Operative complication

Synonyms

Operative complication, complication after surgery, infection, thrombosis, pulmonary embolism, embolism, secondary bleeding, paralysis, false joint formation, pseudarthrosis, Sudeck's disease, CRPS type I and type II, nerve damage

introduction

Here you will find a short definition of possible operative complications. To get these terms explained in detail, please follow the respective link.
We are constantly expanding our list of complications that can occur during or after a surgical procedure.
We expressly point out that some of the above-mentioned complications can also occur without surgery (e.g. thrombosis, pulmonary embolism). The information is also suitable for this group.

Overview of operative complications

• Bleeding and secondary bleeding (arterial, splashing, oozing bleeding)
• Local inflammation / infection with possibly spreading germs up to possibly sepsis (blood poisoning)
• Injury to neighboring structures (mucous membrane, vessels, nerves, muscles, neighboring organs)
• Perforation in endoscopic operations
• Allergy to drugs or materials used up to shock
• Functional loss / permanent damage in the operating theater area due to changes in the procedure due to the operation or complications (restricted mobility of a joint after operation, paralysis, sensory impairment, nerve failure due to nerve severance / e.g. thyroid: recurrent nerve → hoarseness to dyspnoea)
• Anesthetic complications such as circulatory problems (drop in blood pressure, rise in blood pressure up to derailment, pulse / tachycardia too fast, pulse / bradycardia too slow, in extreme cases resuscitation necessary) or ventilation difficulties (vocal cord obstruction to vocal cord spasticity, increased lung resistance)
• During surgery with general anesthesia and increased intra-abdominal pressures, risk of aspiration with possibly the following aspiration pneumonia (pneumonia)
• death

Find out more about the topic: Postoperative Complications- What Are There?

thrombosis

Thrombosis is the coagulation of the blood (clot formation) in the blood vessel system, which leads to a blood clot (thrombus) with blockage of the blood vessel. As a result, the blood circulation is disturbed and blood congestion before the closure is the result.
Thrombosis comes from the Greek word “thrombosis”, which means “curdling”.
For more information, see our topic: Thrombosis

Pulmonary embolism

A Pulmonary embolism arises from a blood clot that is washed away (thrombosis) and blocks a pulmonary artery. This will increase the proportion of lung No longer supplied with blood behind the embolus (clogging plug).
The result is that the remaining blood vessels (arteries) have to compensate for the blood flow in the blocked vessel. As a result, the blood pressure in the pulmonary circulation increases. Is the blood pressure in the Pulmonary circulation If increased over a longer period of time, there is a risk of cardiac overload with life-threatening cardiac arrhythmias.

Further information is available under our topic: Pulmonary embolism

Appointment with ?

I would be happy to advise you!

Who am I?
My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
But now enough is indicated ;-)

In order to be able to treat successfully in orthopedics, a thorough examination, diagnosis and a medical history are required.
In our very economic world in particular, there is too little time to thoroughly grasp the complex diseases of orthopedics and thus initiate targeted treatment.
I don't want to join the ranks of "quick knife pullers".
The aim of any treatment is treatment without surgery.

Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

You will find me:

• Lumedis - orthopedic surgeons
  Kaiserstrasse 14
  60311 Frankfurt am Main

You can make an appointment here.
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
For more information about myself, see Lumedis - Orthopedists.

Arthrofibrosis

Arthrofibrosis is a dreaded joint disease, largely unexplained in its etiology, after surgical interventions or injuries, from which a more or less severe, sometimes painful restriction of joint mobility results.
For more information, see our topic: Arthrofibrosis

Sudeck's disease

Of the Sudeck's disease is a serious condition which is common after injuries like Broken bones or Operations, but sometimes also after minor injuries or a faulty infusion or, in the end, without an apparent cause.
The cause of the Sudeck's disease is a disorder of the nervous system with consequences of circulatory disturbance, decalcification of the bones but serious disturbance of the metabolism.

