Specific Postoperative Complications

Thyroid Surgery

Tracheal compression: Due to hematoma, evacuate hematoma immediately

• Hypoparathyroidism: In total thyroidectomies, supplement with IV calcium gluconate 10% solution followed by oral calcium and vitamin D3
• Thyroid storm: Presents with fever, agitation, confusion
• Coma: Treat with propranolol, sedatives, sodium iodide, carbimazole, steroids, IV fluids.

Hemorrhoidectomy

• Hemorrhage
• Infection
• Secondary hemorrhage
• Stenosis of anus

Tracheostomy

• Mediastinitis
• Surgical emphysema
• Stenosis
• Hemorrhage due to erosion of vessels

Colonic Surgery

Sepsis, ileus, fistulae, anastomotic leak, obstruction, hemorrhage, trauma to ureters.

Gastrectomy

• Gastric stasis due to adhesions: Retrograde jejunogastric intussusception
• Blind loop syndrome: Diarrhea, vomiting, stomatitis, weight loss, hyperperistalsis
• Deficiency of vitamins
• Problems: Duodenal stump leakage, gastrojejunal dehiscence, fistulae, postvagotomy diarrhea, gastric necrosis
• Motility disorders: Biliary dyskinesia; cholelithiasis.
• Long-term problems: Stump carcinoma megaloblastic anemia, intractable diarrhea, bilious vomiting,