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Complications | An Open Access Journal from MDPI
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class="custom-accordion-for-small-screen-link show-for-small-only"> <h2 class="no-padding-left no-margin">Journal Description</h2> </div> <div class="custom-accordion-for-small-screen-content show-for-medium-up"> <div class="journal__description"> <h1> <em>Complications</em> </h1> <div class="journal__description__content"> <em>Complications</em> (ISSN 2813-4966) is an international, <a href="https://www.mdpi.com/editorial_process">peer-reviewed</a>, open access journal on the prevention, diagnosis, etiology, and management of complications in all aspects of basic, translational, and clinical research, as well as epidemiology. The journal seeks to offer best practices and expert experience, and recommendations on intra-operative and post-operative adverse events, published quarterly online by MDPI. <ul> <li><strong><span class="label openaccess"><a title="Open Access" href="https://www.mdpi.com/openaccess">Open Access</a></span></strong>— free for readers, with <a href="https://www.mdpi.com/journal/complications/apc">article processing charges (APC)</a> paid by authors or their institutions.</li> <li><strong>Rapid Publication:</strong> first decisions in 16 days; acceptance to publication in 5.8 days (median values for MDPI journals in the first half of 2024).</li> <li><strong>Recognition of Reviewers:</strong> APC discount vouchers, optional signed peer review, and reviewer names published annually in the journal.</li> <li><strong><em>Complications</em> is a companion journal of <em><a href="https://www.mdpi.com/journal/jcm">JCM</a></em></strong>.</li> </ul> </div> <div style="margin-bottom: 15px;"> </div> <div> <a href="/journal/complications/imprint" class="UI_JournalImprintsInfoButton"> <i class="material-icons spaced-link">subject</i> Imprint Information </a> <a href="/journal/complications/complications_flyer.pdf" class="UD_JournalFlyer"> <i class="material-icons spaced-link">get_app</i> Journal Flyer </a> <a class="oa-link" href="https://www.mdpi.com/about/openaccess"> <i class="material icons spaced-link"></i> Open Access </a> <strong> ISSN: 2813-4966 </strong> </div> <div style="clear: both;"></div> </div> </div> </div> <div class="content__container content__container--overflow-initial"> <div class="custom-accordion-for-small-screen-link active"> <h2 class="no-padding-left">Latest Articles</h2> </div> <div class="custom-accordion-for-small-screen-content"> <div class="expanding-div collapsed"> <div class="generic-item article-item no-border"> <div class="article-content"> <div class="label right label__btn"> <a data-dropdown="drop-supplementary-1516875" aria-controls="drop-supplementary-1516875" aria-expanded="false" title="Supplementary Material"> <i class="material-icons">attachment</i> </a> <div id="drop-supplementary-1516875" class="f-dropdown label__btn__dropdown label__btn__dropdown--wide" data-dropdown-content aria-hidden="true" tabindex="-1"> Supplementary material: <br/> <a href="/2813-4966/1/3/11/s1?version=1731060542"> Supplementary File 1 (ZIP, 74 KiB) </a><br/> </div> </div> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 11 pages, 3135 KiB </span> <a href="/2813-4966/1/3/11/pdf?version=1731060542" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="Pigtail Catheter Compared to Formal Intercostal Catheter for the Management of Isolated Traumatic Pneumothorax: A Systematic Review and Meta-Analysis" data-journal="complications"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Systematic Review</span></div> <a class="title-link" href="/2813-4966/1/3/11">Pigtail Catheter Compared to Formal Intercostal Catheter for the Management of Isolated Traumatic Pneumothorax: A Systematic Review and Meta-Analysis</a> <div class="authors"> by <span class="inlineblock "><strong>Khang Duy Ricky Le</strong>, </span><span class="inlineblock "><strong>Annie Jiao Wang</strong>, </span><span class="inlineblock "><strong>Karim Sadik</strong>, </span><span class="inlineblock "><strong>Kaylah Fink</strong> and </span><span class="inlineblock "><strong>Shasha Haycock</strong></span> </div> <div class="color-grey-dark"> <em>Complications</em> <b>2024</b>, <em>1</em>(3), 68-78; <a href="https://doi.org/10.3390/complications1030011">https://doi.org/10.3390/complications1030011</a> - 8 Nov 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> (1) Background: The optimal management approach for adults with traumatic pneumothorax without haemothorax remains an area of debate. Specifically, there is lack of consensus as to whether insertion of a pigtail catheter is superior to a formal intercostal catheter in improving complication rates. <a href="#" data-counterslink = "https://www.mdpi.com/2813-4966/1/3/11/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> (1) Background: The optimal management approach for adults with traumatic pneumothorax without haemothorax remains an area of debate. Specifically, there is lack of consensus as to whether insertion of a pigtail catheter is superior to a formal intercostal catheter in improving complication rates. (2) Methods: Medline, EMBASE, Cochrane Central, and the World Health Organisation International Clinical Trials Registry Platform databases were systematically searched for studies evaluating pigtail catheters compared to formal intercostal catheters for the management of traumatic pneumothorax. Investigative outcomes of interest included pain, duration management, failure, need for formal thoracoscopic surgery, need for supplemental oxygen, length of stay, infection and overall total complications. (3) Results: Three studies evaluating 280 patients were included in this analysis. There was no significant difference in total complications, rates of failure, length of stay or duration of management between pigtail catheters and formal intercostal catheters. This evidence was based on studies of low to moderate risk of bias with poor control for confounding factors. (4) Conclusions: This systematic review and meta-analysis demonstrates lack of evidence to suggest pigtail catheters are superior to formal intercostal catheter for traumatic pneumothorax. These findings may reflect a true absence of effect between either approach for this patient cohort or non-committal findings in light of limitations of the underlying evidence. Further prospective trials with larger sample sizes and control for confounders are required to validate the outcomes between these two modalities of treatment. <a href="/2813-4966/1/3/11">Full article</a> </div> </div> <div class="belongsTo" style="margin-bottom: 10px;"> (This article belongs to the Special Issue <a href=" /journal/complications/special_issues/440C8ZUG68 ">Preventing and Managing Surgical Complications: Perspectives from Surgeons</a>)<br/> </div> <a href="#" class="abstract-figures-show" data-counterslink = "https://www.mdpi.com/2813-4966/1/3/11/show" ><span >►</span><span style=" display: none;">▼</span> Show Figures </a><div class="abstract-image-preview "><div class="arrow left-arrow" id="prev1516875"><i class="fa fa-caret-left"></i></div><div class="arrow right-arrow" id="next1516875"><i class="fa fa-caret-right"></i></div><div class="absgraph cycle-slideshow manual" data-cycle-fx="scrollHorz" data-cycle-timeout="0" data-cycle-next="#next1516875" data-cycle-prev="#prev1516875" data-cycle-progressive="#images1516875" data-cycle-slides=">div" data-cycle-log="false"><div class='openpopupgallery cycle-slide' data-imgindex='0' data-target='article-1516875-popup'><span