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The perioperative period is the period of a patient's surgical procedure. [1] It commonly includes ward admission, anesthesia, surgery, and recovery.Perioperative may refer to the three phases of surgery: preoperative, intraoperative, and postoperative, though it is a term most often used for the first and third of these only - a term which is often specifically utilized to imply 'around' the ...
Perioperative medicine is the medical care of patients from the time of contemplation of surgery through the operative period to full recovery. Perioperative care may be provided by an anesthesiologist , intensivist , internal medicine generalist or hospitalist working with surgical colleagues.
Postoperative wounds are those wounds acquired during surgical procedures. Postoperative wound healing occurs after surgery and normally follows distinct bodily reactions: the inflammatory response , the proliferation of cells and tissues that initiate healing , and the final remodeling .
An infection is designated as an SSI if it develops at the site of a surgical wound, either because of contamination during surgery or as a result of postoperative complications. For the infection to be classified as an SSI, it should occur within 30 days after surgery or within 1 year if an implant is involved.
Most perioperative mortality is attributable to complications from the operation (such as bleeding, sepsis, and failure of vital organs) or pre-existing medical conditions. [ citation needed ] . Although in some high-resource health care systems, statistics are kept by mandatory reporting of perioperative mortality, this is not done in most ...
Whereas late infections (occurring 3 months or later after the joint replacement) are usually due to coagulase negative staphylococcus or cutibacterium. [4] The highest risk of PJI is in the immediate post-operative period, when direct inoculation of bacteria into the joint space may occur during surgery. [4]
Infection; Paralytic ileus: short-term paralysis of the bowel; Perioperative mortality, any death occurring within 30 days after surgery; Shock; Sterile technique, aseptic post-operative care, antibiotics, use of the WHO Surgical Safety Checklist, and vigilant post-operative monitoring greatly reduce the risk of these complications. Planned ...
Antibiotics can be effective in reducing the occurrence of such infections. Patients should be selected for prophylaxis if the medical condition or the surgical procedure is associated with a considerable risk of infection or if a postoperative infection would pose a serious hazard to the patient's recovery and well-being. [4]