Of the Sudeck's disease is also synonymous as CRPS (ccomplex regional pain ssyndrome). You can also read more under our topic: Sudeck's disease

Complication after bypass surgery

Various complications can occur after a bypass operation, whereby the probability of a disturbed healing process depends strongly on the intraoperative findings and the individual risk factors of the person concerned. The most feared complication after bypass surgery is the early closure of the newly created blood vessel in the heart by a blood clot. An incomplete closure can result in chest tightness with shortness of breath and perceived cardiac arrhythmias. If the blood clot closes the vessel completely, a (new) heart attack will inevitably occur.

In rarer cases, the exact opposite is a postoperative complication. If the “new” vessel ends do not adapt enough to one another, this can lead to so-called suture insufficiency. As a result, blood leaks out at the seams, which leads to blood loss itself and bleeding into the chest cavity, which in the worst case can cause life-threatening circulatory and breathing problems. An infection with the following spread of germs is often caused by inadequate wound care of the surgical scar (= unsterile dressing change), so that pathogens can connect to the vascular system via the skin defects and cause serious inflammatory symptoms.

Read more on the topic: Heart bypass

Complication after caesarean section

Almost any conceivable complication can occur after a caesarean section, as it is a major surgical procedure with a wide scar on a well-perfused organ. Bleeding becomes noticeable relatively quickly after a caesarean section, as experience has shown that the good blood circulation quickly leads to high blood loss. Those affected notice this through a leakage of vaginal blood, an increase in the size of the abdomen after surgery and the occurrence of circulatory problems.

A complication that occurs later is infection of the uterus, which can result from the penetration of pathogens via the suture as well as from the entry of pathogens from the vaginal region. In the case of a non-sterile dressing change, for example, penetration is very easy for the pathogens, since the infection can descend over the wound defect. The natural barrier function of the individual skin and organ layers is interrupted. This is where the typical symptoms of inflammation develop in those affected and, depending on the severity, require antibiotic or even surgical treatment.

You might also be interested in this topic: Pain after a caesarean section

Complication after a colonoscopy

The most common complication after a colonoscopy is postoperative bleeding, as mucosal biopsies are usually taken or polyps are removed if necessary. Mucosal biopsies are obtained using small forceps that tear out small pieces of mucous membrane. Normally, after a brief observation during the colonoscopy, the donor sites no longer bleed and heal completely within a few days.
Polyps are removed with a snare that coagulates the tissue at the same time, so that the tissue defect is closed directly. However, the blood clot on a wound may come off and bleed again. Depending on the severity of the bleeding, this can then manifest itself in blood deposits on the stool up to the extent of anemia.

Also read the article on the topic: Risks of a colonoscopy

Complication after a wisdom tooth operation

The roots of the wisdom teeth are very deep in the jawbone, so that after their removal, deep wounds predominate in the jaw. On the one hand, it can bleed from these wound pockets, which can be treated well with a tamponade. On the other hand, pathogens can lodge here, which is a more difficult situation. The wound pockets can only be cleaned to a limited extent due to the sensitivity of the injured mucous membrane and are constantly in contact with saliva and food. So contamination of the wound cannot be prevented. Depending on the severity of the infection, mouth rinse therapy or antibiotic therapy must be initiated.

You might also be interested in this topic: Inflammation after a wisdom tooth operation

Complication after hallux surgery

The complications after hallux surgery depend heavily on the surgical technique chosen by the doctor. In any case, the bony misalignment of the big toe is always corrected, but there are various procedures and fixation techniques to straighten the formerly "crooked axis". If part of the bone is removed, there is always the risk of temporary instability of the joint with an increased risk of fractures or, better said, marginal bone fractures under stress.

If the joint is completely stiffened in a straight axis (so-called arthrodesis), the lack of mobility of the toe and metatarsus against each other can lead to load-dependent pain, as the forefoot can no longer be properly rolled. Bleeding is rare after hallux surgery, since vessels are usually not touched. Likewise, tendons and ligaments are not damaged, as the surgical techniques are limited to the bony joint. Postoperative pain is based on a substance defect in the bone and the "forced" new position of the bones to one another, which can initially cause "tension pain".

For more information, see: Hallux valgus surgery

Homeopathy for operative complications

The respective treatments after operative complications are specific and must be geared towards the disease.
homeopathy can be a possibility to minimize operative complications or to improve existing problems.
Read more in our interesting topic: Homeopathy and surgery