Presentation
Presenting symptoms of ileus include nausea, vomiting, obstipation, constipation, abdominal distention, and abdominal pain. When these symptoms are present in the first few days after surgery, they are most often due to adynamic ileus. [accessemergencymedicine.mhmedical.com]
Session presenter Jennifer L. [dermatologytimes.com]
Case presentation A 59-year-old Caucasian male presented to our clinic in February of 2011 for a second opinion regarding the development of white spots that he noticed in the inner corner of both eyes. [joii-journal.springeropen.com]
In spinal subdural hematomas, patients present with severe low back, radicular pain, sensory loss or paraparesis hours to days post LP. [meds.queensu.ca]
This book presents all the potential side-effects and complications of the most frequently used procedures in aesthetic dermatology and provides sound practical advice on their management. [link.springer.com]
Entire Body System
- Surgical Procedure
Once that is apparent, one can choose the proper procedure and determine the surgical incision planning. Postoperative pearls will help reduce other common surgical complications. [podiatrytoday.com]
2012 ICD-9-CM Diagnosis Code 998.9 Unspecified complication of procedure, not elsewhere classified Short description: Surgical complicat NOS. [icd9data.com]
Coroner Dr Myra Cullinane returned a verdict of death due to a complication of a surgical procedure. Family members paid tribute to the woman whom they said was a wonderful nurse. © Irish Examiner Ltd. All rights reserved [irishexaminer.com]
The Fontan Procedure The Fontan is the most common procedure for congenital heart disease after the age of 2yrs. Refers to any surgical procedure that leads to systemic venous blood flow bypassing the heart and draining directly to the lungs. [pedemmorsels.com]
When someone has a surgical procedure and develops serious problems afterwards, or the outcome is poor, a patient often questions whether a health-care provider did something wrong. [cmglaw.com]
- Wound Infection
Wound infections can spread to adjacent organs or tissue, or to distant areas through the blood stream. [stanfordhealthcare.org]
Wound infections can spread to nearby organs or tissue, or to distant areas through the blood stream. [hopkinsmedicine.org]
If the wound develops infection A clean reopened wound can be re-stitched but an infected wound is usually left to heal by secondary intention. [dermnetnz.org]
The superficial wound infection can usually be treated with antibiotics, and perhaps removing the skin stitches. The deeper wound infections can be very serious and will probably require additional operations to drain the infection. [umm.edu]
infection 998.59 Syndrome - see also Disease postoperative NEC 998.9 [icd9data.com]
- Sepsis
Due to the risk of wound sepsis following a gastric fistula, the fistula must be treated immediately and effectively in order to avoid sepsis ( 36 ). [bariatric-surgery-source.com]
Sepsis is the other major complication. Most patients require admission, although many fistulas ultimately close spontaneously. [accessemergencymedicine.mhmedical.com]
Related After Surgery Discomforts and Complications Hospital Discharge Recovering from Surgery Recovering From Surgery/Intensive Care Blood and Bone Marrow Sepsis [hopkinsmedicine.org]
Examples of complications [ edit ] Generalized sepsis (infection of the blood) may occur as a complication of an infected wound or abscess. Allergic shock can be a reaction to several kinds of anesthetics, as a complication in a surgery. [en.wikipedia.org]
Although rare, meningitis, necrotizing fascitis, gangrene, and sepsis have all been reported as complications of infected circumcision sites. Normally a circumcision removes the foreskin to the level where the glans is completely exposed. [med.stanford.edu]
- Falling
Pain related to implants or prosthetic devices fall into the category of a complication. An example is T85.84XA, which is pain due to internal prosthetic devices, initial encounter. [hbma.org]
The cylinders can fall out of the penis into the scrotal sac if the opening of the tunica is not closed well. The reservoir can also move from the groin into the scrotal sac, much like a hernia if it is not placed correctly. [urologicalcare.com]
Urol J, fall 5(4): 233-236, 2008. Ben Chaim, J, et al. " Complications of circumcision in Israel: a one year multicenter survey ". Isr Med Assoc J, Jul 8(7): 518-519, 2006. [med.stanford.edu]
Things that can be done to reduce the risk of developing DVT fall into two categories: Mechanical - getting the blood moving better Medical - using drugs to slow the clotting process Mechanical Blood that is moving is less likely to clot. [umm.edu]
