Fever after laparoscopic surgery: could it be, what to do?
Laparoscopy ─ surgery, which is a good alternative to open surgery. Thanks to this method with the use of special tools to carry out diagnostic and medical manipulations in the abdominal cavity or the pelvic cavity without making large incisions in the abdominal wall.
The most widespread laparoscopic surgical techniques have got in gynecology, urology, endocrinology, abdominal surgery.
Physiology of wound healing
Surgery ─ is also a kind of a kind of wounds which is stressful for the body and makes it to work at peak performance. Distinguishes these wounds, only that they have been applied in aseptic conditions and purpose of their diagnosis or have any medical procedures.
Wound process is typical for. In the first phase, which lasts about a week, dominated by catabolic processes, the patient may even lose a little weight. At this time there is a rise in body temperature, and this is a normal reaction. In subsequent activates the regenerative processes in the blood increases the level of anabolic hormones (insulin, growth hormone, etc.). At this stage, restores electrolyte balance, all kinds of metabolism in the body, the body temperature usually returns to normal. Then the patient regains the lost weight, the body fully recovers.
Thus, normally the body temperature should return to normal a week after surgery.
Temperature after operations performed in the technique of laparoscopy is usually lower than with open operations, and rarely rises above 38°C. fever after laparoscopy (ovarian cysts or, for example, after appendectomy, gallbladder removal) can be up to 37-37,5°C in the evening, which directly depends on the extent and severity of the interference and is due to the course of the wound process.
Can it be longer this time and how much? Yes, it can, for example, if the patient has drainage after the operation and the resulting increased body temperature is an immune response to it. After removal of the drainage will all be back to normal.
Despite the fact that invasiveness of laparoscopic surgery is significantly below the open, they were and remain a significant stress to the body. And sometimes end up with some complications, in spite of all attempts of doctors to warn them.
When should I worry?
Complications can occur with any type of surgery. It can be ingested, infection, damage to internal organs, blood vessels, nerves etc.
Begin to worry is if:
- Increased body temperature is not reduced for more than a week without apparent reason.
- The temperature is kept at a high level (above 38°C).
- Surgical wounds do not heal, their edges are thick, red, out may release pus.
- Symptoms of infection (eg, pneumonia: cough, wheezing in the lungs).
- Saved intense pain in the area of operating wound.
What else can be alarming symptoms? First of all, this:
- Dryness of the tongue, palpitations can be signs of intoxication.
- Sweating, chills.
- The symptoms of peritonitis.
- Nausea and vomiting.
The supervision of a doctor
All the postoperative period should take place under the supervision of a physician. It monitors the recovery process, doing the necessary research and making adjustments to the treatment.
In addition, the doctor decides on the expediency of administration of analgesics and antipyretics in each case.
Usually, as antipyretic treatment is used Nimesulide, Paracetamol, Ibuprofen and other drugs. Rarely, if the body temperature rises to high values used lytic mixture.
If in any doubt about the violation of recovery after surgery should contact your doctor to establish the possible causes and combat it.
Most complications are easier to prevent than to cure, and this can be achieved through adherence to certain principles:
- Prevention of nosocomial infection control handling tools, hand surgeons, etc.
- Reduction of time of stay of the patient in the hospital before the surgery and after it reduces the incidence of complications.
- The identification of foci of chronic infection in a patient in advance of their elimination (carious teeth, Chr. infection in the tonsils).
- Prophylactic use of antibiotics before, during and some time after surgery.
- Use high quality suture material.
- Timely correction of postoperative disorders (e.g., elimination of intestinal paresis).
- The most complete examination and early diagnosis of disorders of the postoperative period.
- Early activation of patients after surgery, the involvement of the doctor of physical therapy.
Thus, fever can be a sign of normal postoperative course and manifestation of the disease. Any surgical intervention and recovery should be done under the supervision of medical staff, then, most likely, many possible complications will be identified and time adjusted.