Colorectal: Management of Postoperative Complications in Colorectal Surgery.

David N Hanna, Alexander T Hawkins

Journal: The Surgical clinics of North America 2021;101(5):717-729

PMID: 34537139

Abstract

The complications encountered in colorectal surgery can be categorized into early and late. The most consequential early complication is anastomotic leak, which can be managed with percutaneous drainage or reoperation, depending on the patient's clinical status. Other early complications include anastomotic bleeding, surgical site infection, ileus, postoperative urinary retention, and stoma-related complications. Most stoma-related complications can be managed without reoperation. Late complications, such as bowel dysfunction, sexual dysfunction, and anastomotic stricture, are usually managed expectantly and should be discussed in the preoperative setting. There is growing interest in prevention of postoperative outcomes with preoperative nutritional supplementation and prehabilitation.

Published by Elsevier Inc.

Address: Division of General Surgery, Section of Colon and Rectal Surgery, Vanderbilt University, Vanderbilt University Medical Center, 1161 21st Avenue South, CCC-4322B MCN, Nashville, TN 37232, USA.; Division of General Surgery, Section of Colon and Rectal Surgery, Vanderbilt University, Vanderbilt University Medical Center, 1161 21st Avenue South, Room D5248 MCN, Nashville, TN 37232, USA. Electronic address: [email protected].
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