Post-Operative Complications


General

Immediate

  • anaesthetic
  • haemorrhage
  • surgical tissue damage
    • unavoidable
    • inadvertent
  • inadvertent operating theatre trauma
    • pressure sores
    • diathermy burns
    • falls
  • transfusion reactions

Early post-operative

  • haemorrhage
  • fluid balance
  • urinary retention
  • transfusion reactions
  • acute renal failure

Late Post-operative

  • haemorrhage (due to infection eroding vessels at operation site)
  • infection
    • minor wound infection
    • cellulitis / abscess
    • gas gangrene
  • impaired wound healing
  • wound dehiscence
  • Respiratory
  • Thromboembolism
    • DVT
    • Pulmonary embolus
  • Multiple  Organ Failure (in order)
    1. pulmonary failure
    2. hepatic
    3. intestinal
    4. renal
    5. cardiac
  • fluid balance
  • urinary tract infection
  • antibiotic-associated colitis
  • pressure sores

Long-term

  • wound sinus (due to retained foreign material)
  • incisional hernia
  • adhesions
  • strictures

Systems

  • Cardiovascular
  • Respiratory
  • Nutritional
  • Urinary
  • Gastrointestinal
  • Neuromuscular
  • Psychological

Specific

 

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