Background
Methods/Design
Preoperative | Perioperative | Post-operative |
---|---|---|
Patient counseling/education | Abdominal drains (none) | Regular diet |
Fasting (reduced) | Nasogastric tube (none) | Early feeding |
e.g., Use of non-steroidal anti-inflammatory drugs (NSAIDs) | Fluid restriction | Pain management |
Carbohydrate enriched drinks | Analgesia – NSAIDS, narcotics, use of epidural analgesia | Chewing gum/Ileus |
Stress management | Fluid restriction | Early ambulation |
Patient expectations (managing) | Exercise therapy | |
Patient discharge planning | ||
Accelerated rehabilitation | Urinary catheter (time of removal) | Removal of epidural catheter |
Search strategy
Study selection
Data collection
Risk of bias assessment (quality)
Data synthesis
Procedure | Immediately Post-operative | Within 30-days |
---|---|---|
Carotid | TIA/CVA Bleeding Cranial Nerve injury –VII (Marginal Mandibular branch), X, XII Cardiovascular (myocardial infarction; Arrhythmias, Hypotension, Hypertension) Reperfusion Injury Infection (respiratory; urinary tract; surgical site) | Immediately Post-operative complications plus: Mortality Delayed Infection Pseudoaneurysm Cranial hemorrhage Recurrent Carotid Stenosis |
Aneurysm (Open & Endovascular) | Cardiovascular (myocardial infarction; stroke; Arrhythmias) Renal failure Surgical site hematoma or bleeding Infection (respiratory; urinary tract; surgical site) Wound Dehiscence Pulmonary embolism/Deep Vein Thrombosis Endoleak (specific to endovascular repair) | Immediately post-operative complications plus: Open Mortality Nerve injury (Sexual dysfunction/ED) Incisional Hernia Small Bowel Obstruction Aorto-duodenal fistula Graft Infection Occlusion/Thrombosis Recurrent Aneurysm
Endovascular Mortality Graft Infection Lymph Leak Endoleak +/- need for re-intervention Recurrent/Enlarging AAA Aorto-duodenal fistula |
Bypasses | Cardiovascular (myocardial infarction; stroke; Arrhythmias) Infection (respiratory; urinary; surgical site) Leg edema Hemorrhage Reperfusion Injury Neuropraxia (nerve palsy) Pulmonary embolism/Deep vein Thrombosis Graft occlusion Graft infection | Immediately post-operative complications plus: Mortality Nerve injury (Sexual dysfunction/ED) Neurogenic pain Amputation |
Amputation | Cardiovascular (myocardial infarction; heart failure; stroke; arrhythmia; renal failure) Poor/failed healing of stump Infection (respiratory; urinary; surgical site) Incisional stump pain Hematoma Falls | Immediately post-operative complications plus: Phantom limb pain Mortality Stump edema Dehiscence Tissue necrosis Osteomyelitis Pressure necrosis at site of bone transection |