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What is considered the most serious,risky surgery?



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No. 10
Old Jul 04, 2009, 08:32 AM

Default Re: What is considered the most serious,risky surgery?
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No. 11
Old Jul 04, 2009, 08:35 AM

Default Re: What is considered the most serious,risky surgery?
Originally Posted by PAERRN20 View Post
Dissecting aortic aneurysm repair? I agree with the trauma and neuro surgery as mentioned above.
I completely agree with that! Vascular surgery can go wrong in a flash in general. Believe it or not, most of my codes in the OR have been doing an AV graft, or thrombectomy. But those renal patients usually have so many other medical issues going on as well!
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No. 12
from anonymurse
Old Jul 04, 2009, 08:48 AM

Default Re: What is considered the most serious,risky surgery?
It's not the surgery, it's the surgeon. AND the anesthesiologist.
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No. 13
from oramar
Old Jul 04, 2009, 11:41 AM

Default Re: What is considered the most serious,risky surgery?
My vote would be for the multiple organ transplant surgeries. It is weird but people usually get thru multiple organ transplant surgery alive but the recovery period after is a field strewn with land mines.
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No. 14
Old Jul 04, 2009, 12:09 PM

Default Re: What is considered the most serious,risky surgery?
I have heard (but have no stats to back it up) that gastric bypass has the highest morbidity/mortality rate....but I'm not sure if it falls under more elective vs necessary surgery to get that rank (a dissecting AAA must be addressed, gastric bypass is always a choice). I have seen them go very, very well, but when they go bad, they REALLY go bad.
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No. 15
from heron
Old Jul 04, 2009, 03:35 PM

Default Re: What is considered the most serious,risky surgery?
Bear in mind, too, that risk assessment can turn on it's head depending on the underlying problems the patient brings into surgery and the type of anesthesia involved.
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No. 16
Old Jul 04, 2009, 04:14 PM

Default Re: What is considered the most serious,risky surgery?
Originally Posted by janfrn View Post
Oooh, I don't know... some of the repairs for congenital heart defects are really complex, very lengthy and result in a very sick baby. Total anomalous pulmonary venous return is notoriously bad. And then there are the conjoined twin separations. Yeesh, long, difficult and very risky.
I heard that congenital heart defect surgeries in general are quiet safe,uncomplicated procedue
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No. 17
Old Jul 04, 2009, 04:17 PM

Default Re: What is considered the most serious,risky surgery?
Originally Posted by wowza View Post
Sorry to get off topic but this needed to be addressed.

You probably heard this with regards to chronic back pain. Do not let a chiropractor EVER mess with anyone who has any acute problem with their vertebrae. High velocity maneuvers on an unstable spine spells disaster.

A chiropractor's place is with chronic low back pain and pretty much nothing else. For clearly minor acute MSK strain I personally have found they also do a pretty good job. For anyone requiring surgery from spondylolysis or even spondylolisthesis do not let your patient go to a chiropractor first.


Most dangerous surgeries are anything in which the surgeon is trying to catch up: Major trauma, disections, ruptures aneurysms, etc. The process has already started to compromise the patients.

Things like normal aneurism repairs, while risky are no where near as bad as when the aneurism has already ruptured
I dont know I heard quiet opposite,I have read success stories where chiropractic practice was much involved.
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No. 18
Old Jul 04, 2009, 04:20 PM

Default Re: What is considered the most serious,risky surgery?
Originally Posted by cherrybreeze View Post
I have heard (but have no stats to back it up) that gastric bypass has the highest morbidity/mortality rate....but I'm not sure if it falls under more elective vs necessary surgery to get that rank (a dissecting AAA must be addressed, gastric bypass is always a choice). I have seen them go very, very well, but when they go bad, they REALLY go bad.
Wow that is really scary and at the same time very suprising,I never though that gastroplasty would be so unsafe....
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No. 19
Old Jul 04, 2009, 04:23 PM

Default Re: What is considered the most serious,risky surgery?
Originally Posted by oramar View Post
My vote would be for the multiple organ transplant surgeries. It is weird but people usually get thru multiple organ transplant surgery alive but the recovery period after is a field strewn with land mines.

great idea,I agree plus what is it like 3 to 5 years and another transplant is needed?
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