Arild Nesbakken MD
Recently updated 25.05.2016
Oslo University Hospital
- The patient is mobilized in the evening the day of surgery, or possibly the next day.
- The patient can start to drink and eat carefully on the first postoperative day.
- A potential wound drainage is removed when there is no longer fresh blood, usually on the first or second postoperative day.
- The urinary catheter is removed on the fifth postoperative day.
- The epidural catheter is usually removed on the second or third postoperative day and the patient continues on peroral analgetics.
- Cardiopulmonary complications depend on the patient´s general condition, comorbidity and the extent of the surgery. Cardial infarcion and arrytmias and dysrhythmia may occur. Basilar atelectasis and/or pleural fluid and possibly pneumonia are more common.
- Approximately 5% develop anastomosis leakage. Preoperative radiation therapy increases the risk of leakage. Intraperitoneal and/or pelvic infections, diffuse or localized, are rare in the absence of anastomotic leakage.
- Intraabdominal bleeding, inclusive bleeding from anastomosis is relatively rare.
- After open surgery wound dehiscence and infection in the abdominal wound occur varying degrees, from light superficial infection to abdominal wall abscess.
- Paralytic ileus is common in the presence of another complication but can also appear without any specific cause.
- Mechanical ileus is relatively rare, but if there is a lack of intestinal activity in the first week and increasing abdominal pains, a mechanical ileus is suspected.
- Port-site hernia occurs after a laparoscopy.
- Deep vein thrombosis and lung embolism are rare if prophylaxis is used according to guidelines.
- Urinary retention.
- Ventral hernia in the abdominal wound may occur.
- Postoperative ileus occurs in about 5%.
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