The Experts below are selected from a list of 6321 Experts worldwide ranked by ideXlab platform
Henry M Rosevear - One of the best experts on this subject based on the ideXlab platform.
-
characterization and management of Postoperative Hemorrhage following upper retroperitoneal laparoscopic surgery
The Journal of Urology, 2006Co-Authors: Henry M Rosevear, Jeffrey S Montgomery, William W Roberts, Stuart J WolfAbstract:Purpose: Surgical paradigms may change in the era of laparoscopic surgery. We evaluated a conservative nonsurgical approach to Postoperative Hemorrhage following laparoscopic upper retroperitoneal surgery as opposed to the more traditional strategy of reexploring the surgical site.Materials and Methods: In 911 laparoscopic procedures performed in 8 years we retrospectively identified risk factors and characterized treatment for Postoperative Hemorrhage.Results: We considered Postoperative Hemorrhage to be present when Postoperative transfusion was required that could not be accounted for by operative blood loss or another definable cause outside of the surgical field. Red blood cell transfusion was required after 53 procedures (5.8%), of which 34 (3.7%) were done for Postoperative Hemorrhage. Postoperative Hemorrhage occurred only after nephrectomy in 3.3% of cases, after partial nephrectomy in 9.9% and after adrenalectomy in 5.4%. Multivariate analysis revealed a significant association of Postoperative ...
-
Characterization and management of Postoperative Hemorrhage following upper retroperitoneal laparoscopic surgery.
The Journal of urology, 2006Co-Authors: Henry M Rosevear, Jeffrey S Montgomery, William W Roberts, J Stuart WolfAbstract:Surgical paradigms may change in the era of laparoscopic surgery. We evaluated a conservative nonsurgical approach to Postoperative Hemorrhage following laparoscopic upper retroperitoneal surgery as opposed to the more traditional strategy of reexploring the surgical site. In 911 laparoscopic procedures performed in 8 years we retrospectively identified risk factors and characterized treatment for Postoperative Hemorrhage. We considered Postoperative Hemorrhage to be present when Postoperative transfusion was required that could not be accounted for by operative blood loss or another definable cause outside of the surgical field. Red blood cell transfusion was required after 53 procedures (5.8%), of which 34 (3.7%) were done for Postoperative Hemorrhage. Postoperative Hemorrhage occurred only after nephrectomy in 3.3% of cases, after partial nephrectomy in 9.9% and after adrenalectomy in 5.4%. Multivariate analysis revealed a significant association of Postoperative Hemorrhage with patient age and American Society of Anesthesiologists score (preoperative factors), operative time and splenic injury (intraoperative factors), and gastrointestinal complications and prolonged hospitalization (Postoperative factors). Postoperative Hemorrhage increased mean hospitalization from 2.5 to 6.4 days. No significant differences in post-hospital recovery were associated with Postoperative Hemorrhage. Only 4 of the 34 patients (12%) required surgical management of Postoperative Hemorrhage. All other cases were conservatively managed. Outcome after surgical and conservative management did not differ except Postoperative renal complications tended to be more common in the former cases (50% vs 7%). Most patients with Hemorrhage following laparoscopic upper retroperitoneal surgery can be treated with conservative nonsurgical interventions.
Ryan S. Jackson - One of the best experts on this subject based on the ideXlab platform.
-
Postoperative Hemorrhage and hospital revisit after transoral robotic surgery
Laryngoscope, 2017Co-Authors: Joseph Zenga, Jasmina Suko, Dorina Kallogjeri, Patrik Pipkorn, Brian Nussenbaum, Ryan S. JacksonAbstract:Objectives/Hypothesis To investigate the incidence and complications related to Postoperative Hemorrhage (POH) after transoral robotic surgery (TORS). Study Design Retrospective review of the State Inpatient Database (SID), the State Ambulatory Surgery Database (SASD), and the State Emergency Department Database (SEDD) from the Healthcare Cost and Utilization Project. Methods Patients were identified from the SID, SASD, and SEDD for the states of Florida, New York, and California from 2005 to 2013 who had an International Classification of Diseases, Ninth Edition code for a surgical procedure on the upper aerodigestive tract associated with a code for robotic-assisted surgery. Univariate logistic regression was used to explore factors associated with POH. Results Five hundred nine patients underwent TORS. Indications for surgery included neoplastic disease in 376 (74%) and sleep apnea in 74 (15%). Forty-one (8%) had an episode of POH at a median of 9 days Postoperatively (range = 0–21 days). Twenty-four (5%) required an intervention related to their POH. Sixteen (3%) required return to the operating room for control of Hemorrhage; 11 (2%) had a severe complication that required embolization or tracheostomy. Charlson Comorbidity Score of ≥3 (odds ratio [OR] = 3.02, 95% confidence interval [CI] = 1.45-6.30) and a tonsillar neoplasm (OR = 1.96, 95% CI = 1.03-3.74) were significantly associated with POH. Conclusions The incidence of POH after TORS was low, and few of these patients had a severe complication related to this event. Medical comorbidity and tonsillar subsite may be independent risk factors for POH. These data provide a benchmark for informed decision making in TORS and a basis for further study. Level of Evidence 4. Laryngoscope, 127:2287–2292, 2017
-
Postoperative Hemorrhage and hospital revisit after transoral robotic surgery.
