1. Surgical Complication

2. Perioperative Fever Infection or Inflammation -injury -catheters -UTI
-pneumonia
-surgical sites
-thrombophlebitis
-drug reactions

3. Fever Day 1 Atelectasis -pulmonary physiotherapy Systemic symptoms
-severe wound complication
-intestinal leakage

4. Fever Day 2
Catheter related problem
Respiratory complication

5. Fever Day 3 Wound infection UTI, pneumonia Thrombophlebitis
Drug reaction

6. Fever Day >7 Anastomosis leakage Intraabdominal abscess
Deep wound infection

7. Wound Complication Wound infection Wound hematoma Wound seroma
Wound dehiscence

8. Wound Infection Wound classification -clean wound 3-4%
-clean-contaminated wound %
-contaminated wound %
-dirty wound %

9. Factor Wound Infection
Age
DM patient
Steroid use
Obesity
Duration of operation
Malnutrition
Hypothermia

10. Wound Hematoma Inadequate hemostasis Coagulopathy Aspirin user
Post-op thyroidectomy ---- airway obstruction

11. Wound Seroma
Axillary dissection

12. Wound Dehiscence Separation of fascia +/- evisceration
Salmon-colored fluid post-op day 4
+ evisceration operation
- evisceration incision hernia

13. Factor Technical error Hypoproteinemia Morbid obesity Malignancy
Uremia
COPD DM
Suture material

14. Postoperative Ileus Non-mechanical obstruction -manipulation
-infection
-abnormal eletrolyte
-opiate
-hypoalbuminemia

15. Post-op Ileus
Small-bowel hr
Stomach hr
Large-bowel hr

16. Thyroidectomy Postoperative bleeding -airway obstruction
Recurrent laryngeal nerve injury
-unilateral; hoarseness
-bilateral; airway obstruction
External branch of superior laryngeal nerve

17. Thyroidectomy Hypoparathyroidism -<8mg/dl -numbness, tingling
-tetany
-convulsion
-respiratory stridor
-chvostek”s sign, trouseau”s sign
-prolong Q-T , S-T interval

18. Thyroidectomy Thyroid storm -severe hyperthyroidism
-high mortality rate
Symptom
;high fever
;conscious change
;GI dysfunction
;Atrial tachy-arrhythmia

19. Thyroidectomy
Hypothyroidism
Trachea and esophagus injury
keloid

20. Breast Surgery Hemorrhage and hematoma Seroma Wound infection
Skin flap necrosis
Frozen shoulder
Injury to thoracodorsal nerve
-latissimus dorsi
-internal rotation and abduction

21. Breast Surgery Injury to long thoracic nerve -serratus anterior
-winged scapula
Injury to intercostobrachial nerve
Injury to axillary vein and artery
Pneumothorax
Lymphedema

22. Groin Hernia Hemorrhage Transection of spermatic cord
Severance of nerves
Severance of testicular blood supply
Femeral vein constriction
Severance of vas deferens
Damage to intestine
Injury to urinary bladder and ureter

23. Groin Hernia Post-op -urinary retention -scrotal ecchymosis
-swollen testis
-testicular atrophy
-hydrocele
-wound infection
-neuroma
-recurrence

24. Nerve Ilioinguinal nerve -base of penis, upper scrotum, adjacent thigh
Iliohypogastric nerve
-suprapubic area
Genitofemeral nerve
-cremasteric muscle, skin of penis and scrotum, upper lateral thigh
Femeral nerve
-extensor muscle group of thigh

25. Splenectomy Intraabdominal bleeding Intraabdominal abscess
Pancreatic leakage/ fistula
Portal Vein Thrombosis
Overwhelming postsplenectomy sepsis