Behcet Syndrome ; complications ; Hemorrhage ; etiology ; Humans ; Pharynx

PURPOSE: To study the safety of sequential bilateral total knee arthroplasty in low risk patients. MATERIALS AND METHODS: Those who had received the surgery all at once were grouped as the first group, those who had received the surgery over two weeks interval were the second group and the last group, third group were those who had received the first surgery on only one knee and they were gotten re-hospitalized for the second surgery on the rest of the knee. These groups were compared on the aspects of complication, postoperative bleeding amount, average transfusion amount, operation time and admission period. RESULTS: There were no major complications found in all groups and the minor complication rate of occurrence was 3%, 4%, 6% in each, which did not constitute a significance difference. Each of the total blood loss was 1442.9 mL, 1567.4 mL, 1616.6 mL and which did not constitute a significance difference, either. Each of the average volume of blood transfused was 1220.3 mL, 680.1 mL, 692.2 mL, and the first group had the largest volume transfused (p<0.05). The operation time was 186, 196, 211 minutes in each and the first group had the shortest duration (p<0.05). The average admission periods were 16.8, 28.6, 29.8 days and the first group had the shortest period (p<0.05). CONCLUSION: We suggest that when there are no medical diseases contracted on patients, the sequential bilateral total knee arthroplasty can be performed safely without definite increase in perioperative complications.
Arthroplasty ; Contracts ; Hemorrhage ; Humans ; Knee ; Postoperative Complications

Cerebral Hemorrhage ; complications ; Child ; Humans ; Intussusception ; complications ; Male ; Purpura, Schoenlein-Henoch ; complications

Female ; Humans ; Middle Aged ; Neuroma, Acoustic ; complications ; Subarachnoid Hemorrhage ; etiology

Aged ; Female ; Hemophilia A ; complications ; Hemorrhage ; etiology ; Humans ; Mediastinal Diseases ; etiology

Authors report two cases of central neurocytoma with unusual surgical pitfall. The one of these presented with postoperative intraventricular hemorrhage with hydrocephalus. The other case developed motor aphasia and hemiplegia due to brain retration during operation. We describe peripoerative courses of these cases and discuss possible causes of postoperative complications.
Aphasia, Broca ; Brain ; Hemiplegia ; Hemorrhage ; Hydrocephalus ; Neurocytoma ; Postoperative Complications

PURPOSE: The purpose of this study is to compare postoperative complications for single-stage surgery after mechanical bowel preparation in patients who experienced obstruction and those who did not. METHODS: From 2000 to 2011, 1,224 patients underwent a single-stage operation for left colorectal cancer after bowel preparation. Nonobstruction (NOB) and obstruction (OB) colorectal cancer patients were 1,053 (86.0%) and 171 (14.0%), respectively. Postoperative morbidity and mortality were compared between groups. RESULTS: The OB group had poor preoperative conditions (age, white blood cell, hemoglobin, albumin level, and advanced tumor stage) compared with the NOB group (P < 0.05). Mean on-table lavage time for the OB group was 17.5 minutes (range, 14-60 minutes). Mean operation time for the OB group was statistically longer than that of the NOB group (OB: 210 minutes; range, 120-480 minutes vs. NOB: 180 minutes; range, 60-420 minutes; P < 0.001). Overall morbidity was similar between groups (NOB: 19.7% vs. OB: 23.4%, P = 0.259). Major morbidity was more common in the OB group than in the NOB group, but the difference was without significance (OB: 11.7% vs. NOB: 7.6%, P = 0.070). Postoperative death occurred in 16 patients (1.3%), and death in the OB group (n = 7) was significantly higher than it was in the NOB group (n = 9) (4.1% vs. 0.9%, P = 0.001). Twelve patients had surgical complications, which were the leading cause of postoperative death: postoperative bleeding in five patients and leakage in seven patients. CONCLUSION: Postoperative morbidity for a single-stage operation for obstructive left colorectal cancer is comparable to that for NOB, regardless of poor conditions of the patient.
Colorectal Neoplasms* ; Hemorrhage ; Humans ; Leukocytes ; Mortality ; Postoperative Complications* ; Therapeutic Irrigation

The true diabetic cataract is well known as one of the complications of diabetes mellitus. It affects always bilaterally and progresses very rapidly and is found frequently relative young indivisuals. In the past, it has been hesitated of performing cataract extraction in diabetes owing to the complications such as hemorrhages during and after surgeries, delayed wound healing and infection etc. But according to the authors experiences with the proper use of insulin and careful control of the level of sugar either in blood or in urine and general condition, the outcome of cataract extraction in diabetic patient is very unevenful one.
Cataract Extraction ; Cataract* ; Diabetes Complications ; Hemorrhage ; Humans ; Insulin ; Wound Healing

PURPOSE: To evaluate the efficacy of vitrectomy in patients with diabetic macular edema. METHODS: The results of pars plana vitrectomy in 10 eyes were analyzed. Major outcome measurements were preoperative and postoperative best corrected visual acuity, fundus findings of macula, and postoperative complications. All eyes had at least 4 months of follow- up after surgery. RESULTS: The improvement of visual acuity up to 2 lines on the chart was found in 5 eyes (50%) after the surgery and six eyes (60%) showed improvement in macular edema. The complications after surgery were vitreous hemorrhage in 1 eye and submacular exuadates in 1 eye. CONCLUSIONS: Vitrectomy may be beneficial for patients with diabetic macular edema.
Humans ; Macular Edema* ; Postoperative Complications ; Visual Acuity ; Vitrectomy* ; Vitreous Hemorrhage

Hemorrhage ; etiology ; physiopathology ; Humans ; Time Factors ; Vitamin K Deficiency ; complications