Post-op

Question 1

immediate complications (<24hr) post abdominal surgery?

Answer 1

• intubation trauma
• anaesthetic anaphylaxis
• infection
• haemorrhage
• damage to surrounding tissues

Question 2

early complications (<1 wk) post abdominal surgery?

Answer 2

FEVER (7Cs)
• cut (wound, later)
• chest (HAP**)
• catheter (UTI**)
• cannula
• central line
• collection (1-4 wks later)
• calves (DVT)

RESP:
• HAP
• collapse (atelectasis, shallow breathing due to pain)
• DVT, PE

GI/GU
•  paralytic ileus
•  retention
•  AKI
•  UTI

OTHERS
• 2’ haemorrhage
• wound dehiscence (edges don’t meet)

Question 3

long term complications post abdominal surgery?

Answer 3

• disease recurrence

Question 4

what are the serious complications? it’s “SIMPLE”

Answer 4

S - sepis
I - ileus
M - MI
P - HAP
L - leak (anastomotic)
E - embolus (DVT, PE)

Question 5

kind of stoma in LIF?

Answer 5

colostomy

Question 6

kind of stoma in RIF?

Answer 6

ileostomy

or urostomy

Question 7

which kind of stoma isn’t flush to the skin?

Answer 7

ileostomy

the enzymes in the faeces are toxic to the skin the bowel is not secured flush to the skin but has a spout sticking out from the abdominal wall

this allows faeces to drain without touching the skin