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Management of Colorectal Surgery Complications

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Colon Polyps and Colorectal Cancer

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Abstract

The most feared complication in gastrointestinal system surgery is anastomotic leaks. Colon and rectum anastomotic leaks usually occur between the fifth and seventh postoperative days. As a result of fecal contamination, abdominal distension, serum C reactive protein, and procalcitonin levels increase. Anastomotic leakage, pelvic abscesses, and pelvic fluids can be detected by contrast pelvic computed tomography with intravenous and rectal contrast. If the patient’s anastomosis leak leads to peritonitis, the diameter of the leak detected in the exploration and the nutritional status of the anastomosis line are important in the treatment algorithm. The stoma which is used for diversions has its own complications (necrosis, prolapse, irritation). In addition to bleeding in the lumen or pelvic area, thrombosis and thromboembolism may also be seen. Wound problems and complications due to neurovascular problems cause serious morbidity and mortality. It is not possible to perform a perfect operation, but it is possible to manage the treatment without problems. Major complications and complication management are discussed in this chapter.

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Authors and Affiliations

  1. Department of General Surgery, Training and Research Hospital, Usak University, Usak, Turkey

    Ramazan Serdar Arslan

  2. Department of General Surgery, Tepecik Training and Research Hospital, Health Sciences University, Izmir, Turkey

    Lutfi Mutlu & Omer Engin

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  1. Department of Surgery, Izmir Tepecik Training and Research Hospital, Konak, Izmir, Turkey

    Omer Engin

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Arslan, R.S., Mutlu, L., Engin, O. (2021). Management of Colorectal Surgery Complications. In: Engin, O. (eds) Colon Polyps and Colorectal Cancer. Springer, Cham. https://doi.org/10.1007/978-3-030-57273-0_18

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