- Malnutrition
[…] stomach Weight gain or failure to lose weight Bariatric Surgery Long-Term Risks Bariatric surgery carries some long-term risks for patients, including: Dumping syndrome, a condition that can lead to symptoms like nausea and dizziness Low blood sugar Malnutrition [upmc.com]
[…] lesion Increased skin tension at the wound site Poor blood supply to the area Smoking Immune deficiency (ability to fight infection is diminished such as in HIV infection, certain malignancies and inherited syndromes) Poorly controlled diabetes mellitus Malnutrition [dermnetnz.org]
It is often unpredicTable and explosive, which can lead to weight loss, malnutrition, and severe social complications. The incidence of the diarrhea decreases with time, and treatment is mostly symptomatic. [accessemergencymedicine.mhmedical.com]
Malnutrition has been recognized as an independent risk factor of perioperative morbidity for many decades, but there is currently no standardized definition of malnutrition [ 29 – 31 ]. [pssjournal.biomedcentral.com]
Respiratoric
- Tachypnea
The presentation is dramatic, with fever, chest pain, tachypnea, tachycardia, and possibly shock. Chest radiograph may reveal a pneumothorax with pleural effusion. [accessemergencymedicine.mhmedical.com]
[…] sepsis (and sepsis in general) – a systemic response typically to a serious localized infection (as of the abdomen or lungs) especially of bacterial origin that is usually marked by abnormal body temperature and white blood cell count, tachycardia and tachypnea [bariatric-surgery-source.com]
Gastrointestinal
- Vomiting
Clinical presentation varies from mild nausea, vomiting, and abdominal discomfort to intracTable vomiting, leukocytosis, and left-sided pleural effusion. [accessemergencymedicine.mhmedical.com]
Despite best intentions nausea and vomiting frequently occurs postoperatively. [clinicaladvisor.com]
Some bariatric surgery risks include: Acid reflux Anesthesia-related risks Chronic nausea and vomiting Dilation of esophagus Inability to eat certain foods Infection Obstruction of stomach Weight gain or failure to lose weight Bariatric Surgery Long-Term [upmc.com]
(See our Bariatric Vitamins page for the problems associated with vitamin deficiency) Vomiting – See Nausea and Vomiting. Weak feeling – See Body Feeling Changes. [bariatric-surgery-source.com]
- Nausea
Stomal obstruction Months to years Nausea and vomiting with solids and liquids Endoscopy Cholelithiasis/cholecystitis Months to years Abdominal pain with fatty foods, fever, tachycardia US Dumping syndrome Anytime Diarrhea, abdominal cramps, nausea, [accessemergencymedicine.mhmedical.com]
Despite best intentions nausea and vomiting frequently occurs postoperatively. [clinicaladvisor.com]
Some bariatric surgery risks include: Acid reflux Anesthesia-related risks Chronic nausea and vomiting Dilation of esophagus Inability to eat certain foods Infection Obstruction of stomach Weight gain or failure to lose weight Bariatric Surgery Long-Term [upmc.com]
Nausea or vomiting. Difficulty swallowing. Food intolerance. When to call your doctor? As always call your doctor if you think something is wrong. [obesitycoverage.com]
Cardiovascular
- Thrombosis
Thrombosis and pulmonary embolism have a very low incidence, but cause significant harm. [rbcp.org.br]
A deep vein thrombosis is a blood clot in a large vein deep inside a leg, arm, or other parts of the body. Symptoms are pain, swelling, and redness in a leg, arm, or other area. If you have these symptoms, call your healthcare provider. [hopkinsmedicine.org]
Other complications such as thrombosis, aortic dissection, or extravasation may occur after transfemoral arterial interventions. [e-ultrasonography.org]
Treatment of wound infections may include: Antibiotics Draining of any abscess Deep vein thrombosis Sometimes blood clotting occurs within deep-lying veins. Large blood clots can break free and clog an artery to the heart, leading to heart failure. [stanfordhealthcare.org]
Thrombosis (blood clots) Blood clots after any surgery can be life-threatening if not treated quickly. Hospitals and your physician are very aware of this risk and take measures to help prevent blood clots. [obesitycoverage.com]
- Tachycardia
In patients with abdominal pain, tachycardia, or abdominal tenderness in the early postoperative period, a CT scan is often required to rule out these diagnoses. [accessemergencymedicine.mhmedical.com]
[…] or ventricular tachycardia. [medpagetoday.com]
Large volumes of adrenaline may result in: headache tremor tachycardia (fast heart rate leading to palpitations) chest pain high blood pressure. [dermnetnz.org]
