Postoperative Care and FollowUp

Cases of pheochromocytoma are monitored in the high dependency unit on the first night. Patients are allowed to sip 30 mL water per hour. Thromboembolism prophylaxis with subcutaneous heparin or Clexane in conjunction with pressure stockings is continued. A regular nonsteroidal anti-inflammatory and paracetamol are prescribed, and intravenous narcotic via a patient-controlled analgesia pump is used overnight.

cU.S. Surgical Corp., Norwalk, CT. dJohnson & Johnson, Somerville, NJ.

Antibiotics are not routinely continued. On the first day, the patient-controlled analgesia and urethral catheter are removed, and the patient is upgraded to a fluid and then full diet as tolerated. The patient is usually discharged on the second or third postoperative day. The postoperative stay may be longer in cases of functioning lesions, where hormonal and metabolic factors need to be corrected in coordination with the endocrinologist. Steroid replacement if required is continued. Potassium and other electrolytes are monitored daily, and potassium supplements withdrawn as required. Following discharge, the patient is reviewed at four to six weeks to check the surgical sites and general convalescence.

At all times, patient safety is paramount, and it is essential that the practitioner has a low threshold for open conversion to control significant hemorrhage.

0 0

Post a comment