Presentation
On postoperative day 14, the woman presented with a deep wound infection, then 1 week later with MRSA superinfection. [ncbi.nlm.nih.gov]
Entire Body System
- Painter
Myles PS 1, Bellomo R 1, Corcoran T 1, Forbes A 1, Peyton P 1, Story D 1, Christophi C 1, Leslie K 1, McGuinness S 1, Parke R 1, Serpell J 1, Chan MTV 1, Painter T 1, McCluskey S 1, Minto G 1, Wallace S 1 ; Australian and New Zealand College of Anaesthetists [ncbi.nlm.nih.gov]
Gastrointestinal
- Hiccup
This emergency situation may be caused by excessive stress on the wound from coughing, hiccups, vomiting or distention; inadequate or tight sutures; wound infection; diabetes; poor nutrition or hematoma. [livestrong.com]
- Abdominal Bruising
Physical examination findings, such as the seat belt sign, abdominal bruising, abdominal wound, and abdominal tenderness, were present significantly more frequently in those requiring abdominal surgery (p CONCLUSION: Data from this study solidify the [ncbi.nlm.nih.gov]
Neurologic
- Hyperalgesia
Pain and wound hyperalgesia were consistently greater on the "unblocked" side for the 3-wk period of observation. Thus, even imperfect intraoperative attenuation of noxious stimuli can lead to persistent reductions in postoperative pain. [ncbi.nlm.nih.gov]
Workup
X-Ray
- Pneumoperitoneum
The effects of nitrous oxide and helium pneumoperitoneum compared with carbon dioxide pneumoperitoneum are uncertain. [ncbi.nlm.nih.gov]
During pneumoperitoneum pulmonary resistance increases. [intechopen.com]
We also offer the latest treatments for complex ventral hernias (a condition in which tissues are pushing through the abdominal wall), such as the preoperative progressive pneumoperitoneum technique for particularly large ventral hernias. [ucsfhealth.org]
- Multiple Renal Cysts
Abstract On abdominal computed tomography scan for evaluation of hematuria, the index patient, a 23-year-old male, was found to have multiple renal cysts bilaterally. [ncbi.nlm.nih.gov]
Treatment
With an ageing population, the number of elderly patients, as well as challenges concerning treatment will arise, calling for a coordinated effort both nationally and internationally to enhance treatment in this vulnerable patient group. [ncbi.nlm.nih.gov]
[…] other, non-surgical treatments fail. [floridamedicalclinic.com]
Prognosis
PURPOSE: To evaluate the effect of retention sutures on abdominal pressure and postoperative prognosis in abdominal surgery patients. [ncbi.nlm.nih.gov]
“We will continue to monitor her closely, but all the signs suggest we should be optimistic about her long-term prognosis. This is credit to Abiageal, her family, as well as the surgical, medical and nursing teams involved in looking after her.” [express.co.uk]
The prognosis for abdominal pain depends on the cause and the promptness of medical care and diagnosis. Type and Location of the Abdominal Pain The type and location of pain may help the doctor find the cause. [emedicinehealth.com]
Etiology
Various etiological aspects of chronic extraheptic venous thrombosis have not been documented due to the low incidence of these events. We discuss these aspects in the context of our patient. [ncbi.nlm.nih.gov]
Liakakos T et al. (2001) Peritoneal adhesions: etiology, pathophysiology, and clinical significance: recent advances in prevention and management. Dig Surg 18 : 260–273 2. [nature.com]
Certain findings raise suspicion of a more serious etiology: Severe pain Signs of shock (eg, tachycardia, hypotension, diaphoresis, confusion) Signs of peritonitis Abdominal distention Distention, especially when surgical scars, tympany to percussion, [merckmanuals.com]
Epidemiology
Adhesion-related readmissions following gynaecological laparoscopy or laparotomy in Scotland: an epidemiological study of 24 046 patients. Hum Reprod 2004 ; 19 : 1877 -85. ↵ Higgins J, Green S. [doi.org]
Strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. BMJ. 2007;335(7624):806–8. [perioperativemedicinejournal.biomedcentral.com]
Epidemiology Patients with abdominal surgery and its complications generally represent > 50% of the patient population in a tertiary or quaternary care hospital's surgical ICU. [clinicaladvisor.com]
Pathophysiology
Pathophysiology of each abdominal organ and the consequences for anesthesia. Consequences of bowel and biliary obstruction. Pathophysiology of chronic inflammatory bowel disease and consequences for anesthesia. Diabetes mellitus and the GI-tract. [ether.stanford.edu]
Liakakos T et al. (2001) Peritoneal adhesions: etiology, pathophysiology, and clinical significance: recent advances in prevention and management. Dig Surg 18 : 260–273 2. [nature.com]
Pathophysiology The pathophysiology of abdominal surgery is complex yet straightforward unless there are complications. [clinicaladvisor.com]
Pulmonary atelectasis after anaesthesia: pathophysiology and management. Can Anaesth Soc J. 1981;28(4):305-13. [ Links ] 10. Kisner C, Colby LA. Therapeutic exercise: foundations and techniques. 4 th ed. [scielo.br]
Prevention
Therefore, improving the intestinal microenvironment and intestinal barrier function before surgery is crucial to prevent POICs following highly invasive abdominal surgeries. [ncbi.nlm.nih.gov]
The prevention of pulmonary complications after upper abdominal surgery in patients with noncompromised pulmonary status. Arch Surg. 1988;123(1):30-4. [ Links ] 26. Beaussier M. [scielo.br]
Can abdominal adhesions be prevented? Abdominal adhesions are difficult to prevent. However, careful, gentle, surgical techniques can minimize the formation of adhesions. Laparoscopic surgery avoids opening up the abdomen with a large incision. [medicinenet.com]