class="helper"></span><img src="data:image/gif;base64,R0lGODlhAQABAAD/ACwAAAAAAQABAAACADs=" data-src="https://pub.mdpi-res.com/complications/complications-01-00011/article_deploy/html/images/complications-01-00011-g001-550.jpg?1731060622" alt="" style="border: 0;"><p>Figure 1</p></div><script id="images1516875" type="text/cycle" data-cycle-split="---"><div class='openpopupgallery' data-imgindex='1' data-target='article-1516875-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/complications/complications-01-00011/article_deploy/html/images/complications-01-00011-g002-550.jpg?1731060625'><p>Figure 2</p></div> --- <div class='openpopupgallery' data-imgindex='2' data-target='article-1516875-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/complications/complications-01-00011/article_deploy/html/images/complications-01-00011-g003-550.jpg?1731060626'><p>Figure 3</p></div> --- <div class='openpopupgallery' data-imgindex='3' data-target='article-1516875-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/complications/complications-01-00011/article_deploy/html/images/complications-01-00011-g004-550.jpg?1731060627'><p>Figure 4</p></div> --- <div class='openpopupgallery' data-imgindex='4' data-target='article-1516875-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/complications/complications-01-00011/article_deploy/html/images/complications-01-00011-g005-550.jpg?1731060628'><p>Figure 5</p></div> --- <div class='openpopupgallery' data-imgindex='5' data-target='article-1516875-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/complications/complications-01-00011/article_deploy/html/images/complications-01-00011-g006-550.jpg?1731060629'><p>Figure 6</p></div> --- <div class='openpopupgallery' data-imgindex='6' data-target='article-1516875-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/complications/complications-01-00011/article_deploy/html/images/complications-01-00011-g007-550.jpg?1731060630'><p>Figure 7</p></div></script></div></div><div id="article-1516875-popup" class="popupgallery" style="display: inline; line-height: 200%"><a href="https://pub.mdpi-res.com/complications/complications-01-00011/article_deploy/html/images/complications-01-00011-g001-550.jpg?1731060622" title=" <strong>Figure 1</strong><br/> <p>(<b>A</b>) Clinical photograph of standard 14 French pigtail catheter. (<b>B</b>) Clinical photograph of standard 28 French intercostal catheter.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/3/11'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/complications/complications-01-00011/article_deploy/html/images/complications-01-00011-g002-550.jpg?1731060625" title=" <strong>Figure 2</strong><br/> <p>Workflow for literature screening and study selection.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/3/11'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/complications/complications-01-00011/article_deploy/html/images/complications-01-00011-g003-550.jpg?1731060626" title=" <strong>Figure 3</strong><br/> <p>Forest plot of total complications comparing pigtail catheter compared to chest tube insertion for traumatic pneumothorax. The blue box represents effect size for the individual study with whiskers indicating 95% confidence intervals. The black diamond represents estimate of summary measure.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/3/11'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/complications/complications-01-00011/article_deploy/html/images/complications-01-00011-g004-550.jpg?1731060627" title=" <strong>Figure 4</strong><br/> <p>Forest plot of failure comparing pigtail catheter compared to chest tube insertion for traumatic pneumothorax. The blue box represents effect size for the individual study with whiskers indicating 95% confidence intervals. The black diamond represents estimate of summary measure.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/3/11'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/complications/complications-01-00011/article_deploy/html/images/complications-01-00011-g005-550.jpg?1731060628" title=" <strong>Figure 5</strong><br/> <p>Forest plot of length of stay comparing pigtail catheter compared to chest tube insertion for traumatic pneumothorax. The green box represents effect size for the individual study. The black diamond represents estimate of summary measure.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/3/11'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/complications/complications-01-00011/article_deploy/html/images/complications-01-00011-g006-550.jpg?1731060629" title=" <strong>Figure 6</strong><br/> <p>Forest plot of duration of management comparing pigtail catheter compared to chest tube insertion for traumatic pneumothorax. The green box represents effect size for the individual study. The black diamond represents estimate of summary measure.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/3/11'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/complications/complications-01-00011/article_deploy/html/images/complications-01-00011-g007-550.jpg?1731060630" title=" <strong>Figure 7</strong><br/> <p>Risk of bias assessment following assessment using the ROBINS-I tool.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/3/11'>Full article</a></strong> "></a></div> </div> </div> </div> <div class="extending-content content-ready"> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 7 pages, 836 KiB </span> <a href="/2813-4966/1/3/10/pdf?version=1730711623" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="Successful Management of Gastric Leakage Post Gastric Sleeve by Gastric Bypass Conversion" data-journal="complications"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Case Report</span></div> <a class="title-link" href="/2813-4966/1/3/10">Successful Management of Gastric Leakage Post Gastric Sleeve by Gastric Bypass Conversion</a> <div class="authors"> by <span class="inlineblock "><strong>Manuela Jaramillo Vásquez</strong>, </span><span class="inlineblock "><strong>Hernando Thorne Vélez</strong>, </span><span class="inlineblock "><strong>Isaac Mendoza Morales</strong> and </span><span class="inlineblock "><strong>Andrés Hanssen Londoño</strong></span> </div> <div class="color-grey-dark"> <em>Complications</em> <b>2024</b>, <em>1</em>(3), 61-67; <a href="https://doi.org/10.3390/complications1030010">https://doi.org/10.3390/complications1030010</a> - 4 Nov 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> Gastric leak represents one of the most common, serious and challenging complications in bariatric procedures, and it is caused by both ischemic and mechanical failure. The management of these leaks remains controversial. In this clinical case, we describe the occurrence of a gastric <a href="#" data-counterslink = "https://www.mdpi.com/2813-4966/1/3/10/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> Gastric leak represents one of the most common, serious and challenging complications in bariatric procedures, and it is caused by both ischemic and mechanical failure. The management of these leaks remains controversial. In this clinical case, we describe the occurrence of a gastric leak after a gastric sleeve, which was successfully treated by gastric bypass using a laparoscopic technique. <a href="/2813-4966/1/3/10">Full article</a> </div> </div> <div class="belongsTo" style="margin-bottom: 10px;"> (This article belongs to the Special Issue <a href=" /journal/complications/special_issues/440C8ZUG68 ">Preventing and Managing Surgical Complications: Perspectives from Surgeons</a>)<br/> </div> <a href="#" class="abstract-figures-show" data-counterslink = "https://www.mdpi.com/2813-4966/1/3/10/show" ><span >►</span><span style=" display: none;">▼</span> Show Figures </a><div class="abstract-image-preview "><div class="arrow left-arrow" id="prev1513508"><i class="fa fa-caret-left"></i></div><div class="arrow right-arrow" id="next1513508"><i class="fa fa-caret-right"></i></div><div class="absgraph cycle-slideshow manual" data-cycle-fx="scrollHorz" data-cycle-timeout="0" data-cycle-next="#next1513508" data-cycle-prev="#prev1513508" data-cycle-progressive="#images1513508" data-cycle-slides=">div" data-cycle-log="false"><div class='openpopupgallery cycle-slide' data-imgindex='0' data-target='article-1513508-popup'><span class="helper"></span><img src="data:image/gif;base64,R0lGODlhAQABAAD/ACwAAAAAAQABAAACADs=" data-src="https://pub.mdpi-res.com/complications/complications-01-00010/article_deploy/html/images/complications-01-00010-g001-550.jpg?1730711743" alt="" style="border: 0;"><p>Figure 1</p></div><script id="images1513508" type="text/cycle" data-cycle-split="---"><div class='openpopupgallery' data-imgindex='1' data-target='article-1513508-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/complications/complications-01-00010/article_deploy/html/images/complications-01-00010-g002-550.jpg?1730711746'><p>Figure 2</p></div></script></div></div><div id="article-1513508-popup" class="popupgallery" style="display: inline; line-height: 200%"><a href="https://pub.mdpi-res.com/complications/complications-01-00010/article_deploy/html/images/complications-01-00010-g001-550.jpg?1730711743" title=" <strong>Figure 1</strong><br/> <p>Echelon Endopath Reload Green stapler (60 Mm, 2.0 Mm staple height) with defective reload, and water-soluble contrast medium study of vertical gastrectomy with no evidence of postoperative leakage.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/3/10'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/complications/complications-01-00010/article_deploy/html/images/complications-01-00010-g002-550.jpg?1730711746" title=" <strong>Figure 2</strong><br/> <p>Admission CT scan and laparoscopic findings. (<b>a</b>) Collection images in subphrenic space by means of CT (green arrow). (<b>b</b>) Intrabdominal collection. (<b>c</b>) Gastric perforation in distal third of suture line.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/3/10'>Full article</a></strong> "></a></div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 10 pages, 270 KiB </span> <a href="/2813-4966/1/3/9/pdf?version=1728374110" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="The Impact of Social Media on Public Perception and Litigation in Hernia Surgery Complications: A Narrative Review" data-journal="complications"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Review</span></div> <a class="title-link" href="/2813-4966/1/3/9">The Impact of Social Media on Public Perception and Litigation in Hernia Surgery Complications: A Narrative Review</a> <div class="authors"> by <span class="inlineblock "><strong>René Gordon Holzheimer</strong> and </span><span class="inlineblock "><strong>Nadey Hakim</strong></span> </div> <div class="color-grey-dark"> <em>Complications</em> <b>2024</b>, <em>1</em>(3), 51-60; <a href="https://doi.org/10.3390/complications1030009">https://doi.org/10.3390/complications1030009</a> - 8 Oct 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> Title: The Impact of Social Media on Public Perception and Litigation in Hernia Surgery Complications. Introduction: Social media significantly impacts public perception of healthcare, leading to increased litigation for complications after hernia surgery. Our research focused on terms like ‘inguinal hernia repair,’ ‘medico-legal,’ <a href="#" data-counterslink = "https://www.mdpi.com/2813-4966/1/3/9/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> Title: The Impact of Social Media on Public Perception and Litigation in Hernia Surgery Complications. Introduction: Social media significantly impacts public perception of healthcare, leading to increased litigation for complications after hernia surgery. Our research focused on terms like ‘inguinal hernia repair,’ ‘medico-legal,’ ‘informed consent,’ ‘litigation,’ ‘malpractice,’ ‘social media’, ‘mesh’, ‘Leistenbruch’, and OLG in Pubmed, Google Scholar, and Google. Results showed chronic postoperative pain as a common cause of malpractice claims, with ultrasound being a valuable diagnostic tool. Urological injuries account for a significant portion of complications after surgery. Mesh infection leads to hospital readmission, increased healthcare costs, and lawsuits. The quality of the consent process is crucial, and patient perceptions of mesh use influence their decision-making. Healthcare professionals must understand the impact of social media on public perception and provide comprehensive patient information for informed consent and satisfaction. <a href="/2813-4966/1/3/9">Full article</a> </div> </div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 8 pages, 4971 KiB </span> <a href="/2813-4966/1/3/8/pdf?version=1727171013" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="When Nature Strikes Back: Understanding Intestinal Perforations Caused by Vegetable and Animal Bodies" data-journal="complications"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Case Report</span></div> <a class="title-link" href="/2813-4966/1/3/8">When Nature Strikes Back: Understanding Intestinal Perforations Caused by Vegetable and Animal Bodies</a> <div class="authors"> by <span class="inlineblock "><strong>Santiago Andrés Suárez-Gómez</strong>, </span><span class="inlineblock "><strong>Valentina Velasco-Muñoz</strong> and </span><span class="inlineblock "><strong>Fernando Escobar-Castañeda</strong></span> </div> <div class="color-grey-dark"> <em>Complications</em> <b>2024</b>, <em>1</em>(3), 43-50; <a href="https://doi.org/10.3390/complications1030008">https://doi.org/10.3390/complications1030008</a> - 24 Sep 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> Foreign body intestinal perforation is a critical and potentially life-threatening condition that presents significant diagnostic challenges, especially in rural populations who are often distant from healthcare facilities and lack access to necessary resources. In these settings, the surgical approach is further complicated by <a href="#" data-counterslink = "https://www.mdpi.com/2813-4966/1/3/8/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> Foreign body intestinal perforation is a critical and potentially life-threatening condition that presents significant diagnostic challenges, especially in rural populations who are often distant from healthcare facilities and lack access to necessary resources. In these settings, the surgical approach is further complicated by prolonged diagnostic times and delayed access to appropriate care. This article presents a series of cases involving patients with foreign body intestinal perforation of both vegetable and animal origin. Among these cases, one patient died due to delayed voluntary treatment, and another presented without leukocytosis, further complicating the diagnosis. Socioeconomic barriers made follow-up challenging in most cases, negatively impacting patient outcomes. This study details patient characteristics, surgical approaches, and outcomes. Community education, improved infrastructure, and greater awareness among healthcare providers are essential to improving outcomes, particularly in rural areas where healthcare delivery is more challenging and intensified efforts are required to enhance patient care and quality of life. <a href="/2813-4966/1/3/8">Full