Journal of Surgery

Daniela Sala

Publications

• Review Article
  Prediction and Early Identification of Anastomotic Leaks after Colorectal Surgery
  Author(s): Gabriel Popescu, Șerban Bancu, Daniela Sala, Radu Mircea Neagoe and Mircea MureșanGabriel Popescu, Șerban Bancu, Daniela Sala, Radu Mircea Neagoe and Mircea Mureșan
  
  Anastomotic leaks (AL) still represent a major possibly life-threatening complication after colorectal surgery. The clinical presentation varies from mild symptoms to peritonitis and sepsis, which toughens the early diagnosis even for experienced surgeons. Numerous risk factors have been identified in the development of AL. The presence of bacterial strains such as Pseudomonas aeruginosa or Enterococcus faecalis are associated with higher AL rates, thus antibiotic prophylaxis seems to reduce complications. Male gender, advanced age, higher ASA fitness score, malnutrition and personal history of radiotherapy, diabetes mellitus and chronic kidney disease also lead to higher AL rates. The localization of the tumor also represents an important risk factor, as distal tumors have been identified as a predictor for AL. No differences have been found between open versus lapa.. Read More»
  DOI: 10.7438/1584-9341-14-1-4

  Abstract PDF