What is included in postoperative care following iatrogenic ureteral injury repair?

Updated: Nov 12, 2020
  • Author: Sandip P Vasavada, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

Patients who underwent a transperitoneal approach are kept on a regimen of nothing by mouth (NPO) for the first day after surgery. Subsequently, signs of bowel function are monitored routinely. Once bowel sounds are present, the diet is advanced to clear liquids, and when the patient passes flatus, a regular diet is instituted.

Patients who undergo a retroperitoneal approach are started on clear liquids on the first day after surgery unless they are nauseous. Their diets are also advanced when they have passed flatus.

All patients receive a patient-controlled anesthetic (PCA) pump postoperatively unless they had an epidural catheter placed intraoperatively. They are then given an epidural pump. Oral analgesics are administered after patients tolerate a regular diet.

All patients receive a 24-hour course of intravenous antibiotics to prevent wound infections.

Patients are encouraged to ambulate on the first day after surgery. Once the pain is controlled with oral analgesics and patients are tolerating a regular diet, they are eligible for discharge, with or without their drains. If drains are not removed in the hospital, set appointments to assess patients and their drains in the clinic.


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