What postoperative care is provided following proctitis and anusitis surgery?

Updated: Mar 27, 2020
  • Author: David E Stein, MD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Answer

As with any major surgical procedure, close monitoring of fluid status, cardiac status, pulmonary status, and return of gastrointestinal (GI) function is important. For patients who require a hospital stay, DVT prophylaxis is essential. Many centers have different protocols for removing a Foley catheter. The author tends to remove the Foley catheter on the third postoperative day.

One of the more important concerns includes those patients with a perineal wound. Often, tension on the wound may be significant, depending on whether the sphincter mechanism is resected or not. Because patients often are in the supine position, overlooking examination of the perineal wound is easy. Close observation of this area is important; problems with wound healing in this area are significant. The risk of wound complications increases in those patients who have undergone irradiation of the pelvis.


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