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Flashcards in Surgery Deck (13):
1

What are the 3 main GI risks of surgery?

Ileus
Anastomotic dehiscence
Adhesions

2

What is an ileus?

Paralysis of intestinal motility

3

What can cause and ileus?

Handling of the bowel
Peritonitis
Retroperitoneal injury
Immobilisation
Hypokalaemia
Drugs

4

What is the clinical presentation of an ileus?

Vomiting
Abdominal distension
Dehydration
Silent abdomen

5

How can you prevent an ileus?

Reduce operative trauma
Use laparascopic techniques
Avoid intra-abdominal sepsis

6

What is anastomotic dehiscence

The breakdown of antastamosis;
Intestinal
Vascular
Urological

7

How can you prevent anastomotic dehiscence?

Good surgical technique
Good blood supply
Reduce tension on anastomoses

8

How does intestinal anastomotic dehiscence present?

Peritonitis
Abcess
Ileus
Fistula

9

Where can you find adhesions?

Bowel to bowel
Bowel to abdominal wall and other structure
Also Lung to chest wall

10

What causes adhesions?

Inflammatory response and ischaemia

11

How do GI adhesions present?

Vomiting
Pain
Abdominal distension
Constipation

12

How can you prevent adhesions?

No powder on gloves
Avoid infection
Laparscopic surgery
Sodium hyaluronidate

13

How would a wound infection present?

Pyrexia
Redness
Pain
Swelling
Discharge