article</a> </div> </div> <div class="belongsTo" style="margin-bottom: 10px;"> (This article belongs to the Special Issue <a href=" /journal/complications/special_issues/440C8ZUG68 ">Preventing and Managing Surgical Complications: Perspectives from Surgeons</a>)<br/> </div> <a href="#" class="abstract-figures-show" data-counterslink = "https://www.mdpi.com/2813-4966/1/3/8/show" ><span >►</span><span style=" display: none;">▼</span> Show Figures </a><div class="abstract-image-preview "><div class="arrow left-arrow" id="prev1484365"><i class="fa fa-caret-left"></i></div><div class="arrow right-arrow" id="next1484365"><i class="fa fa-caret-right"></i></div><div class="absgraph cycle-slideshow manual" data-cycle-fx="scrollHorz" data-cycle-timeout="0" data-cycle-next="#next1484365" data-cycle-prev="#prev1484365" data-cycle-progressive="#images1484365" data-cycle-slides=">div" data-cycle-log="false"><div class='openpopupgallery cycle-slide' data-imgindex='0' data-target='article-1484365-popup'><span class="helper"></span><img src="data:image/gif;base64,R0lGODlhAQABAAD/ACwAAAAAAQABAAACADs=" data-src="https://pub.mdpi-res.com/complications/complications-01-00008/article_deploy/html/images/complications-01-00008-g001-550.jpg?1727171109" alt="" style="border: 0;"><p>Figure 1</p></div><script id="images1484365" type="text/cycle" data-cycle-split="---"><div class='openpopupgallery' data-imgindex='1' data-target='article-1484365-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/complications/complications-01-00008/article_deploy/html/images/complications-01-00008-g002-550.jpg?1727171111'><p>Figure 2</p></div> --- <div class='openpopupgallery' data-imgindex='2' data-target='article-1484365-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/complications/complications-01-00008/article_deploy/html/images/complications-01-00008-g003-550.jpg?1727171113'><p>Figure 3</p></div> --- <div class='openpopupgallery' data-imgindex='3' data-target='article-1484365-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/complications/complications-01-00008/article_deploy/html/images/complications-01-00008-g004-550.jpg?1727171115'><p>Figure 4</p></div> --- <div class='openpopupgallery' data-imgindex='4' data-target='article-1484365-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/complications/complications-01-00008/article_deploy/html/images/complications-01-00008-g005-550.jpg?1727171117'><p>Figure 5</p></div></script></div></div><div id="article-1484365-popup" class="popupgallery" style="display: inline; line-height: 200%"><a href="https://pub.mdpi-res.com/complications/complications-01-00008/article_deploy/html/images/complications-01-00008-g001-550.jpg?1727171109" title=" <strong>Figure 1</strong><br/> <p>Foreign body, unidentified as either vegetable or animal.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/3/8'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/complications/complications-01-00008/article_deploy/html/images/complications-01-00008-g002-550.jpg?1727171111" title=" <strong>Figure 2</strong><br/> <p>Mild acute periappendicitis.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/3/8'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/complications/complications-01-00008/article_deploy/html/images/complications-01-00008-g003-550.jpg?1727171113" title=" <strong>Figure 3</strong><br/> <p>An appendix with an embedded fish bone featuring bifurcation.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/3/8'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/complications/complications-01-00008/article_deploy/html/images/complications-01-00008-g004-550.jpg?1727171115" title=" <strong>Figure 4</strong><br/> <p>Transmural necrosis and secondary perforation caused by a foreign animal body.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/3/8'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/complications/complications-01-00008/article_deploy/html/images/complications-01-00008-g005-550.jpg?1727171117" title=" <strong>Figure 5</strong><br/> <p>Meckel’s diverticulum with perforation by vegetable foreign body.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/3/8'>Full article</a></strong> "></a></div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 6 pages, 3392 KiB </span> <a href="/2813-4966/1/2/7/pdf?version=1724650304" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="Staged Hybrid Treatment of Acute Type B Complicated Aortic and External Iliac Artery Dissection and Femoral Occlusion after Transcatheter Aortic Valve Implantation" data-journal="complications"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Case Report</span></div> <a class="title-link" href="/2813-4966/1/2/7">Staged Hybrid Treatment of Acute Type B Complicated Aortic and External Iliac Artery Dissection and Femoral Occlusion after Transcatheter Aortic Valve Implantation</a> <div class="authors"> by <span class="inlineblock "><strong>Hernando Thorne-Vélez</strong>, </span><span class="inlineblock "><strong>Axel Tolstano Gleiser</strong>, </span><span class="inlineblock "><strong>Isaac Mendoza Morales</strong>, </span><span class="inlineblock "><strong>Ana Maria Thorne-Velez</strong>, </span><span class="inlineblock "><strong>Natalia Penaloza Barrios</strong>, </span><span class="inlineblock "><strong>Manuela Jaramillo Vasquez</strong> and </span><span class="inlineblock "><strong>William Daza Reatiga</strong></span> </div> <div class="color-grey-dark"> <em>Complications</em> <b>2024</b>, <em>1</em>(2), 37-42; <a href="https://doi.org/10.3390/complications1020007">https://doi.org/10.3390/complications1020007</a> - 26 Aug 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> Percutaneous aortic valve replacement (TAVI) has become the treatment of choice for elderly patients with severe aortic valve stenosis because of its less invasive nature compared to surgery. As TAVI is increasingly offered, issues such as vascular lesions, access site problems, paravalvular leaks, <a href="#" data-counterslink = "https://www.mdpi.com/2813-4966/1/2/7/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> Percutaneous aortic valve replacement (TAVI) has become the treatment of choice for elderly patients with severe aortic valve stenosis because of its less invasive nature compared to surgery. As TAVI is increasingly offered, issues such as vascular lesions, access site problems, paravalvular leaks, and aortic dissection (AD) are a few associated complications, needing consideration. AD after TAVI is rare but serious, occurring in 0.2% to 0.3% of cases, with both intraprocedural and late cases reported. This case study concerns a 68-year-old woman who developed Stanford B AD, external iliac artery dissection, and right common femoral artery occlusion after TAVI. Treatment included the stenting of the iliac and common femoral arteries, followed by a staged procedure: debranching, thoracic endovascular aortic repair (TEVAR), and endovascular aneurysm repair (EVAR), with satisfactory results. This case underscores the importance of vigilance in the management of TAVI-related complications to optimize patient care and outcomes. <a href="/2813-4966/1/2/7">Full article</a> </div> </div> <div class="belongsTo" style="margin-bottom: 10px;"> (This article belongs to the Special Issue <a href=" /journal/complications/special_issues/440C8ZUG68 ">Preventing and Managing Surgical Complications: Perspectives from Surgeons</a>)<br/> </div> <a href="#" class="abstract-figures-show" data-counterslink = "https://www.mdpi.com/2813-4966/1/2/7/show" ><span >►</span><span style=" display: none;">▼</span> Show Figures </a><div