12 - Surgical (Post-operative) Complication Flashcards
What should the urine production be after surgery?
> 0.5-1 liter
What is the most common surgical wound complication? How can you prevent it?
seroma
trocar
What is the treatment for seroma? 3
sterile needle aspiration + compression bandage
when > 2 punctures- open drainage
in mash seroma- surgical drainage
Hematoma tends to get more __ than seroma.
infected
Dehiscence is when the surgical __ fails, the __ layer separate and the visceral organs are held only by the __. More common in POD -.
wound
musculoaponeurotic
skin
7-10
Which operative related factors may cause wound dehiscence? 4
emergency surgery
intraabdominal/wound infection
hematoma/seroma
increased intraabdominal pressure
Which patient related factors may cause wound dehiscence? 5
obesity steroids malnutrition/decreased albumin diabetes dialysis
What are the common SSI pathogens?
staph a
staph coagulase negative
enterococcus
e. coli
What are the main risk factors for SSI? 4
ASA >III decreased immunity (DM/trauma/malnutrition/obesity/smoking/burn/steroids) surgery classification (clean/contaminated) surgery length (>75% of expected)
What are the 3 SSI classifications?
superficial
deep
organ space
Superficial SSI occurs up to __ days post op, includes __ /__ only + 3.
30
skin/hypodermis
pus from the wound/surgeon diagnosis/ inflammation
Deep SSI occurs __ days post op (or a year with implants) + one of 4.
30 deep space pus surgeon diagnosis abscess fever/pain/tenderness leading to dehiscence
Organ SSI occurs __ days post op (or a year with implants) + internal organ involvement + one of 4.
pus in trocar
positive culture in secretions
abscess
surgeon diagnosis
עצרתי אחרי SSI
לבדוק אם רלוונטי להמשיך
עצרתי אחרי SSI
לבדוק אם רלוונטי להמשיך
