Complications of operations in neurosurgery

P. Shnyakin, D. Rzaev, P. G. Rudenko
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Abstract

Complications of operations are negative, but inevitable companions of surgery and determine dissatisfaction with the outcome of treatment for both the doctor and the patient. In this regard, the improvement of the results of surgical treatment is associated not only with the improvement of the technique and skill of the surgeon, but also with the prevention and control of complications. On this path, it is necessary to analyze complications from your own practice and share negative experiences in scientific publications, at conferences, in the educational process. Despite the significance of the problem, there is still no single approved definition of “complication of surgery” in the surgical literature, and experts’ opinions on this matter differ. It is quite difficult to analyze scientific publications on this topic when different indicators of the frequency and structure of complications can be determined by different understanding of the term “complication” by specialists. This review presents the main approaches to the definition of “complication of surgery”, as well as other definitions proposed by some authors (“consequence of surgery”, “undesirable perioperative events”). Based on the conducted review, a variant of the use of terms is proposed.
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神经外科手术并发症
手术并发症是手术中不可避免的负面因素,决定了医患双方对治疗结果的不满。因此,手术治疗效果的改善不仅与外科医生技术和技能的提高有关,还与并发症的预防和控制有关。在这条道路上,有必要对自身实践中的并发症进行分析,并在科学出版物、会议和教育过程中分享负面经验。尽管这个问题非常重要,但外科文献中仍然没有一个公认的 "手术并发症 "定义,专家们对这个问题的看法也不尽相同。专家们对 "并发症 "一词的不同理解可以确定并发症发生频率和结构的不同指标,因此分析有关这一主题的科学出版物相当困难。本综述介绍了 "手术并发症 "定义的主要方法,以及一些学者提出的其他定义("手术后果"、"围手术期不良事件")。在综述的基础上,提出了术语使用的变体。
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