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Complications - Appendectomy, open

general and visceral surgery
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Anatomy Perioperative management Technique Complications Evidence Total Video

  1. Intraoperative Complications

    • Injuries to other intestinal sections
      With a clear focus, no further exploration.
    • Injuries to vessels
      Avoid "tearing" at the mesentery.
    • Injuries to nerves
      Do not choose the incision too caudally (N. ilioinguinalis).

  2. Postoperative complications

    • Wound healing disorder
      Open the wound, rinse, and apply a “moist” dressing twice daily.
    • Intra-abdominal abscess
      Need for revision or percutaneous drainage.
    • Postoperative ileus
      Paralytic: conservative ileus therapy.
      Mechanical (adhesion): revision.
    • Stump insufficiency
      Revision and oversewing, if not possible, tangential cecal pole resection or ileocecal resection, depending on findings.