Stein G. Larsen MD
Recently updated 07.02.2014
Oslo University Hospital
- The patient may drink and eat on the first postoperative day.
- The epidural catheter is removed usually on the 2nd-3rd day and the patient obtains an oral analgesic.
- The abdominal drain is removed when there is no longer fresh blood, usually on the 2nd-3rd day. The swing flap drain should be removed when the draining volume is less than 200 ml/day.
- The bladder catheter is kept until the bladder empties spontaneously to prevent a large bladder from pressing on the swing flap thereby reducing its circulation and possible necrosis of the flap.
- Due to the swing flap, the patient should stay in bed for one week and avoid lying in the supine position.
- The patient is usually discharged after 3 weeks.
Complications from surgery
- For rectal amputations, the postoperative mortality rate is 0-3%.
- Cardiopulmonary complications depend on the patient's general health status, the duration and extensiveness of surgery.
- Postoperative ileus occurs in about 5 %.
- Ventral hernias in the abdominal inscision occur relatively frequently.
- Separation of the musculocutanous flap from the skin
- Necrosis of the musculocutaneous swing flap may occur.
Damage to the autonomic nerves in the pelvis can cause:
- bladder paralysis—often temporary
- erection and ejaculation problems
- vaginal dryness
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