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Surgery In the Complicated Patient |
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A complicated patient is person that had (or has) some catastrophic event present in his/her organism and may have other complications like abdominal sepsis. They can present/display or not an open abdomen. The risk of mortality with these complications can reach to a 90% in next 24hrs if the necessary attention does not occur within that time limit.
These patients require special care by a multidisciplinary team that involves specialists in General Surgery, Nutritionists and Intensivist Medical Specialists, who can provide you with close and permanent care, with sufficient knowledge and experience to know how to handle the complications with which these patients go through.
For these patients a surgical resolution is crucial for their ailments (in case of requiring it) to control the central point of infection, as well as Total Nutritional support with an adequate handling of the nutritional routes, may it be enteral (directly to the intestine through special probes or oral) or parenteral (special formula food administered through an IV, custom made for each patient).
Surgical reintervention of these patients usually be a very big challenge for the surgeon and the medical team in charge. The organism is in a phase of total chaos, since it undergoes a local and systemic inflammatory response that deforms its own anatomy with the aim of defending itself, this is the cause for surgical reinterventions to be more complex than the initial surgery and the primary target at this moment is to save our patient’s life.
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