The Laryngoscope, 2017Co-Authors: Joseph Zenga, Jasmina Suko, Dorina Kallogjeri, Patrik Pipkorn, Brian Nussenbaum, Ryan S. JacksonAbstract:To investigate the incidence and complications related to Postoperative Hemorrhage (POH) after transoral robotic surgery (TORS). Retrospective review of the State Inpatient Database (SID), the State Ambulatory Surgery Database (SASD), and the State Emergency Department Database (SEDD) from the Healthcare Cost and Utilization Project. Patients were identified from the SID, SASD, and SEDD for the states of Florida, New York, and California from 2005 to 2013 who had an International Classification of Diseases, Ninth Edition code for a surgical procedure on the upper aerodigestive tract associated with a code for robotic-assisted surgery. Univariate logistic regression was used to explore factors associated with POH. Five hundred nine patients underwent TORS. Indications for surgery included neoplastic disease in 376 (74%) and sleep apnea in 74 (15%). Forty-one (8%) had an episode of POH at a median of 9 days Postoperatively (range = 0-21 days). Twenty-four (5%) required an intervention related to their POH. Sixteen (3%) required return to the operating room for control of Hemorrhage; 11 (2%) had a severe complication that required embolization or tracheostomy. Charlson Comorbidity Score of ≥3 (odds ratio [OR] = 3.02, 95% confidence interval [CI] = 1.45-6.30) and a tonsillar neoplasm (OR = 1.96, 95% CI = 1.03-3.74) were significantly associated with POH. The incidence of POH after TORS was low, and few of these patients had a severe complication related to this event. Medical comorbidity and tonsillar subsite may be independent risk factors for POH. These data provide a benchmark for informed decision making in TORS and a basis for further study. 4. Laryngoscope, 127:2287-2292, 2017. © 2017 The American Laryngological, Rhinological and Otological Society, Inc.
J Stuart Wolf - One of the best experts on this subject based on the ideXlab platform.
-
Characterization and management of Postoperative Hemorrhage following upper retroperitoneal laparoscopic surgery.
The Journal of urology, 2006Co-Authors: Henry M Rosevear, Jeffrey S Montgomery, William W Roberts, J Stuart WolfAbstract:Surgical paradigms may change in the era of laparoscopic surgery. We evaluated a conservative nonsurgical approach to Postoperative Hemorrhage following laparoscopic upper retroperitoneal surgery as opposed to the more traditional strategy of reexploring the surgical site. In 911 laparoscopic procedures performed in 8 years we retrospectively identified risk factors and characterized treatment for Postoperative Hemorrhage. We considered Postoperative Hemorrhage to be present when Postoperative transfusion was required that could not be accounted for by operative blood loss or another definable cause outside of the surgical field. Red blood cell transfusion was required after 53 procedures (5.8%), of which 34 (3.7%) were done for Postoperative Hemorrhage. Postoperative Hemorrhage occurred only after nephrectomy in 3.3% of cases, after partial nephrectomy in 9.9% and after adrenalectomy in 5.4%. Multivariate analysis revealed a significant association of Postoperative Hemorrhage with patient age and American Society of Anesthesiologists score (preoperative factors), operative time and splenic injury (intraoperative factors), and gastrointestinal complications and prolonged hospitalization (Postoperative factors). Postoperative Hemorrhage increased mean hospitalization from 2.5 to 6.4 days. No significant differences in post-hospital recovery were associated with Postoperative Hemorrhage. Only 4 of the 34 patients (12%) required surgical management of Postoperative Hemorrhage. All other cases were conservatively managed. Outcome after surgical and conservative management did not differ except Postoperative renal complications tended to be more common in the former cases (50% vs 7%). Most patients with Hemorrhage following laparoscopic upper retroperitoneal surgery can be treated with conservative nonsurgical interventions.
