| Autor: |
Rodolfo J. Oviedo, Daniel Tomey, Alessandro Martinino, Joseph Nguyen-Lee, Alfred Lopez, Priya Shenwai, Tapan Nayak, Jichong Chai, Zhuoxin Long, James Wiseman |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
World journal of emergency surgery : WJES. 17(1) |
| ISSN: |
1749-7922 |
| Popis: |
Introduction Bariatric surgery revisions and emergencies are associated with higher morbidity and mortality compared to primary bariatric surgery. No formal outcome benchmarks exist that distinguish MBSAQIP-accredited centers in the community from unaccredited institutions. Methods A retrospective chart review was conducted on 53 bariatric surgery revisions and 61 bariatric surgical emergencies by a single surgeon at a high-volume community hospital accredited program from 2018 to 2020. Primary outcomes were complications or deaths occurring within 30-days of the index procedure. Secondary outcomes included operative time, leaks, surgical site occurrences (SSOs), and deep surgical site infections. Results There were no significant differences in the demographic characteristics of the study groups. Mean operative time was significantly longer for revisions as compared to emergency operations (149.5 vs. 89.4 min). Emergencies had higher surgical site infection (5.7% vs. 21.3%, p p p p p p p Conclusion Bariatric surgery revisions and emergencies have similar morbidity and mortality, far exceeding those of the primary operation. Outcomes comparable to those reported by urban academic centers can be achieved in community hospital MBSAQIP-accredited centers. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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