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Risk factors for urologic postoperative complications

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https://www.readbyqxmd.com/read/28697717/timing-and-predictors-of-early-urologic-and-infectious-complications-after-renal-transplant-an-analysis-of-a-new-york-statewide-database
#1
Wilson Sui, Michael J Lipsky, Justin T Matulay, Dennis J Robins, Ifeanyi C Onyeji, Maxwell B James, Marissa C Theofanides, Sven Wenske
OBJECTIVES: The most common complications after renal transplant are urologic and are a cause of significant morbidity in a vulnerable population. We sought to characterize the timing and predictors of urologic complications after renal transplant using a statewide database. MATERIALS AND METHODS: We queried the New York Statewide Planning and Research Cooperative System database to identify patients who underwent renal transplant from 2005 to 2013. Postoperative complications included hydronephrosis, ureteral stricture, vesicoureteral reflux, nephrolithiasis, and urinary tract infections...
July 11, 2017: Experimental and Clinical Transplantation
https://www.readbyqxmd.com/read/28631121/-prudent-use-of-antimicrobial-prophylaxis-prevention-of-increasing-antibiotic-resistance
#2
REVIEW
C Hein, A Pilatz, F M E Wagenlehner
BACKGROUND: The use of peri-operative antimicrobial prophylaxis during urological procedures to prevent postoperative complications is very common. OBJECTIVES: What kind of recommendations for reasonable use of peri-operative antimicrobial prophylaxis during urological procedures to prevent increasing antibiotic resistance and postoperative complications exist? METHODS: Review of evidence-based recommendations from literature and current Guidelines of the EAU...
June 19, 2017: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/28471972/outcomes-of-robot-assisted-simple-enucleation-of-renal-masses-a-single-european-center-experience
#3
Deliu Victor Matei, Mihai Dorin Vartolomei, Gennaro Musi, Giuseppe Renne, Valeria Maria Lucia Tringali, Francesco Alessandro Mistretta, Maurizio Delor, Andrea Russo, Antonio Cioffi, Roberto Bianchi, Gabriele Cozzi, Ettore Di Trapani, Danilo Bottero, Giovanni Cordima, Giuseppe Lucarelli, Matteo Ferro, Ottavio de Cobelli
The aim of this study was to assess the ability of pre-and intraoperative parameters, to predict the risk of perioperative complications after robot-assisted laparoscopic simple enucleation (RASE) of renal masses, and to evaluate the rate of trifecta achievement of this approach stratifying the cohort according to the use of ischemia during the enucleation.From April 2009 to June 2016, 129 patients underwent RASE at our Institution. We stratified the procedures in 2 groups: clamping and clamp-less RASE. After RASE, all specimens were retrospectively reviewed to assess the surface-intermediate-base (SIB) scoring system...
May 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28377079/-morbi-mortality-of-transurethral-resection-of-the-prostate-in-patients-aged-75-and-over
#4
P-L Evrard, P Mongiat-Artus, F Desgrandchamps
INTRODUCTION: Monopolar transurethral resection of the prostate is one of standard surgical treatment of benign prostatic hyperplasia. The objective of this study was to evaluate early postoperative complications in patients aged 75 years old and more using a standardized classification. MATERIAL AND METHODS: We included all patients aged at least 75 on the day of surgery between 1 January 2008 and 31 December 2013. The reporting of complications was carried from the Clavien-Dindo classification...
April 1, 2017: Progrès en Urologie
https://www.readbyqxmd.com/read/27861259/tailored-perioperative-antimicrobial-prophylaxis-in-urological-surgery-myth-or-reality
#5
Magnus J Grabe, Karl-Johan Lundström
PURPOSE OF REVIEW: The controversies surrounding perioperative antimicrobial prophylaxis (AMP) are about the use and especially misuse of antibiotics. The overall lack of evidence to facilitate a rational perioperative AMP policy in urological surgery and the postoperative infectious complications remain a challenge. Therefore, a basic tool to aid decision-making would be useful. A model based on the patients' risk factors, the level of contamination and grading of surgical procedures is discussed...
