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Surgical Complications

Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Any negative outcome in operative or postoperative period; no consensus on definition

  • Multiple classification systems exist based on severity.

EPIDEMIOLOGY

Incidence

Incidence varies wit...

DIAGNOSIS

HISTORY

  • Wound infection: history of surgery several days prior to presentation with pain, warmth, redness, or drainage at site of incision

  • Seroma/hematoma: expanding mass at incision site; ser...

TREATMENT

MEDICATION

  • Acetaminophen, NSAIDs, and opiates (as needed) for pain control (multimodal therapy)

  • VTE prophylaxis as appropriate

  • Broad-spectrum antibiotics for sepsis/severe infection

  • Simple wound...

REFERENCES

1
Becher RD, Hoth JJ, Miller PR, et al. A critical assessment of outcomes in emergency versus nonemergency general surgery using the American College of Surgeons National Surgical Quality Im...

ADDITIONAL READING

  • ERAS Compliance Group. The impact of enhanced recovery protocol compliance on elective colorectal cancer resection: results from an International Registry. Ann Surg.  2015;261(...

CODES

ICD10

  • R50.82 Postprocedural fever

  • T81.4XXA Infection following a procedure, initial encounter

  • T81.31XA Disruption of external operation (surgical) wound, not elsewhere classified, initial encounter

  • ...

CLINICAL PEARLS

  • Smoking is associated with increased risk for general morbidity, wound complications, infections, pulmonary complications, neurologic complications, and admission to the intensive care...

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