class="abstract-image-preview "><div class="arrow left-arrow" id="prev1463906"><i class="fa fa-caret-left"></i></div><div class="arrow right-arrow" id="next1463906"><i class="fa fa-caret-right"></i></div><div class="absgraph cycle-slideshow manual" data-cycle-fx="scrollHorz" data-cycle-timeout="0" data-cycle-next="#next1463906" data-cycle-prev="#prev1463906" data-cycle-progressive="#images1463906" data-cycle-slides=">div" data-cycle-log="false"><div class='openpopupgallery cycle-slide' data-imgindex='0' data-target='article-1463906-popup'><span class="helper"></span><img src="data:image/gif;base64,R0lGODlhAQABAAD/ACwAAAAAAQABAAACADs=" data-src="https://pub.mdpi-res.com/complications/complications-01-00007/article_deploy/html/images/complications-01-00007-g001-550.jpg?1724650410" alt="" style="border: 0;"><p>Figure 1</p></div><script id="images1463906" type="text/cycle" data-cycle-split="---"><div class='openpopupgallery' data-imgindex='1' data-target='article-1463906-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/complications/complications-01-00007/article_deploy/html/images/complications-01-00007-g002-550.jpg?1724650412'><p>Figure 2</p></div> --- <div class='openpopupgallery' data-imgindex='2' data-target='article-1463906-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/complications/complications-01-00007/article_deploy/html/images/complications-01-00007-g003-550.jpg?1724650414'><p>Figure 3</p></div></script></div></div><div id="article-1463906-popup" class="popupgallery" style="display: inline; line-height: 200%"><a href="https://pub.mdpi-res.com/complications/complications-01-00007/article_deploy/html/images/complications-01-00007-g001-550.jpg?1724650410" title=" <strong>Figure 1</strong><br/> <p>(<b>a</b>) Femoral artery occlusion. (<b>b</b>) Femoral artery stent placement.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/2/7'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/complications/complications-01-00007/article_deploy/html/images/complications-01-00007-g002-550.jpg?1724650412" title=" <strong>Figure 2</strong><br/> <p>Stanford B aortic dissection. (<b>a</b>) Thoracic aortic dissection. (<b>b</b>–<b>d</b>) Abdominal aortic dissection.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/2/7'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/complications/complications-01-00007/article_deploy/html/images/complications-01-00007-g003-550.jpg?1724650414" title=" <strong>Figure 3</strong><br/> <p>Cervical debranching. (<b>a</b>) Carotid artery bypass. (<b>b</b>,<b>c</b>) Bypass of carotid and subclavian artery. (<b>d</b>) Cervical debranching arteriography.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/2/7'>Full article</a></strong> "></a></div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 5 pages, 1690 KiB </span> <a href="/2813-4966/1/2/6/pdf?version=1721208392" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="Postoperative Intestinal Intussusception in Polytraumatized Adult Patient: A Case Report" data-journal="complications"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Case Report</span></div> <a class="title-link" href="/2813-4966/1/2/6">Postoperative Intestinal Intussusception in Polytraumatized Adult Patient: A Case Report</a> <div class="authors"> by <span class="inlineblock "><strong>Claudia Viviana Jaimes González</strong>, </span><span class="inlineblock "><strong>María José Pereira Velásquez</strong>, </span><span class="inlineblock "><strong>Juan Pablo Unigarro Villota</strong> and </span><span class="inlineblock "><strong>Adriana Patricia Mora Lozada</strong></span> </div> <div class="color-grey-dark"> <em>Complications</em> <b>2024</b>, <em>1</em>(2), 32-36; <a href="https://doi.org/10.3390/complications1020006">https://doi.org/10.3390/complications1020006</a> - 17 Jul 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> Background: Intestinal intussusception is defined as the invagination of one segment of the intestine into the lumen of an adjacent intestinal segment, resulting in the mechanical intestinal obstruction of multifactorial origin with a high risk of morbidity and mortality. It is a rare <a href="#" data-counterslink = "https://www.mdpi.com/2813-4966/1/2/6/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> Background: Intestinal intussusception is defined as the invagination of one segment of the intestine into the lumen of an adjacent intestinal segment, resulting in the mechanical intestinal obstruction of multifactorial origin with a high risk of morbidity and mortality. It is a rare pathology in adults with a nonspecific clinical presentation. We present the case of a 26-year-old male patient who was admitted postoperatively after multiple extra institutional surgical interventions due to polytrauma secondary to a work-related accident that caused high-impact trauma by a solids mixer. However, he was referred to our institution due to suspected vascular trauma in the right femoral artery. During his hospital stay, he developed intolerance to oral intake associated with pain, abdominal distension, and persistent emetic episodes despite medical management. Consequently, an abdominal CT scan with double contrast was requested, revealing intestinal intussusception secondary to intestinal adhesions, which required new surgical management with a favorable resolution; Discussion: Intussusception in the adult population is rare and is primarily caused by an identifiable structural lesion. It is one of the most challenging pathologies in terms of diagnosis and management due to its nonspecific presentation. However, when postoperative symptoms indicating intestinal obstruction appear, a computed tomography scan is considered the imaging modality of choice for diagnosing intussusception in adults; Conclusions: The development of postoperative peritoneal adhesions is a common cause of intestinal obstruction that can lead to complications such as intestinal intussusception, requiring additional interventions. Therefore, it is vital to identify their presence to reduce morbidity and mortality. <a href="/2813-4966/1/2/6">Full article</a> </div> </div> <div class="belongsTo" style="margin-bottom: 10px;"> (This article belongs to the Special Issue <a href=" /journal/complications/special_issues/440C8ZUG68 ">Preventing and Managing Surgical Complications: Perspectives from Surgeons</a>)<br/> </div> <a href="#" class="abstract-figures-show" data-counterslink = "https://www.mdpi.com/2813-4966/1/2/6/show" ><span >►</span><span style=" display: none;">▼</span> Show Figures </a><div class="abstract-image-preview "><div class="arrow left-arrow" id="prev1436818"><i class="fa fa-caret-left"></i></div><div class="arrow right-arrow" id="next1436818"><i class="fa fa-caret-right"></i></div><div class="absgraph cycle-slideshow manual" data-cycle-fx="scrollHorz" data-cycle-timeout="0" data-cycle-next="#next1436818" data-cycle-prev="#prev1436818" data-cycle-progressive="#images1436818" data-cycle-slides=">div" data-cycle-log="false"><div class='openpopupgallery cycle-slide' data-imgindex='0' data-target='article-1436818-popup'><span class="helper"></span><img src="data:image/gif;base64,R0lGODlhAQABAAD/ACwAAAAAAQABAAACADs=" data-src="https://pub.mdpi-res.com/complications/complications-01-00006/article_deploy/html/images/complications-01-00006-g001-550.jpg?1721208479" alt="" style="border: 0;"><p>Figure 1</p></div><script id="images1436818" type="text/cycle" data-cycle-split="---"><div class='openpopupgallery' data-imgindex='1' data-target='article-1436818-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/complications/complications-01-00006/article_deploy/html/images/complications-01-00006-g002-550.jpg?1721208482'><p>Figure 2</p></div></script></div></div><div id="article-1436818-popup" class="popupgallery" style="display: inline; line-height: 200%"><a href="https://pub.mdpi-res.com/complications/complications-01-00006/article_deploy/html/images/complications-01-00006-g001-550.jpg?1721208479" title=" <strong>Figure 1</strong><br/> <p>Oral and IV contrast-enhanced abdominal computed tomography in the transverse section. absence of advance of the contrast medium, observing a transition zone at the level of the terminal ileum, with an image of an intestinal loop within an adjacent intestinal loop attributable to intestinal intussusception *. Source: Image taken by the authors.