March 2017: Current Opinion in Urology
https://www.readbyqxmd.com/read/27765612/preoperative-albumin-is-predictive-of-early-postoperative-morbidity-and-mortality-in-common-urologic-oncologic-surgeries
#6
Ronald J Caras, Michael B Lustik, Sean Q Kern, Leah P McMann, Joseph R Sterbis
INTRODUCTION: Multiple studies have linked preoperative nutrition status to postoperative outcomes. This relationship has been little studied in urology. We used a standardized, national, risk-adjusted surgical database to evaluate 30-day outcomes of patients undergoing common urologic oncologic procedures as they related to preoperative albumin. METHODS: The American College of Surgeons National Surgical Quality Improvement Program is a risk-adjusted dataset analyzing preoperative risk factors, demographics, and 30-day outcomes...
April 2017: Clinical Genitourinary Cancer
https://www.readbyqxmd.com/read/27727094/-impact-of-anastomotic-strictures-on-treatment-of-post-prostatectomy-stress-incontinence-by-artificial-urinary-sphincter
#7
G Pic, J E Terrier, B Ozenne, N Morel-Journel, P Paparel, A Ruffion
INTRODUCTION: Stress urinary incontinence (SUI) is a degradation of the quality of life factor in the consequences of radical prostatectomy. Artificial urinary sphincter (AUS) is the standard treatment. Screening and preoperative treatment of anastomotic strictures (AS) is an essential step for the success of the intervention. The objective of the study was to assess the impact of AS on the results of AUA. METHODS: We retrospectively studied 147 AUS settlements from 2005 to 2013 in the urology department of the Centre Hospitalier Lyon by three operators...
September 2016: Progrès en Urologie
https://www.readbyqxmd.com/read/27676669/comparison-of-the-effects-of-epidural-anesthesia-and-local-anesthesia-in-lumbar-transforaminal-endoscopic-surgery
#8
Guofang Fang, Zihai Ding, Zhihui Song
BACKGROUND: Percutaneous endoscopic lumbar discectomy (PELD) is a standard technique for the treatment of lumbar disc hernia. Thus far, most surgeons have recommended local anesthesia. However, in clinical practice, some patients experience pain and are unable to cooperate with the surgery during intervertebral foramen hemp expansion. The use of general anesthesia may create a greater risk of complications because of nerve root anomalies; thus, intraoperative neurophysiological monitoring should be utilized...
September 2016: Pain Physician
https://www.readbyqxmd.com/read/27450942/preoperative-risk-factors-predicting-complication-rates-of-augmentation-cystoplasty-using-the-modified-clavien-classification-system-in-pediatric-population
#9
Onur Telli, Cihat Ozcan, Nurullah Hamidi, Mehmet A Karagoz, Ahmet M Hascicek, Tarkan Soygur, Berk Burgu
OBJECTIVE: To evaluate preoperative predictive factors for postoperative complications of augmentation cystoplasty in children by using the modified Clavien classification system (MCCS). PATIENTS AND METHODS: A retrospective review of medical records between 1994 and 2014 identified 117 children (64 males and 53 females) who underwent augmentation cystoplasty. Complications were evaluated according to the MCCS. Univariate and multivariate analyses were used to determine predictive factors affecting complication rates...
November 2016: Urology
https://www.readbyqxmd.com/read/27162507/the-role-of-antibiotic-prophylaxis-in-percutaneous-nephrolithotomy
#10
Win Shun Lai, Dean Assimos
Postoperative sepsis is the most common cause of mortality after percutaneous nephrolithotomy (PCNL) procedures. Studies investigating the use of antibiotics in PCNL patients have shown that prophylactic antibiotic regimens can reduce the rate of postoperative infectious complications. In addition, several studies have identified risk factors for sepsis development that can help guide antibiotic treatment and perioperative care overall. This has led the American Urological Association to recommend antibiotic prophylaxis for PCNL as a best practice policy statement...
2016: Reviews in Urology
https://www.readbyqxmd.com/read/27145178/slow-gait-speed-and-rapid-renal-function-decline-are-risk-factors-for-postoperative-delirium-after-urological-surgery
#11
Tendo Sato, Shingo Hatakeyama, Teppei Okamoto, Hayato Yamamoto, Shogo Hosogoe, Yuki Tobisawa, Tohru Yoneyama, Eiji Hashiba, Takahiro Yoneyama, Yasuhiro Hashimoto, Takuya Koie, Kazuyoshi Hirota, Chikara Ohyama
OBJECTIVES: The aim of this study was to identify risk factors associated with postoperative delirium in patients undergoing urological surgery. METHODS: We prospectively evaluated pre- and postoperative risk factors for postoperative delirium in consecutive 215 patients who received urological surgery between August 2013 and November 2014. Preoperative factors included patient demographics, comorbidities, and frailty assessment. Frailty was measured by handgrip strength, fatigue scale of depression, fall risk assessment, and gait speed (the timed Get-up and Go test)...
