Complicaciones de la cirugía abdominal

  1. Domínguez Comesaña, E. 1
  2. Caínzos Fernández, M.A. 1
  3. Fernández Pérez, A. 1
  4. Bustamante Montalvo, M. 1
  1. 1 Servicio de Cirugía General. Complejo Hospitalario Universitario de Santiago de Compostela. Santiago de Compostela. A Coruña. España. Departamento de Cirugía. Universidad de Santiago de Compostela. Santiago de Compostela. A Coruña, España
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Ano de publicación: 2020

Título do exemplar: Enfermedades del aparato digestivo (X)Patología urgente y quirúrgica abdominal

Serie: 13

Número: 10

Páxinas: 563-574

Tipo: Artigo

DOI: 10.1016/J.MED.2020.06.004 DIALNET GOOGLE SCHOLAR

Outras publicacións en: Medicine: Programa de Formación Médica Continuada Acreditado

Resumo

Deviations of the normal post-operatory process are the complications in abdominal surgery. The most used classification is the Clavien-Dindo; this classification takes into account clinical impact and therapeutic consequences (ranking in five degrees). Adhesions obstructions, ileum, postsurgical hemorrhages, suture dehiscence and reinterventions are reviewed. Clinical manifestations vary depending on type of complication, ranging from unspecific symptoms to multi organ failure and shock. Because some severe complications may present with very subtle manifestations, a high level of suspicion has to be maintained for the diagnosis. CT assessment is required for the most of intraabdominal complications. Endoscopic studies and arteriography may be necessary in post-surgical hemorrhages. Treatment varies according the complication. Therapeutic options include symptomatic and pharmacological treatment, non-surgical invasive procedures (endoscopic, percutaneous drainage, arteriography embolization) and urgent relaparotomy.

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Fonte de datos: Dialnet