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/2/6'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/complications/complications-01-00006/article_deploy/html/images/complications-01-00006-g002-550.jpg?1721208482" title=" <strong>Figure 2</strong><br/> <p>Intestinal intussusception reduction sequence. (<b>A</b>) Identification of intestinal intussusception (red arrow). (<b>B</b>) Evidence of a band causing intestinal angulation, favoring the intussusception of 20 cm of the ileum (black arrow). (<b>C</b>) Intestinal band release and reduction in the intestinal intussusception (blue arrow). (<b>D</b>) Complete reduction in the intestinal intussusception (green arrow). Source: Image taken by the authors.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/2/6'>Full article</a></strong> "></a></div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 8 pages, 1853 KiB </span> <a href="/2813-4966/1/1/5/pdf?version=1721383300" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="Aortic Endograft Infections: A Race against Time" data-journal="complications"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Case Report</span></div> <a class="title-link" href="/2813-4966/1/1/5">Aortic Endograft Infections: A Race against Time</a> <div class="authors"> by <span class="inlineblock "><strong>Santiago Andrés Suárez-Gómez</strong>, </span><span class="inlineblock "><strong>Esteban Portilla-Rojas</strong>, </span><span class="inlineblock "><strong>María Fernanda Rodríguez</strong>, </span><span class="inlineblock "><strong>Natalia Velásquez-Solarte</strong>, </span><span class="inlineblock "><strong>Sara Restrepo</strong>, </span><span class="inlineblock "><strong>Luis Felipe Cabrera-Vargas</strong>, </span><span class="inlineblock "><strong>Nicolas Forero</strong> and </span><span class="inlineblock "><strong>Marcos Tarazona</strong></span> </div> <div class="color-grey-dark"> <em>Complications</em> <b>2024</b>, <em>1</em>(1), 24-31; <a href="https://doi.org/10.3390/complications1010005">https://doi.org/10.3390/complications1010005</a> - 21 Jun 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> Abdominal aortic aneurysms (AAAs) are a highly asymptomatic vascular pathology with an increasing risk of rupture, leading to high mortality. Upon detection, treatment primarily involves lifestyle changes to slow the growth rate. Aneurysm rupture requires immediate surgical intervention due to its high mortality. <a href="#" data-counterslink = "https://www.mdpi.com/2813-4966/1/1/5/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> Abdominal aortic aneurysms (AAAs) are a highly asymptomatic vascular pathology with an increasing risk of rupture, leading to high mortality. Upon detection, treatment primarily involves lifestyle changes to slow the growth rate. Aneurysm rupture requires immediate surgical intervention due to its high mortality. Endovascular aneurysm repair (EVAR) is a common treatment option, involving stent placement at the aneurysm site. However, the stent is a foreign body; therefore, it is susceptible to immune response and infection. This case series presents patients with infected endovascular stents following a diagnosis of abdominal infrarenal aortic aneurysm and EVAR. The patients’ follow-ups revealed varying prognoses, complications, and treatments post-infection. These findings are compared with outcomes reported in the medical literature. Preventing aortic stent graft infection through proper aseptic techniques is crucial. This practice reduces patient complications, shortens inpatient hospice stays, and, most importantly, enhances patient quality of life. <a href="/2813-4966/1/1/5">Full article</a> </div> </div> <div class="belongsTo" style="margin-bottom: 10px;"> (This article belongs to the Special Issue <a href=" /journal/complications/special_issues/440C8ZUG68 ">Preventing and Managing Surgical Complications: Perspectives from Surgeons</a>)<br/> </div> <a href="#" class="abstract-figures-show" data-counterslink = "https://www.mdpi.com/2813-4966/1/1/5/show" ><span >►</span><span style=" display: none;">▼</span> Show Figures </a><div class="abstract-image-preview "><div class="arrow left-arrow" id="prev1419297"><i class="fa fa-caret-left"></i></div><div class="arrow right-arrow" id="next1419297"><i class="fa fa-caret-right"></i></div><div class="absgraph cycle-slideshow manual" data-cycle-fx="scrollHorz" data-cycle-timeout="0" data-cycle-next="#next1419297" data-cycle-prev="#prev1419297" data-cycle-progressive="#images1419297" data-cycle-slides=">div" data-cycle-log="false"><div class='openpopupgallery cycle-slide' data-imgindex='0' data-target='article-1419297-popup'><span class="helper"></span><img src="data:image/gif;base64,R0lGODlhAQABAAD/ACwAAAAAAQABAAACADs=" data-src="https://pub.mdpi-res.com/complications/complications-01-00005/article_deploy/html/images/complications-01-00005-g001-550.jpg?1721383398" alt="" style="border: 0;"><p>Figure 1</p></div><script id="images1419297" type="text/cycle" data-cycle-split="---"><div class='openpopupgallery' data-imgindex='1' data-target='article-1419297-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/complications/complications-01-00005/article_deploy/html/images/complications-01-00005-g002-550.jpg?1721383398'><p>Figure 2</p></div> --- <div class='openpopupgallery' data-imgindex='2' data-target='article-1419297-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/complications/complications-01-00005/article_deploy/html/images/complications-01-00005-g003-550.jpg?1721383400'><p>Figure 3</p></div></script></div></div><div id="article-1419297-popup" class="popupgallery" style="display: inline; line-height: 200%"><a href="https://pub.mdpi-res.com/complications/complications-01-00005/article_deploy/html/images/complications-01-00005-g001-550.jpg?1721383398" title=" <strong>Figure 1</strong><br/> <p>Neoaortoiliac system procedure. (<b>A</b>) Dissection and harvesting of femoral veins. (<b>B</b>) Custom-made bifurcated autologous graft with vascular 4-0 prolene. (<b>C</b>) Identification and resection of the aortoduodenal fistula with duodenum primary repair. (<b>D</b>) Explantation of iliac aortic endograft extensions. (<b>E</b>) Aortic endograft explantation using the syringe technique. (<b>F</b>) Reconstruction of the aortoiliac using the custom-made femoral vein graft.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/1/5'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/complications/complications-01-00005/article_deploy/html/images/complications-01-00005-g002-550.jpg?1721383398" title=" <strong>Figure 2</strong><br/> <p>Diagram illustrating aortoenteric duodenal fistula evidenced in patients with aortic endograft infection. Source: Self-elaborated.