Postoperative management

The intensity and duration of postoperative intensive care depends on the preoperative state of the patient, the progress of the operative procedure, and the development of postoperative complications. Skilled anesthetic management of cardiovascular variables during graft reperfusion and control of coagulation throughout the operation substantially improve postoperative stability. Prior abdominal operations, adhesions, or technical surgical difficulties are likely to increase blood loss, transfusion requirements, and operative and graft ischemic time. Abdominal bleeding or graft dysfunction will delay progress, as will prior muscle wasting. Graft dysfunction will affect all other organ systems; conversely, impaired function of other organ systems is likely to lead to graft dysfunction.

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