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Chirurgia Del Piede 2007 August;31(2):87-92

Copyright © 2007 EDIZIONI MINERVA MEDICA

language: Italian

Management of foot surgery: the postoperative period

Napoli V. 1, Napoli E. 2, Manno E. P. 3

1 Centro di Chirurgia del Piede Casa di Cura “Fornaca di Sessant”, Torino 2 Dipartimento Di Discipline Medico Chirurgiche Facoltà di medicina e chirurgia Università degli Studi di Torino 3 ASL 3 Ospedale Maria Vittoria, Torino


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An integral part of good surgical outcome is adequate postoperative management. Alterations in body homeostasis caused by surgery are related to surgical impact, anesthesia protection and, above all, to the patient’s ability to mount an adequate biological response to treatment. The effects of these alterations persist through the postoperative period, with repercussions on vital parameters and accompanied by distress symptoms such as agitation, disorientation, pain, nausea and vomiting. All these sequelae can be reasonably managed with adequate postoperative care comprising medications and protocols that specify procedures to 1) protect vital parameters: consciousness, respiration, cardiocirculatory function; 2) reduce postoperative distress: pain, nausea and vomiting; 3) facilitate the postoperative course and prevent against side effects and complications.

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