+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Surgical reinterventions in neck after elective procedures

, : Surgical reinterventions in neck after elective procedures. Cirugia Y Cirujanos 72(6): 461-464

Our objective was to determine the frequency of surgical reinterventions for recurrence or disease persistence after elective surgical procedures of the neck. We used a transversal and comparative study, accomplished during a 6-year period. Emergency initial surgical procedures were excluded. The patients were divided according to the type of hospital where the initial surgical procedure was performed--those treated at a specialized medical center and those operated on in general hospitals. The variables evaluated were preoperative and pathological diagnosis, previous surgical procedures, and the time between the primary surgery and the definitive procedure. Three hundred sixty-two cases were included. Of these, 27 patients (7.45%) required surgical reinterventions. Time elapsed between the first and the definitive procedure was 1 to 19 years. Diagnostic concordance between the initial and final diagnosis was 89%. According to the type of hospital where the initial procedure was performed (specialized vs. general hospitals), we observed the following reintervention frequencies: parathyroid, 12.2% vs. 12.2% (p = 0.6); thyroid, 1.63% vs. 5.88% (p <0.05); thyroglossal duct cyst, 1.65% vs. 5.83% (p = 0.41), respectively. The specialized hospital admits patients with multiple problems, poor response, or inadequate therapeutic indication. For thyroid pathologies the odds ratio established a probability of 6.8 for major reintervention in those patients treated in non-specialized hospitals.


PMID: 15694051

Other references

Pai, M.; Sundaram, P.; Radhakrishnan, K.K.; Thomas, K.; Muliyil, J., 1999: Hepatitis B immunization coverage and awareness in middle and upper-class population in Chennai City. Indian Pediatrics 35(9): 922-923

Schuind, F.; Donkerwolcke, M.; Rasquin, C.; Burny, F., 1989: External fixation of fractures of the distal radius: a study of 225 cases. Journal of Hand Surgery 14(2 Pt 2): 404-407

Saxena, M.C.; Linke, K.H.; Sauerborn, J., 1994: Integrated control of Orobanche in cool-season food legumes. A review of the control of Orobanche in cool-season legumes is presented. The large losses of legume yields due to infestations of Orobanche crenata around the Mediterranean are described. It is noted that precise estimates of the economic thresho...

Peruzzi, P., 1951: A peculiar diencephalic automatism released by narcosis. Bollettino Della Societa Italiana di Biologia Sperimentale 27(7-8): 1173-1175

Sam, I-Ching.; Abdul-Murad, A.; Karunakaran, R.; Rampal, S.; Chan, Y-Fun.; Nathan, A.Marie.; Ariffin, H., 2011: Clinical features of Malaysian children hospitalized with community-acquired seasonal influenza. The clinical impact of seasonal influenza is understudied in tropical countries. The aim of this study was to describe the clinical features and seasonal pattern of influenza in children hospitalized in Malaysia, and to identify predictors of seve...

Fanton, Jw, 1982: Sciatic nerve injury possibly due to pin fixation Dogs. Canine practice 9(4): 35-37

Panijel, J.; Delpierre, M.A.; Maridat, J.; Terquem, M., 1976: The repertoire of specificity of lymphoid cells: primary response and antigenic competition in microcultures. Using a microculture system which permits the survival of very small numbers of active lymphoid cells, the frequency of units of response towards two non-crossing antigens, SRBC and phage phi17, is determined in long term cultures of calf lymph no...

Bernhardt P.; Calder D.M., 1981: The floral ecology of sympatric populations of amyema pendulum and amyema quandang loranthaceae. A. pendulum (Sieber ex Spreng.) Van Tiegh and A. quandang (Lindl.) Van Tiegh, are exclusively ornithophilous. The density and diversity of pollen vectors fluctuates during the flowering season of both of these mistletoes. Trilobate pollen grains a...

Nicholson, G.A., 1996: Motor neurone disease and the life of motor neurones. Medical Journal of Australia 165(4): 180-181

Hesse R.; Shah J.; Islam S., 2000: Ordovician organogenic deep-sea dolomite; physical and chemical conditions of concretion growth. International Geological Congress, Abstracts = Congres Geologique International, Resumes 31(2000