2016: PloS One
https://www.readbyqxmd.com/read/26971898/surgical-complications-and-their-repercussions
#12
Ricardo Palmerola, Christopher Hartman, Nithin Theckumparampil, Anudeep Mukkamala, Joanna Fishbein, Michael Schwartz, Louis R Kavoussi
PURPOSE: Surgical complications have a significant impact on intended quality of care. The aim of our study was to identify factors that contribute to the propagation of additional postoperative complications. MATERIALS AND METHODS: Over a 1-year period, we prospectively identified and retrospectively reviewed data on all patients who experienced a surgical complication within 30 days of their procedure. A complication was defined as any deviation from the expected postoperative course and was described using the Clavien-Dindo classification...
May 2016: Journal of Endourology
https://www.readbyqxmd.com/read/26893216/urological-complications-following-kidney-transplantation-in-pediatric-age-a-single-center-experience
#13
V Rossi, G Torino, S Gerocarni Nappo, E Mele, M Innocenzi, G Mattioli, N Capozza
Surgical complications during kidney transplantation can seriously affect renal outcomes. We assess occurrence, risk factors, and results of all urological complications in a series of renal transplants in a single center. Children who underwent renal transplant between January 2008 and December 2014 were retrospectively evaluated. Postoperative urological complications were reviewed. Demographic details, cause of ESRD, donor type, and surgical procedures at transplant were analyzed. For statistical analysis, the chi-square test or Fisher's exact test were used as appropriate...
June 2016: Pediatric Transplantation
https://www.readbyqxmd.com/read/26683111/preoperative-risk-assessment-in-children-undergoing-major-urologic-surgery
#14
Daryl J McLeod, Lindsey Asti, Justin B Mahida, Katherine J Deans, Peter C Minneci
BACKGROUND: Preoperative risk assessment is standard in adult surgery, but often these risk assessments cannot be applied to children. Previous studies emphasize the differences between pediatric and adult populations and variability by surgical procedure types. OBJECTIVE: We investigated preoperative risk factors for several outcomes in children undergoing major urologic surgery using the National Surgical Quality Improvement Program (NSQIP) Pediatric. STUDY DESIGN: A cohort of 2-18-year-old children who underwent major urologic surgery was identified by Current Procedure Terminology (CPT) codes in the 2012-2013 NSQIP-Pediatric...
February 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/26629154/comparison-of-anti-reflux-mechanism-between-double-j-stent-and-standart-double-j-stent-use-for-risk-of-bk-nephropathy-and-urinary-tract-infection-in-kidney-transplantation
#15
Nurettin Ay, Mehmet Veysi Bahadır, Melih Anıl, Vahhac Alp, Şafak Kaya, Utkan Sevük, Mesut Gül, Ramazan Danış
OBJECTIVES: There are studies that show that double J stenting (DJS) increase BK nephropathy (BKN) 4 fold. DJS may cause vesicoureteral reflux (VUR) with normal bladder contraction. The aim of this study is to comparison risk of BKN, urinary tract infections (UTI) and postoperative urologic complications with the use DJS with anti-reflux device (ARD-DJS) and standart double J stent (St-DJS). Matherial and methods: Ninety patients (male/female: 50/40) that had undergone kidney transplantations in Diyarbakır Training and Research Hospital and Dicle University, Faculty of Medicine Hospital between January 2012 and April 2015 were enrolled in the study...
