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Iskalni niz: "ključne besede" (surgical complications) .

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1.
Postpartum maternal complications : a retrospective single-center study
Nuša Stopar, Andreja Trojner-Bregar, 2026, izvirni znanstveni članek

Povzetek: Objectives: To evaluate the incidence and underlying causes of postpartum complications, with a focus on infections, among women who delivered at a tertiary maternity hospital over a 17-year period. Methods: This retrospective observational study was conducted at the University Medical Center Ljubljana, the largest maternity hospital in Slovenia. The study included all women who delivered vaginally or via cesarean section between 2008 and 2024 and subsequently required medical assessment or hospitalization within six weeks postpartum. We analyzed the frequency and types of complications, paying special attention to infection rates by delivery method and microbiological findings from wound swabs. Results: Postpartum complications were observed in 7.6 % of women following vaginal birth and 10.6 % after cesarean delivery. Infections and breastfeeding-related problems were the most common causes for medical reevaluation. After vaginal delivery, breast complications such as mastitis or milk stasis represented 36.4 % of all cases, followed by minor perineal issues. Following cesarean section, surgical site complications were most frequent (42.1 %), with a wound infection rate of 7.7 %. Between 2020 and 2024, readmissions to intensive care occurred in 0.92 % of vaginal deliveries and 2.76 % of cesarean deliveries. Endometritis was the most common infection after vaginal birth, while wound infections predominated post-cesarean. Wound swab cultures often revealed polymicrobial flora. Conclusions: Postpartum infections remain a leading complication, particularly after cesarean delivery. Strengthening preventive measures including antibiotic prophylaxis, timely postpartum follow-up, and continuous microbial surveillance is critical to reducing maternal morbidity and supporting more effective, targeted interventions.
Ključne besede: antibiotic prophylaxis, breastfeeding complications, cesarean section, postpartum infections, postpartum period, surgical site infection
Objavljeno v DiRROS: 24.04.2026; Ogledov: 121; Prenosov: 86
.pdf Celotno besedilo (1,20 MB)
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2.
Stomach cancer elective surgery morbidity and mortality at 90-Day (Hold Study) : a prospective, international collaborative cohort study
Claudia Neves-Marques, Mohamed Abulazayem, Geoffrey Yuet Mun Wong, Ricardo David Maldonado, Yirupaiahgari Viswanath, Jan Grosek, Jurij Aleš Košir, 2026, izvirni znanstveni članek

Povzetek: Background: Data on multinational 90-day mortality and morbidity rates after surgery for gastric cancer is limited in the literature. This study aimed to understand the 90-day mortality and morbidity outcomes among patients undergoing elective gastric cancer surgery, as in the GASTRODATA Registry, and to identify associated risk factors. Methods: We conducted an international prospective study on patients aged ≥ 18 years undergoing elective surgery for gastric cancer with curative intent from January 4 to September 30, 2022. Known metastatic disease, concurrent secondary cancers, gastrointestinal stromal tumour (GIST) and Siewert type I/II oesophagogastric junction malignancies were excluded. Univariate and multivariate logistic regression were used to identify variables associated with the 90-day outcome. Results: 380 collaborators from 47 countries submitted data on 1538 patients. Median age was 65 years (IQR: 19–94), and 58.5% were males. 90-day morbidity and mortality rates were 38.2% (n = 587) and 2.9% (n = 45), respectively. Pre-operative higher Charlson Comorbidity Index, higher ASA score, pre-operative weight loss > 10%, positive specimen margin, and post-operative pathological IV staging (p value < 0.05) were significantly associated with clinically relevant complications and mortality. Conclusion: Elective gastric cancer surgery has a 90-day morbidity of 38.2% and a 90-day mortality of 2.9% globally. This study provided the most comprehensive international 90-day prospective data to date regarding gastric cancer surgery. Several factors associated with higher morbidity were identified, highlighting the importance of a unified language on surgical morbidity, prehabilitation, and ongoing audits to enhance patient outcomes.
Ključne besede: gastric cancer, elective surgery, morbidity, mortality, 90-day postoperative outcomes, multinational audit, surgical complications, anastomotic leaks, patient safety
Objavljeno v DiRROS: 16.12.2025; Ogledov: 1730; Prenosov: 210
.pdf Celotno besedilo (1,34 MB)
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