General Surgery
Persons who are obese, smoke, have bleeding tendencies, or are over 60 need
to follow special precautions, as do persons who have recently experienced such
illnesses as pneumonia or a heart attack. People taking such medications as
heart and blood pressure medicine, blood thinners, muscle relaxants,
tranquilizers, anticonvulsants, insulin, or sedatives may require special
laboratory tests prior to surgery and special monitoring during surgery. Special
precautions may be necessary for persons using such mind-altering drugs as
narcotics, psychedelics, hallucinogens, marijuana, sedatives, or cocaine since
these drugs may interact with the anesthetic agents used during surgery.
Risks One of the risks involved with general surgery is the potential for
postoperative complications. These complications include but are not limited to
pneumonia, internal bleeding, and wound infection as well as adverse reactions
to anesthesia.
Normal results Advances in diagnostic and surgical techniques have greatly
increased the success rate of general surgery. Contemporary procedures are less
invasive than those practiced a decade or more ago. The results include reduced
length of hospital stays, shortened recovery times, decreased postoperative
pain, and decreases in the size and extent of surgical incisions. The length of
time required for a full recovery varies with the procedure.
Morbidity and mortality rates Mortality from general surgical procedures
is uncommon. The most common causes of mortality are adverse reactions to
anesthetic agents or drugs used to control pain, postsurgical clot formation in
the veins, and postsurgical heart attacks or strokes. Abnormal results from
general surgery include persistent pain, swelling, redness, drainage, or
bleeding in the surgical area and surgical wound infection, resulting in slow
healing.
Alternatives For the removal of diseased or nonvital tissue, there is no
alternative to surgery. Alternatives to general surgery depend on the condition
being treated. Medications, acupuncture, or hypnosis are used to relieve pain.
Radiation is an occasional alternative for shrinking growths. Chemotherapy may
be used to treat cancer. Some foreign bodies may remain in the body without
harm.
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