Treatment of pancreatic diseases, as well as their diagnosis, are associated with many difficulties associated with the structure, location and physiology of this organ. Therefore, the consequences of surgery on the pancreas can be unpredictable. The postoperative period is long, and the risk of fatal outcomes in such cases is quite large.
This is due to the fact that it is very close to other vital organs of man, and with the duodenum has a common blood circulation. Therefore, often with the disease of one of these organs you have to delete the other.
The difficulties of pancreatic surgery are also associated with its enzymatic function. Food organisms released by the body, because of their high activity, sometimes digest the tissues of the gland itself, like food products. The parenchymal tissue from which the pancreas consists is very fragile, and it is incredibly difficult to apply seams, so one of the complications of the postoperative period may be bleeding and fistula formation.
As you can see, the pancreas after the operation delivers a lot of trouble to doctors. Therefore, such operations are done only by experienced surgeons, with the utmost caution, and only under the most stringent indications.
After surgery on the pancreas, the most common complication is acute pancreatitis, often occurring as pancreatic necrosis. Peritonitis, circulatory failure, hepatic renal insufficiency, bleeding, and exacerbation of diabetes mellitus may also occur. Therefore, after such surgery, the patient is placed in the intensive care unit and provides him with personal care.
Signs of postoperative pancreatitis in the patient - severe abdominal pain with muscle tension, worsening up to a shock state, fever, an increase in the concentration of amylase in the blood and urine, and leukocytosis.
Severe condition of patients after such operations complicates the detection of early postoperative complications. In order to avoid severe consequences, the condition of vital organs is especially carefully monitored on the first day, and the necessary measures are taken. To this end, the patient is monitored with blood glucose, arterial and venous pressure, hematocrit, acid-base state( CBS), and general urine analysis. Desirable methods of monitoring the patient's condition during the postoperative period are electrocardiography and chest X-ray.
Treatment and rehabilitation after pancreas operation
The duration and complexity of the patient's treatment, after the operation on the pancreas, transferred to him, largely depends on his condition and the method of surgical intervention chosen by the physician on the basis of the individual characteristics of the organism.
Treatment and rehabilitation after a pancreas surgery begins with a review of the patient's medical history and a comparison of the results of the latest tests and tests with the initial data obtained before the surgery. This approach allows you to correctly select the medicines that can put the patient on their feet, and develop the right strategy for the future rehabilitation period.
The basis of modern postoperative treatment is the regular intake of prescribed medicines in certain hospital or home conditions. Special attention is paid to constant medical supervision of the patient, allowing timely to prevent the occurrence of undesirable complications and, in case of emergence of such necessity, to take urgent measures for their qualitative elimination.