , Middle Aged , Osteoarthritis, Hip/surgery , Peptic Ulcer Perforation/etiology , Peritonitis/etiology , Recurrence , Reoperation , Retrospective Studies , Stomach Ulcer/complications , Stomach Ulcer/etiology , Treatment Failure , Treatment OutcomeABSTRACT
UNLABELLED: The thoroughgoing study of the venous wall and venous flow using fundamental research and diagnostic techniques allowed us to apply new therapeutic methods in the primary varicose veins of the lower extremities (PVV). The aim of the present study is to present a relatively new method of conservative surgical treatment which combine the external valvuloplasty technique with the technique proposed by Franceschi (TF). MATERIAL AND METHOD: Between 1992-2000 we applied on 25 patients with PVV Mach II, the technique of external muffing of the long saphenous vein from its junction with the common femoral vein retrograde for 6-8 cm, for a venous diameter of 0.5 cm interrupting at the same time the long or the short ebbing (clinical and Doppler criterions). In 5 patients we performed the valvuloplasty using TF. The patients were annually evaluated; in the present we have a group of 10 patients up to 8 years after surgery. RESULTS AND CONCLUSIONS: 1. Conservative methods of external valvuloplasty associate with Franceschi technique have a solid physiopathologic and pathogenic basement. 2. The materials used for the external muffing (Dacron, PTTF, polyamide net) are very well tolerate. 3. Relapses were present in 8 years at 30% and in 5 years at 10% of the patients who undergo the operation.