Arteriovenous fistula of a 66-year-old woman with audible bruit at the right femoral puncture site 3 days after undergoing femoral catheterization for radiofrequency ablation to treat ventricular tachycardia. A. [e-ultrasonography.org]
Tachycardia and heart failure after circumcision. Arch Dis Child 1987; 62: 80-81. Arnon R, Zecharia A, Mimouni M, Merlob P. Unilateral leg cyanosis: an unusual complication of circumcision. Eur J Pediatr 1992; 151: 716. [cirp.org]
Musculoskeletal
- Fracture
M96.A Fracture of ribs, sternum and thorax associat... M96.A1 Fracture of sternum associated with chest com... M96.A2 Fracture of one rib associated with chest com... M96.A3 Multiple fractures of ribs associated with ch... [icd10data.com]
Immediate and late fractures after third molar removal. J Oral Maxillofac Surg 2002;60:163-165. 26. Iizuka T, et al. Mandibular fractures following third molar extraction: A retrospective clinical and radiological study. [oralhealthgroup.com]
Graft fracture was not experienced when a guiding device for the same 4 mm cannulated screws was used. [scielo.org.za]
Therefore, a subsequent code of S82.251D for displaced comminuted fracture of the shaft of the right tibia subsequent encounter for closed fracture with routine healing would be assigned along with an external cause related to the injury, which is W17.89XD [hbma.org]
A surgeon uses this term to describe either a fractured bone that has not healed or an attempted fusion that has not been successful. [umm.edu]
- Arthritis
Almost one-third of patients who take these drugs for arthritis have damage to the gut. There is a 158–407% increase in the risk of dying from a heart attack (depending on the drug, dose, and length of time taken). [regenexx.com]
The other two were epileptic patients who had recurrent seizures and are currently awaiting seizure control prior to arthrodesis for arthritis associated with the subluxations. [scielo.org.za]
Staph infection can cause arthritis, bacteremia, cellulitis, impetigo, necrotizing fasciitis, pneumonia, osteomyletis, staphylococcal pyoderma, staphylococcus scalded skin syndrome (SSSS), and other diseases. [cirp.org]
Diabetes, sleep apnea and arthritis can determine your risk for sepsis. [bariatric-surgery-source.com]
Urogenital
- Renal Insufficiency
Although the serum amylase level rises in acute pancreatitis, it is also elevated in patients with severe cholecystitis, renal insufficiency, intestinal obstruction, perforated ulcer, or ischemic bowel. [accessemergencymedicine.mhmedical.com]
The 30-day mortality rates exceeded 50 percent if postoperative coma, cardiac arrest, a pre-existing vascular graft prosthesis failing after colectomy, renal failure, pulmonary embolism, or progressive renal insufficiency occurred [ 6 ]. [pssjournal.biomedcentral.com]
- Kidney Failure
Preparation for living donor nephrectomy In order to be evaluated as a kidney donor you must be healthy and without diseases that may lead to kidney failure. These include diabetes and high blood pressure (hypertension). [kidney.org]
Neurologic
- Tremor
Large volumes of adrenaline may result in: headache tremor tachycardia (fast heart rate leading to palpitations) chest pain high blood pressure. [dermnetnz.org]
- Excitement
I’m actually kind of excited. This is something I’ve always looked forward to. I don’t know — it’s going to be fun.” [people.com]
Workup
Keys To The Diagnostic Workup Clinicians should assess the patient weightbearing and non-weightbearing during the initial exam. [podiatrytoday.com]
Microbiology
- Staphylococcus Aureus
Community-acquired Staphylococcus aureus infections in term and near-term previously healthy neonates. Pediatrics 2006;118(3):874-81. Epidemic Methicillin-Resistant Staphylococcus Aureus: Dramatically Increased Risk for Circumcised Newborn Boys. [cirp.org]
The type of bacteria causing infection differs depending on body site: Glabrous skin (non hair bearing skin): Staphylococcus aureus, Streptococcus pyogenes Mucosal surface e.g. eyes, mouth: Streptococcus viridans, Peptostreptococcus species Perineum, [dermnetnz.org]
Laboratory
- Leukocytosis
Laboratory data showed leukocytosis and the chest X-ray showed a large left-sided soft mass. [omicsonline.org]
Clinical presentation varies from mild nausea, vomiting, and abdominal discomfort to intracTable vomiting, leukocytosis, and left-sided pleural effusion. [accessemergencymedicine.mhmedical.com]
Treatment
[…] cosmetic treatments at spas or similar centers. [dermatologytimes.com]
This complication may be due to significant thinning of the cornea following treatment. [espace-nouvelle-vision.com]
Patient reviews and testimonials on this site should not be interpreted as a statement on the effectiveness of our treatments for anyone else. [regenexx.com]
