The acute abdominal patient: postoperative management and complications.
Abstract: The postoperative management of the surgical colic patient varies according to the complications experienced. Many of these complications can be related to the time at which surgery is performed
relative to commencement of the problem, the condition of the patient at the time of surgery, the particular condition, and, last but not
least, the surgeon's performance. Some of the points have been discussed elsewhere in the symposium. The maintenance of asepsis, attention to minimizing trauma to the bowel, and appropriate attention
to visceral and parietal closures are all important principles. However, the most important surgical factors in minimizing postoperative
complications are that the problems in the abdomen are corrected at
the time of surgery and that the surgery is performed quickly.
The amount of aftercare necessary for a surgical patient will vary
between cases. This article deals with the postoperative management of a "routine" case and considers specific complications.
Publication Date: 1982-05-01 PubMed ID: 7101689DOI: 10.1016/s0196-9846(17)30124-6Google Scholar: Lookup
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Summary
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The research article explores how the management of patients who have undergone abdominal surgery can vary based on different factors such as complications that developed, the timing of surgery, patient’s condition at surgery time, and surgeon’s proficiency. The paper emphasizes the vital role of specific surgical principles in mitigating postoperative complications, and discusses postoperative care needed for typical patients as well as handling specific complications.
Complications and Their Dependence on Various Factors
- The research establishes that the complications experienced by a patient who has undergone surgery for colic can vary and depend on multiple variables.
- Some of the key determinants include the timing of the surgery in relation to when the problematic symptom began, the patient’s condition at the time of surgery, the specific affliction, and the surgeon’s skill level.
Importance of Surgical Principles
- The paper highlights the significance of certain surgical principles like maintaining cleanliness during surgery, minimizing trauma to the intestinal tract, and proper attention to visceral and parietal closures.
- All these principles are crucial to avoid further postoperative complications.
Role of Ideal Surgical Conditions in Minimizing Complications
- The researchers argue that the most vital factors to minimize postoperative complications are ensuring all issues within the abdomen are dealt with during the surgery and that the surgery is performed the quickly.
- They imply that the longer the duration of surgery, higher the risk of the patient experiencing postoperative complications.
Varying Aftercare for Surgical Patients
- The paper discusses how the level of aftercare necessary for a surgical patient varies between cases.
- The focus is also given on managing a “routine” patient who has undergone surgery and the potential complications that might occur.
Cite This Article
APA
McIlwraith CW.
(1982).
The acute abdominal patient: postoperative management and complications.
Vet Clin North Am Large Anim Pract, 4(1), 167-184.
https://doi.org/10.1016/s0196-9846(17)30124-6 Publication
Researcher Affiliations
MeSH Terms
- Abdomen, Acute / surgery
- Abdomen, Acute / veterinary
- Animals
- Anti-Bacterial Agents / therapeutic use
- Fluid Therapy / veterinary
- Horse Diseases / drug therapy
- Horse Diseases / therapy
- Horses
- Intestinal Obstruction / drug therapy
- Intraoperative Care / veterinary
- Monitoring, Physiologic / veterinary
- Postoperative Complications / drug therapy
- Postoperative Complications / therapy
- Postoperative Complications / veterinary
- Postoperative Period
- Salmonella Infections, Animal / therapy
- Surgical Wound Infection / therapy
- Surgical Wound Infection / veterinary
Citations
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