Stuart J Wolf - One of the best experts on this subject based on the ideXlab platform.
-
characterization and management of Postoperative Hemorrhage following upper retroperitoneal laparoscopic surgery
The Journal of Urology, 2006Co-Authors: Henry M Rosevear, Jeffrey S Montgomery, William W Roberts, Stuart J WolfAbstract:Purpose: Surgical paradigms may change in the era of laparoscopic surgery. We evaluated a conservative nonsurgical approach to Postoperative Hemorrhage following laparoscopic upper retroperitoneal surgery as opposed to the more traditional strategy of reexploring the surgical site.Materials and Methods: In 911 laparoscopic procedures performed in 8 years we retrospectively identified risk factors and characterized treatment for Postoperative Hemorrhage.Results: We considered Postoperative Hemorrhage to be present when Postoperative transfusion was required that could not be accounted for by operative blood loss or another definable cause outside of the surgical field. Red blood cell transfusion was required after 53 procedures (5.8%), of which 34 (3.7%) were done for Postoperative Hemorrhage. Postoperative Hemorrhage occurred only after nephrectomy in 3.3% of cases, after partial nephrectomy in 9.9% and after adrenalectomy in 5.4%. Multivariate analysis revealed a significant association of Postoperative ...
Jeffrey S Montgomery - One of the best experts on this subject based on the ideXlab platform.
-
characterization and management of Postoperative Hemorrhage following upper retroperitoneal laparoscopic surgery
The Journal of Urology, 2006Co-Authors: Henry M Rosevear, Jeffrey S Montgomery, William W Roberts, Stuart J WolfAbstract:Purpose: Surgical paradigms may change in the era of laparoscopic surgery. We evaluated a conservative nonsurgical approach to Postoperative Hemorrhage following laparoscopic upper retroperitoneal surgery as opposed to the more traditional strategy of reexploring the surgical site.Materials and Methods: In 911 laparoscopic procedures performed in 8 years we retrospectively identified risk factors and characterized treatment for Postoperative Hemorrhage.Results: We considered Postoperative Hemorrhage to be present when Postoperative transfusion was required that could not be accounted for by operative blood loss or another definable cause outside of the surgical field. Red blood cell transfusion was required after 53 procedures (5.8%), of which 34 (3.7%) were done for Postoperative Hemorrhage. Postoperative Hemorrhage occurred only after nephrectomy in 3.3% of cases, after partial nephrectomy in 9.9% and after adrenalectomy in 5.4%. Multivariate analysis revealed a significant association of Postoperative ...
-
Characterization and management of Postoperative Hemorrhage following upper retroperitoneal laparoscopic surgery.
The Journal of urology, 2006Co-Authors: Henry M Rosevear, Jeffrey S Montgomery, William W Roberts, J Stuart WolfAbstract:Surgical paradigms may change in the era of laparoscopic surgery. We evaluated a conservative nonsurgical approach to Postoperative Hemorrhage following laparoscopic upper retroperitoneal surgery as opposed to the more traditional strategy of reexploring the surgical site. In 911 laparoscopic procedures performed in 8 years we retrospectively identified risk factors and characterized treatment for Postoperative Hemorrhage. We considered Postoperative Hemorrhage to be present when Postoperative transfusion was required that could not be accounted for by operative blood loss or another definable cause outside of the surgical field. Red blood cell transfusion was required after 53 procedures (5.8%), of which 34 (3.7%) were done for Postoperative Hemorrhage. Postoperative Hemorrhage occurred only after nephrectomy in 3.3% of cases, after partial nephrectomy in 9.9% and after adrenalectomy in 5.4%. Multivariate analysis revealed a significant association of Postoperative Hemorrhage with patient age and American Society of Anesthesiologists score (preoperative factors), operative time and splenic injury (intraoperative factors), and gastrointestinal complications and prolonged hospitalization (Postoperative factors). Postoperative Hemorrhage increased mean hospitalization from 2.5 to 6.4 days. No significant differences in post-hospital recovery were associated with Postoperative Hemorrhage. Only 4 of the 34 patients (12%) required surgical management of Postoperative Hemorrhage. All other cases were conservatively managed. Outcome after surgical and conservative management did not differ except Postoperative renal complications tended to be more common in the former cases (50% vs 7%). Most patients with Hemorrhage following laparoscopic upper retroperitoneal surgery can be treated with conservative nonsurgical interventions.