Complications in Surgery

Complications in Surgery, Second Editionoffers authoritative recommendations for preventing and managing complications in all current general surgery procedures. The opening sections discuss institutional risk management issues and risks common to all operations, such as wound healing problems, infection, shock, and complications in immunosuppressed patients. Subsequent sections focus on complications of specific procedures in thoracic, vascular, gastric, endocrine, breast, and oncologic surgery, as well as organ transplantation and pediatric surgery. This edition includes new information on surgical quality assessment and patient safety and updated information in the organ-specific chapters.

Contributors v Preface ix Acknowledgments xi PA R T I : INSTITUTIONAL ISSUES 1. Surgical Complications . . . . . . . . . . . . . . . . . . . . . . . . 3Michael W. Mulholland and Gerard Doherty 2. Outcomes and Error . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Learning from UnanticipatedLinnea S. Hauge 3. Surgical Training: Present and Future . . . . . . . . . . . 13Rebecca M. Minter and Paul G. Gauger 4. Continuing Education for Practicing Surgeons . . . . 22Richard E. Burney and R. Van Harrison 5. Surgical Credentials . . . . . . . . . . . . . . . . . . . . . . . . . . 28Mary E. Klingensmith 6. Surgical Outcomes . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Understanding Variation inJustin B. Dimick and John D. Birkmeyer 7. Surgical Outcomes . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Strategies for Reducing Variation inJohn D. Birkmeyer and Justin B. Dimick 8. Collaboratives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Building Successful Quality ImprovementMichael J. Englesbe 9. Patient Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53Darrell A. Campbell PA R T I I : MANAGEMENT OF SURGICAL COMPLICATIONS 10. Assessment of Perioperative Cardiac Risk . . . . . . . 67Debabrata Mukherjee and Kim A. Eagle 11. Perioperative Risk . . . . . . . . . . . . . . . . . . . . . . . . . . . 78 Assessment of NoncardiacPauline K. Park 12. Anesthesia Complications . . . . . . . . . . . . . . . . . . . . . 91Paul E. Kazanjian 13. Complications of Wound Healing . . . . . . . . . . . . . 128Michael G. Franz 14. Surgical Site Infections. . . . . . . . . . . . . . . . . . . . . . . 140Gerard M. Doherty 15. Septic Shock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151Awori Hayanga and Stewart Wang 16. Hypovolemic Shock . . . . . . . . . . . . . . . . . . . . . . . . . 161Wendy L. Wahl 17. Fluid and Electrolyte Abnormalities . . . . . . . . . . . 168Bradley D. Freeman 18. Acute Renal Failure . . . . . . . . . . . . . . . . . . . . . . . . . 174Robert E. Southard and Craig M. Coopersmith 19. Pulmonary Complications . . . . . . . . . . . . . . . . . . . 181Mark R. Hemmila 20. Abnormalities in Coagulation . . . . . . . . . . . . . . . . 200Alvin H. Schmaier 21. Complications of Nutritional Support . . . . . . . . . 210Imad F. Btaiche, Eiichi Miyasaka, and Daniel H. Teitelbaum 22. Complications of Immunosuppression . . . . . . . . . 227Niraj M. Desai and Christina L. Klein PA R T I I I : COMPLICATIONS OF THORACIC SURGERY 23. and Tracheal Surgery . . . . . . . . . . . . . . . . . . . . . . . . 241 Complications of Intubation, Tracheotomy,Kevin Fung and Norman D. Hogikyan 24. Complications of Esophageal Surgery . . . . . . . . . 257Andrew C. Chang and Mark D. Iannettoni 25. Chest Wall Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . 276 Complications of Pulmonary andChristina H. Wei and Jessica S. Donington 26. Complications of Extracorporeal Circulation . . . . 290Jennifer S. Lawton 27. Revascularization . . . . . . . . . . . . . . . . . . . . . . . . . . . 298 Complications of Surgical CoronarySpencer J. Melby, Traves D. Crabtree, and Marc R. Moon 28. Cardiac Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . 310 Complications in ValvularGorav Ailawadi 29. Complications of Thoracoscopy . . . . . . . . . . . . . . . 320James M. Donahue, Michael A. Smith, and Richard J. Battafarano PA R T I V : COMPLICATIONS OF VASCULAR SURGERY 30. Complications of Arterial Surgery . . . . . . . . . . . . . 331Gilbert R. Upchurch Jr., Jonathan L. Eliason, John E. Rectenwald, and James C. Stanley 31. and Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 349 Complications of Venous DiseaseThomas W. Wakefield and Peter K. Henke 32. Complications of Endovascular Therapy . . . . . . . 367Matthew J. Eagleton and Sunita D. Srivastava PA R T V : COMPLICATIONS OF GASTROINTESTINAL SURGERY 33. Complications of Gastric Surgery . . . . . . . . . . . . . 393Michael W. Mulholland 34. Complications of Hepatic Surgery . . . . . . . . . . . . . 415Theodore H. Welling and James A. Knol 35. Complications of Biliary Surgery . . . . . . . . . . . . . . 429Christopher J. Sonnenday 36. Complications of Pancreatic Surgery . . . . . . . . . . . 450Diane M. Simeone 37. Small Bowel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 464 Complications of Intestinal Surgery:Arden M. Morris 38. Colon and Rectal Surgery . . . . . . . . . . . . . . . . . . . . 483 Complications of Appendectomy andEmily Finlayson 39. Hernia Operations . . . . . . . . . . . . . . . . . . . . . . . . . . 500 Complications of Abdominal Wall andMichael G. Franz 40. Complications of Laparoscopic Surgery . . . . . . . . 522Jonathan F. Finks PA R T V I : COMPLICATIONS OF ENDOCRINE AND ONCOLOGIC SURGERY 41. Complications of Adrenal Surgery . . . . . . . . . . . . 535Paul G. Gauger 42. Parathyroid Surgery . . . . . . . . . . . . . . . . . . . . . . . . . 550 Complications of Thyroid andGerard Doherty 43. Pancreatic Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . 567 Complications in EndocrineCortney Youens Lee and Terry C. Lairmore 44. Complications in Breast Surgery . . . . . . . . . . . . . . 576Alicia Growney, Ahmad Azari, and Lisa A. Newman 45. Complications of Soft-Tissue Tumor Surgery . . . . 594Sandra L. Wong 46. Complications of Lymphadenectomy . . . . . . . . . . 602Alliric I. Willis and Jeffrey F. Moley PA R T V I I : COMPLICATIONS OF TRANSPLANTATION 47. Complications of Renal Transplantation . . . . . . . . 613Randall Sung and Robert Merion 48. Complications of Liver Transplantation . . . . . . . . 627Shawn J. Pelletier 49. Complications of Pancreatic Transplantation . . . . 640Dixon B. Kaufman 50. Transplantation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 656 Complications of PulmonarySara A. Hennessy, Bryan F. Meyers, and Christine L. Lau 51. Heart Transplantation . . . . . . . . . . . . . . . . . . . . . . . 674 Complications FollowingSanjeev Aggarwal and Francis D. Pagani PA R T V I I I : COMPLICATIONS OF PEDIATRIC SURGERY 52. Surgical Complications in Newborns . . . . . . . . . . 701Samir Gadepalli and Ronald B. Hirschl 53. Surgical Complications in Children . . . . . . . . . . . . 746James D. Geiger Index 769