Complications of postoperative period

Dangerous bleeding from wounds possible mainly after operations on large vessels. At the berths of the patient undergoing surgery on vessels or limb amputation, you should be ready tourniquet. First aid when started bleeding is its temporary suspension harness, finger pressure, and so on (see Bleeding). Abdominal bleeding can occur after any intervention in the abdominal or thoracic cavity due to slippage ligatures with any vessel, as rare - even after appendectomy. Is manifested by symptoms of blood loss (paleness, shortness of breath, thirst, frequent weak pulse). Do not enter the heart drugs, immediately call the surgeon to prepare the equipment for blood transfusion. Bleeding from the operated stomach is identified by a rich or repeated vomiting blood (single vomiting small amount of old dark blood occurs frequently and is not indicative). Before the arrival of the doctor - an ice pack on the stomach.
The discrepancy wounds perhaps the most and the most dangerous after chrevosechenie with great median cut, when it is accompanied by AVANTASIA, i.e. the loss of the abdominal viscera from the wound out. The difference may occur from sharp bloating paralytic ileus gut (especially caused by the outbreak of peritonitis), and in elderly malnourished patients from natureline and even cough push. A symptom is sudden abundant soaking liquid bandage is usually sero-bleeding; if the wound was sticker, it may seem intestinal loops, gland. Aid before the arrival of the surgeon: lay on top of wet bandages or stickers very wide aseptic bandage tightly wrap the belly of a towel or sheet, enter under the skin camphor oil (2-4 ml).
Dynamic (paralytic) obstruction of the intestines may develop after a difficult and traumatic interventions in the abdomen, especially after operations on volvulus and other forms strangulation obstruction, and in postoperative peritonitis (see below). Symptoms and treatment of dynamic impassability - see bowel Obstruction. Persistent diarrhea in the postoperative period frequent in patients undergoing extensive resection of the intestines, is sometimes observed after gastrectomy. Urgent assistance is requested. Treatment: diet and drug by prescription.
Persistent vomiting occurs when the dynamic obstruction of the intestines; after operations on the stomach and began feeding the patient is vomiting associated with meals, indicate insufficiency of anastomosis. In these cases, with the failure of conservative measures (suction drainage, gastric lavage) shows the x-ray examination of the stomach and, depending on its results, a second operation.

  • Infectious complications of postoperative period
  • Postoperative pneumonia, surgical shock, thrombosis, tetany and acidosis