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/1/5'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/complications/complications-01-00005/article_deploy/html/images/complications-01-00005-g003-550.jpg?1721383400" title=" <strong>Figure 3</strong><br/> <p>Decision algorithm for aortic native infections and aortic endograft infections. Endovascular aneurysm repair (EVAR), extra-anatomic bypass (EAB), neoaortoiliac system (NAIS), chronic obstructive pulmonary disease (COPD). Source: Modified from [<a href="#B27-complications-01-00005" class="html-bibr">27</a>].</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/1/5'>Full article</a></strong> "></a></div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 10 pages, 751 KiB </span> <a href="/2813-4966/1/1/4/pdf?version=1718180011" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="Efficiency of Orthopaedic Audits in a Level-1 Trauma Centre Using a Modified Clavien–Dindo Complications Classification" data-journal="complications"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Article</span></div> <a class="title-link" href="/2813-4966/1/1/4">Efficiency of Orthopaedic Audits in a Level-1 Trauma Centre Using a Modified Clavien–Dindo Complications Classification</a> <div class="authors"> by <span class="inlineblock "><strong>Adrian J. Talia</strong>, </span><span class="inlineblock "><strong>Nicholas Furness</strong> and </span><span class="inlineblock "><strong>Susan M. Liew</strong></span> </div> <div class="color-grey-dark"> <em>Complications</em> <b>2024</b>, <em>1</em>(1), 14-23; <a href="https://doi.org/10.3390/complications1010004">https://doi.org/10.3390/complications1010004</a> - 12 Jun 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> Background: Complications are an inevitable part of orthopaedic surgery, and how one defines complications can have an impact on the ability to learn from them. There have been issues with a commonly used classification system first outlined by Clavien and Dindo. Our aim <a href="#" data-counterslink = "https://www.mdpi.com/2813-4966/1/1/4/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> Background: Complications are an inevitable part of orthopaedic surgery, and how one defines complications can have an impact on the ability to learn from them. There have been issues with a commonly used classification system first outlined by Clavien and Dindo. Our aim was to evaluate a modification of this classification system developed for use in our department, with our hypothesis being that this could make our audit presentations more efficient. Methods: A modified Clavien–Dindo Classification was prospectively applied to all complications recorded in the orthopaedic departmental audits at our institution for a 12-month period. The audit discussion was recorded and analysed and compared with the complication audits for the preceding 12-month period. Results: We analysed eight audit presentations before and eight audit presentations after the introduction of a modified Clavien–Dindo classification to our orthopaedic complications over a 2-year period. The number of PowerPoint™ slides (103 vs. 84, <i>p</i> = 0.03) and the time spent on each presentation (88 vs. 71 min, <i>p</i> = 0.02) decreased significantly with the introduction of the modified classification. The novel system was found to have high inter-observer reliability. Conclusions: The modified Clavien–Dindo classification system is a reproducible classification system for orthopaedic complications. It made our audit presentations more efficient. <a href="/2813-4966/1/1/4">Full article</a> </div> </div> <a href="#" class="abstract-figures-show" data-counterslink = "https://www.mdpi.com/2813-4966/1/1/4/show" ><span >►</span><span style=" display: none;">▼</span> Show Figures </a><div class="abstract-image-preview "><div class="arrow left-arrow" id="prev1413062"><i class="fa fa-caret-left"></i></div><div class="arrow right-arrow" id="next1413062"><i class="fa fa-caret-right"></i></div><div class="absgraph cycle-slideshow manual" data-cycle-fx="scrollHorz" data-cycle-timeout="0" data-cycle-next="#next1413062" data-cycle-prev="#prev1413062" data-cycle-progressive="#images1413062" data-cycle-slides=">div" data-cycle-log="false"><div class='openpopupgallery cycle-slide' data-imgindex='0' data-target='article-1413062-popup'><span class="helper"></span><img src="data:image/gif;base64,R0lGODlhAQABAAD/ACwAAAAAAQABAAACADs=" data-src="https://pub.mdpi-res.com/complications/complications-01-00004/article_deploy/html/images/complications-01-00004-g001-550.jpg?1718180144" alt="" style="border: 0;"><p>Figure 1</p></div><script id="images1413062" type="text/cycle" data-cycle-split="---"><div class='openpopupgallery' data-imgindex='1' data-target='article-1413062-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/complications/complications-01-00004/article_deploy/html/images/complications-01-00004-g002-550.jpg?1718180145'><p>Figure 2</p></div></script></div></div><div id="article-1413062-popup" class="popupgallery" style="display: inline; line-height: 200%"><a href="https://pub.mdpi-res.com/complications/complications-01-00004/article_deploy/html/images/complications-01-00004-g001-550.jpg?1718180144" title=" <strong>Figure 1</strong><br/> <p>A graphical representation of the effect of the new classification system on the length of audit presentation in terms of the number of slides. MCD = modified Clavien–Dindo classification scale.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/1/4'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/complications/complications-01-00004/article_deploy/html/images/complications-01-00004-g002-550.jpg?1718180145" title=" <strong>Figure 2</strong><br/> <p>Graphical representation of effect of new classification system on total length of audit presentation in minutes. MCD = modified Clavien–Dindo classification scale.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/1/4'>Full article</a></strong> "></a></div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 3 pages, 156 KiB </span> <a href="/2813-4966/1/1/3/pdf?version=1711016378" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="Complications in Vascular and Endovascular Surgery: To Defeat Your Enemy, You Must Know Your Enemy" data-journal="complications"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Editorial</span></div> <a class="title-link" href="/2813-4966/1/1/3">Complications in Vascular and Endovascular Surgery: To Defeat Your Enemy, You Must Know Your Enemy</a> <div class="authors"> by <span class="inlineblock "><strong>Mario D’Oria</strong></span> </div> <div class="color-grey-dark"> <em>Complications</em> <b>2024</b>, <em>1</em>(1), 11-13; <a href="https://doi.org/10.3390/complications1010003">https://doi.org/10.3390/complications1010003</a> - 21 Mar 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> In recent decades, the field of vascular surgery has been revolutionized by the introduction and ever-rising growth of endovascular techniques for almost all arterial and venous diseases, mainly owing to their reduced morbidity and mortality rates as compared with conventional open surgical approaches <a href="#" data-counterslink = "https://www.mdpi.com/2813-4966/1/1/3/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> In recent decades, the field of vascular surgery has been revolutionized by the introduction and ever-rising growth of endovascular techniques for almost all arterial and venous diseases, mainly owing to their reduced morbidity and mortality rates as compared with conventional open surgical approaches [...] <a href="/2813-4966/1/1/3">Full article</a> </div> </div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <a data-dropdown="drop-supplementary-1149603" aria-controls="drop-supplementary-1149603" aria-expanded="false" title="Supplementary Material"> <i class="material-icons">attachment</i> </a> <div id="drop-supplementary-1149603" class="f-dropdown label__btn__dropdown label__btn__dropdown--wide" data-dropdown-content aria-hidden="true" tabindex="-1"> Supplementary material: <br/> <a href="/2813-4966/1/1/2/s1?version=1684371651"> Supplementary File 1 (ZIP, 89 KiB) </a><br/> </div> </div> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 5 pages, 201 KiB </span> <a href="/2813-4966/1/1/2/pdf?version=1702997875" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="Systematic Review and Meta-Analysis Assessing Perioperative and Oncologic Outcomes in Patients Undergoing Urologic Procedures with a History of Prior Abdominal/Pelvic Surgery: Study Protocol" data-journal="complications"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Protocol</span></div> <a class="title-link" href="/2813-4966/1/1/2">Systematic Review and Meta-Analysis Assessing Perioperative and Oncologic Outcomes in Patients Undergoing Urologic Procedures with a History of Prior Abdominal/Pelvic Surgery: Study Protocol</a> <div class="authors"> by <span class="inlineblock "><strong>Michael B. Eppler</strong>, </span><span class="inlineblock "><strong>Aref S. Sayegh</strong>, </span><span class="inlineblock "><strong>Ryan Davis</strong>, </span><span class="inlineblock "><strong>Sij Hemal</strong>, </span><span class="inlineblock "><strong>Mihir Desai</strong>, </span><span class="inlineblock "><strong>Rene Sotelo</strong>, </span><span class="inlineblock "><strong>Inderbir Gill</strong> and </span><span class="inlineblock "><strong>Giovanni E. Cacciamani</strong></span> </div> <div class="color-grey-dark"> <em>Complications</em> <b>2024</b>, <em>1</em>(1), 6-10; <a href="https://doi.org/10.3390/complications1010002">https://doi.org/10.3390/complications1010002</a> - 18 May 2023 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> Prior abdominal/pelvic surgery (PAS) has the potential to impact perioperative and oncologic outcomes in patients undergoing urologic surgery. There is a need to study outcomes in this population to determine if reoperation is safe and feasible. This review will follow the Preferred Reporting <a href="#" data-counterslink = "https://www.mdpi.com/2813-4966/1/1/2/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> Prior abdominal/pelvic surgery (PAS) has the potential to impact perioperative and oncologic outcomes in patients undergoing urologic surgery. There is a need to study outcomes in this population to determine if reoperation is safe and feasible. This review will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and has been registered with PROSPERO (ID: CRD42022361935). The search for articles will be conducted in PubMed, Scopus, and Web of Science, and additional articles may be identified by reviewing the manuscripts of the included literature. Outcomes of interest will be used to determine if reoperation is safe and feasible in this population. <a href="/2813-4966/1/1/2">Full article</a> </div> </div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 5 pages, 635 KiB </span> <a href="/2813-4966/1/1/1/pdf?version=1702996491" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="Complications—A New Open-Access Journal for Improving Our Understanding of Prevention and Management of Surgical, Interventional and Anesthesiologic Complications and Adverse Events" data-journal="complications"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Editorial</span></div> <a class="title-link" href="/2813-4966/1/1/1"><i>Complications</i>—A New Open-Access Journal for Improving Our Understanding of Prevention and Management of Surgical, Interventional and Anesthesiologic Complications and Adverse Events</a> <div class="authors"> by <span class="inlineblock "><strong>Giovanni E. Cacciamani</strong></span> </div> <div class="color-grey-dark"> <em>Complications</em> <b>2024</b>, <em>1</em>(1), 1-5; <a href="https://doi.org/10.3390/complications1010001">https://doi.org/10.3390/complications1010001</a> - 31 Dec 2022 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> The reporting of surgical, interventional, and anesthesiologic complications is essential for improving the quality of healthcare delivery and for standardizing and reproducing outcomes data. To address underlying issues in the reporting of complications and adverse events, it may be necessary to provide education <a href="#" data-counterslink = "https://www.mdpi.com/2813-4966/1/1/1/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> The reporting of surgical, interventional, and anesthesiologic complications is essential for improving the quality of healthcare delivery and for standardizing and reproducing outcomes data. To address underlying issues in the reporting of complications and adverse events, it may be necessary to provide education and training, establish standardized definitions and reporting requirements, and create incentives for healthcare providers to report complications. Complications, a new international peer-reviewed open access journal, aims to provide best practice and expert opinion recommendations on the prevention, diagnosis, pathogenesis, and management of complications in basic, translational, and clinical research, as well as epidemiology. The journal invites authors to address four components of perioperative adverse events: assessment, reporting, analysis of anticipatable factors, and management. The usability and practical implications of this information can have significant implications for academic and clinical practice. The prioritization of the assessment and reporting of adverse events to standardize their management and improve the understanding of the impact of these events on patients’ peri-operative course. <a href="/2813-4966/1/1/1">Full article</a> </div> </div> <a href="#" class="abstract-figures-show" data-counterslink = "https://www.mdpi.com/2813-4966/1/1/1/show" ><span >►</span><span style=" display: none;">▼</span> Show Figures </a><div class="abstract-image-preview "><div class="absgraph cycle-slideshow"><div class='openpopupgallery cycle-slide' data-imgindex='0' data-target='article-1021451-popup'><span class="helper"></span><img src="data:image/gif;base64,R0lGODlhAQABAAD/ACwAAAAAAQABAAACADs=" data-src="https://pub.mdpi-res.com/complications/complications-01-00001/article_deploy/html/images/complications-01-00001-g001-550.jpg?1702996601" alt="" style="border: 0;"><p>Figure 1</p></div></div></div><div id="article-1021451-popup" class="popupgallery" style="display: inline; line-height: 200%"><a href="https://pub.mdpi-res.com/complications/complications-01-00001/article_deploy/html/images/complications-01-00001-g001-550.jpg?1702996601" title=" <strong>Figure 1</strong><br/> <p>Trends over time of publications on Complications and Adverse Events from Web of Science (Access 20 December 2022).</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2813-4966/1/1/1'>Full article</a></strong> "></a></div> </div> </div> </div> </div> <div class="generic-item last-item"> <a class="bold" href="/search?q=&journal=complications&sort=pubdate&page_count=50">More Articles...</a> </div> </div> </div> </div> <div id="left-column" class="content__column large-3 large-pull-6 medium-3 medium-pull-6 small-12 columns"> <div id="js-large-main-top-container"> <div id="js-main-top-container" class="content__container"> <a href="/journal/complications"> <img src="https://pub.mdpi-res.com/img/journals/complications-logo.png?90af40d330b44c23" 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