Saturday, December 21, 2019

Example Of Intraoperative Complications - 923 Words

Results 1) Preoperative Data This study included 59 eyes of 58 patients with mean age  ± standard deviation (SD) of 54 ±11 years, and a range from 25 up to 70 years. The male to female ratio was nearly 2:1. Table 1 summarizes the preoperative visual acuity and IOP. 2) Intraoperative complications Table 2 summarizes the intraoperative complications which can be attributed to the 20-G transconjunctival trocar system. More than 75% of our cases did not develop any intraoperative complications. Complications occurred only in 14 cases; of these, the most common complication was slippage of the cannula, occurred in 8 cases (14%); followed by trauma to the lens, seen in 4 cases (7%) and lastly retina incarcerated in the cannula in only 2 cases†¦show more content†¦Suturless vitrectomies carry an increased risk of leakage from the sclerotomy site. Such excessive leakage can raise the risk of infection and hypotony (5). So, in our study we used 20-G transconjunctival trocar system with suturing of the conjunctiva and sclera by one suture for each sclerotomy to avoid the risk of leakage and its complications. In our study more than 75% of cases did not develop any intraoperative complications. Complications occurred only in 14 cases; of these, the most common complication was slippage of the cannula, occurred in 8 cases (14%); followed by trauma to the lens, seen in 4 cases (7%) and lastly retina incarcerated in the cannula in only 2 cases (3.5%). This was similar to study done by Spierer et al, as in their study intraoperative complications included premature dislodging of the cannulas in two sclerotomies. The cannulas were reinserted with a trocar through the same opening without any additional complications (6). Retinal incarceration in the trocar system was reported in our study (2 cases) and can be attributed to the malfunction of the trocar valve leading to rapid flow of fluids through the trocar at the time of instruments exchange. As we were re-sterilizing the trocar system several times by flash autoclave, the valve system became loose and not effective. So, we concluded from this point that re-sterilized trocar should notShow MoreRelatedThe Importance Of A Perioperative Surgical Home Model1499 Words   |  6 Pagesvalue-based process of care as opposed to a fee-for-service system. Additionally, patients that are required to undergo surgery are often times separated from their usual medical care. This can result in delays, lapses in care, unnecessary testing, complications, an increase in costs, etc. Therefore, it would be favorable for a new model like the PSH model to be developed because it involves an innovation for care before and throughout the surgery process (asahq). 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