Preface. Pediatric surgical procedures--adverse effects.

摘要

Complications are part of the life as a surgeon, hence the popular saying, "The only surgeons who don't have surgical complications are those who don't operate." Many complications are unavoidable. For example, a small percentage of w,ound infections will always occur in patients with perforated appendicitis, despite meticulous technique and the use of properly timed preoperative antibiotics. Those who leave all contaminated wounds open may never have to report a wound infection, but is it worth submitting all children to the discomfort of an open wound and dressing changes to avoid a 5-10percent rate of wound infection? Personally, I don't think so, and I accept the fact that I will have to report a certain number of these complications. However, other than these predictable and, to a certain extent, unavoidable complications, there are some that are severe, potentially preventable, or cause less morbidity if recognized early. This issue of Seminars will focus on this type of adverse event.