Post-Op Complications

Question 1

Cardiovascular complications

Answer 1

Haemorrhage
MI
DVT

Question 2

Haemorrhage types

Answer 2

Reactionary (immediate post-op)

Secondary (infection, 5-10 days)

Question 3

Resp complications

Answer 3

Atelectasis
Pneumonia
PE

Question 4

Atelectasis

Answer 4

Collapse of lung leading to infection (often pneumonia)

Question 5

GI complications

Answer 5

Ileus
Anastomotic dehiscence
Adhesins

Question 6

Ileus

Answer 6

Paralysis of intestinal motility

Question 7

Ileus causes

Answer 7

Handling of bowel
Peritonitis
Retropetitoneal injury
Immbolistation 
Hypokalaemia
Drugs

Question 8

Ileus presentation

Answer 8

Vomiting
Abdominal distension
Dehydration
Silent abdomen

Question 9

Anastomotic Dehiscence

Answer 9

Breakdown of anastomoses (intestinal, vascular, urological)

Question 10

Anastomotic Dehiscence caused by

Answer 10

Poor technique
Poor blood supply
Tension on anastomosis

Question 11

Anastomotic Dehiscence presentation

Answer 11

Intestinal: Peritonitis, abscess, ileus, fistula
Vascular: bleeding/haematoma
Urological: leakage of urine/urinoma

Question 12

Adhesions

Answer 12

Fibrin -> fibrous tissue
Bowel to bowel
Bowel to abdominal wall
Lung to chest wall

Question 13

Adhesions caused by

Answer 13

Inflammatory response

Ischaemia

Question 14

Wound complications

Answer 14

Infection
Dehiscence
Hernia

Question 15

Wound infection

Answer 15

Trauma = exogenous

Intestinal surgery = endogenous