2015: International Journal of Clinical and Experimental Medicine
https://www.readbyqxmd.com/read/26542988/patient-selection-for-laparoscopic-excision-of-adrenal-metastases-a-multicenter-cohort-study
#16
MULTICENTER STUDY
Alexandre Gryn, Benoit Peyronnet, Andréa Manunta, Jean-Baptiste Beauval, Elie Bounasr, François-Xavier Nouhaud, Nathalie Rioux-Leclercq, Philippe Caron, Mathieu Thoulouzan, Grégory Verhoest, Michel Soulie, Karim Bensalah, Eric Huyghe
INTRODUCTION: The use of laparoscopy for the excision of adrenal metastasis remains controversial. We aimed to report oncological and perioperative outcomes of laparoscopic excision of adrenal metastases and to seek for predictive factors of unfavorable oncological outcomes. METHODS: A retrospective chart review was conducted and all consecutive patients who underwent laparoscopic adrenalectomy (LA) in the setting of metastatic cancer in two academic urology departments from November 2006 through January 2014 were included...
December 2015: International Journal of Surgery
https://www.readbyqxmd.com/read/26531199/postoperative-rhabdomyolysis-following-robotic-renal-and-adrenal-surgery-a-cautionary-tale-of-compounding-risk-factors
#17
Russell S Terry, Travis Gerke, James B Mason, Matthew D Sorensen, Jason P Joseph, Philipp Dahm, Li-Ming Su
This study aimed at reviewing a contemporary series of patients who underwent robotic renal and adrenal surgery by a single surgeon at a tertiary referral academic medical center over a 6-year period, specifically focusing on the unique and serious complication of post-operative rhabdomyolysis of the dependent lower extremity. The cases of 315 consecutive patients who underwent robotic upper tract surgery over a 6-year period from August 2008 to June 2014 using a standardized patient positioning were reviewed and analyzed for patient characteristics and surgical variables that may be associated with the development of post-operative rhabdomyolysis...
September 2015: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/26139160/association-of-bmi-and-pediatric-urologic-postoperative-events-results-from-pediatric-nsqip
#18
Michael P Kurtz, Erin R McNamara, Anthony J Schaeffer, Tanya Logvinenko, Caleb P Nelson
BACKGROUND: Elevated body mass index (BMI) is a well-known risk factor for perioperative complications in adults, but has not been investigated in children undergoing urologic procedures. Given the low rate of complications associated with urologic surgery, a large sample is required for their characterization, but BMI is frequently not available in administrative databases. Here we report results from the first nationally based, prospectively assembled cohort analyzed with respect to the association of BMI with 30-day postoperative events for pediatric urologic procedures...
August 2015: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/26135307/the-morbidity-of-laparoscopic-radical-cystectomy-analysis-of-postoperative-complications-in-a-multicenter-cohort-by-the-european-association-of-urology-eau-section-of-uro-technology
#19
MULTICENTER STUDY
Simone Albisinni, Marco Oderda, Laurent Fossion, Virginia Varca, Jens Rassweiler, Xavier Cathelineau, Piotr Chlosta, Alexandre De la Taille, Franco Gaboardi, Thierry Piechaud, Peter Rimington, Laurent Salomon, Rafael Sanchez-Salas, Jens-Uwe Stolzenburg, Dogu Teber, Roland Van Velthoven
PURPOSE: To analyze postoperative complications after laparoscopic radical cystectomy (LRC) and evaluate its risk factors in a large prospective cohort built by the ESUT across European centers involved in minimally invasive urology in the last decade. METHODS: Patients were prospectively enrolled, and data were retrospectively analyzed. Only oncologic cases were included. There were no formal contraindications for LRC: Also patients with locally advanced tumors (pT4a), serious comorbidities, and previous major abdominal surgery were enrolled...
February 2016: World Journal of Urology
https://www.readbyqxmd.com/read/26094390/-risk-factors-for-anterior-urethral-strictures-after-transurethral-resection-of-benign-prostatic-hyperplasia
#20
A S Grechenkov, P V Glybochko, Yu G Alyaev, E A Bezrukov, A Z Vinarov, D V Butnaru, R B Sukhanov
OBJECTIVE: To determine the risk factors for anterior urethral strictures after transurethral resection of benign prostatic hyperplasia. MATERIALS AND METHODS: The present study consists of a prospective and retrospective part. Prospective analysis of 110 patients who had undergone, at the urology clinic of First MSMU named after I.M. Sechenov in the period from January 2009 to February 2014 was performed transurethral resection (TUR) of the prostate. In the retrospective part, the case histories of 85 patients who were treated in the urology clinic First MSMU named after I...
January 2015: Urologii︠a︡
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