13.01.21 Complications of surgery

Classification

• • Complications of anaesthesia

  • Complications of surgery

    • Surgery in general

    • This specific operation

  • Time-frame

    • Immediate

    • Early

    • Late

Immediate complications

• • Circulation

    • Primary haemorrhage

    • Reactive haemorrhage, following post-op increase in BP

    • Shock

  • Breathing

    • Basal atelectasis

    • PE

  • Organs

    • Failure to recover consciousness

    • Low urine output

Early complications

• • Cuts

    • Wound or anastamotic dehiscence

  • Infection

    • Wound infection

    • Pyrexia

    • Pneumonia

    • UTI

  • Blood

    • DVT

    • Secondary haemorrhage (due to infection?)

  • Organs

    • Ileus

    • Urine retention

    • Bowel obstruction due to adhesions

    • Nausea + vomiting

    • Confusion

Late complications

• • Bowel obstruction due to fibrous adhesions

  • Incisional hernias

  • Persistent sinus

  • Recurrence