Type of Surgery
Information
Last updated: 02/17/2009
Postoperative care involves monitoring blood pressure, pulse, respiration, and temperature. Breathing tends to be shallow because of the effect of the anesthesia and the patient's reluctance to breathe deeply and experience pain that is caused...
by the abdominal incision. The patient is instructed how to support the operative site during deep breathing and coughing, and given pain medication as necessary. Fluid intake and output is measured, and the operative site is observed for color and amount of wound drainage.
The patient is usually helped out of bed the evening of the surgery and allowed to sit in a chair. Most patients are discharged in two to four days.
The nasogastric tube will remain in place, attached to low, intermittent suction until bowel activity resumes. For the first 24–48 hours after surgery, the ostomy will drain bloody mucus. Fluids and electrolytes are given intravenously until the patient's diet can gradually be resumed, beginning with liquids only, then adding solids. Usually within 72 hours, passage of gas and stool through the stoma begins. Initially the stool is liquid, gradually thickening as the patient begins to take solid foods. The patient is usually out of bed in eight to 24 hours after surgery and discharged in two to four days.
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Colorectal surgery
Involves evaluation and treatment of complaints from the lower intestinal tract - the large bowel, rectum and anus. A large part of this care involves management of Colorectal cancer, as well as more trivial ailments such as Hemorrhoids.
Surgical management of conditions involving the esophagus, stomach, liver, spleen, gall bladder. Cholecystectomy, the surgical removal of the gall bladder, is one of the most common surgical procedures done world-wide.Upper gastro intestinal surgery may be done as emergencies like perforated duodenal ulcers, or acutely inflammed gall baldders or as elective operations such as cancer of stomach.
Though this type of surgery was popular by open surgery, nowadays it is replaced mostly by key hole or laparoscopic surgery . Using the key hole approach, the incisions are much smaller( 1 cm or less in the place of 15 cm long incisions), the scars are less painful , there is less stay in the hospital with early return to normal activity. Key hole surgery especially in the upper gastro intestinal tract causes a lower instance of chest complications as patients breathe better after surgery with minimal pain.
From http://en.wikipedia.org/wiki/General_surgery#Colorectal_surgery
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