From Complication to Complaint A complication in surgery, or even a non-complicated surgery case, can result in dissatisfaction (for example due to bad personal treatment) with the received treatment. [surgerycuracao.com]
When you think about a root canal, you likely envision a painful dental treatment that requires a fair bit of recovery. [colgate.com]
Prognosis
Complications affect adversely the prognosis of a disease. Non-invasive and minimally invasive medical procedures usually favor fewer complications in comparison to invasive ones. [en.wikipedia.org]
Complications, treatment and prognosis Complications of the Rastelli procedure include 3 : extra-cardiac conduit stenosis (with or without regurgitation), calcification, kinking and aneurysm tunnel patch from the left ventricle to the aortic valve may [radiopaedia.org]
Prevalence, risk factors, and prognosis of postoperative complications after surgery for Hirschsprung Disease. J Gastrointest Surg 2018;22:335-343.. [scielo.br]
Continued Prognosis After the Whipple Procedure Overall, the five-year survival rate after a Whipple procedure is about 20 to 25%. [webmd.com]
What Is the Prognosis for Hysterectomy? Hysterectomy is a common and generally very safe procedure. Most women recover fully with no complications. [emedicinehealth.com]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
The success or failure of surgical treatment depends on the surgeon’s understanding of the etiology of each deformity. [podiatrytoday.com]
Neurologic etiologies also should be considered. [acog.org]
ICD-10-CM Codes › S00-T88 › T80-T88 › Complications of procedures, not elsewhere classified T81 Use Additional Use Additional Help Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology [icd10data.com]
Unraveling the pathogenesis and etiology of biliary atresia. Pediatr Res. 2005 May. 57(5 Pt 2):87R-94R. [Medline]. [Full Text]. Matsuo S, Suita S, Kubota M, Shono K. [emedicine.medscape.com]
Epidemiology
"Concepts of comorbidities, multiple morbidities, complications, and their clinical epidemiologic analogs". Clinical Epidemiology. 5 (1): 199–203. doi : 10.2147/clep.s45305. PMC 3704301. [en.wikipedia.org]
We followed the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) reporting guideline. [jamanetwork.com]
Okeke, LI, et al. " Epidemiology of complications of male circumcision in Ibadan, Nigeria ". BMC Urol, Aug 6(21): online, 2006. Shoemaker, C. "Neonatal circumcision: risks and benefits ". Up to Date, version 17.1: online, 2009. [med.stanford.edu]
School of Medicine, 600 North Wolfe Street, Woods Building, Room 476, Baltimore, MD 21287, USA (2) The Division of Corneal and External Diseases, The Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA (3) Department of Epidemiology [joii-journal.springeropen.com]
Article PubMed PubMed Central Google Scholar Holt PJ, Poloniecki JD, Loftus IM, Michaels JA, Thompson MM: Epidemiological study of the relationship between volume and outcome after abdominal aortic aneurysm surgery in the UK from 2000 to 2005. [bmcmedresmethodol.biomedcentral.com]
Pathophysiology
Symptomatology, pathophysiology, diagnostic work-up, and treatment of Hirschsprung disease in infancy and childhood. Curr Gastroenterol Rep 2007;9:245-53. and Martucciello1111 Martucciello G. [scielo.br]
From a pathophysiological viewpoint, the post LP headache occurs because of the tear in the dura mater caused by the LP needle. [meds.queensu.ca]
PubMed View Article Google Scholar Kehlet H: Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth. 1997, 78: 606-617. [pssjournal.biomedcentral.com]
Clinical presentation and pathophysiology of meatal stenosis following circumcision. British Journal of Urology 1995; 75(1):91-93. Upadhyay V, Hammodat HM, Pease PW. Post circumcision meatal stenosis: 12 years' experience. [cirp.org]
Prevention
While most textbooks list them, few provide in-depth discussion on prevention, repercussions, and methods to resolve them. [amazon.fr]
Bibliografische Informationen Titel Complications of Urologic Surgery and Practice: Diagnosis, Prevention, and Management Herausgeber Kevin R. [books.google.de]
Steps in Management and Prevention Chapas indicated that the first step in managing complications from cosmetic procedures is adequate prevention, which is contingent on patients receiving treatments from a practicing physician. [dermatologytimes.com]
Undergoing a root canal helps prevent pain and the possibility of developing an abscess. [colgate.com]
A good example is a postoperative infection, even if all preventive measures are taken and protocol was followed we know that a postoperative infection can still happen. [surgerycuracao.com]