Temperature after surgery, reasons for the increase. After drainage - consequences The body reacts to drainage with a temperature

Very often, after the operation, the patient may have a fever. Such a consequence can overtake after abdominal surgery, and even after laparoscopy. Sometimes it does not significantly disturb a person, after which everything passes. But there are also cases when the temperature after laparoscopy is alarming.

Reasons for the rise in temperature

Surgical intervention of any type is a great stress for the human body.. This is the main reason for the appearance of hyperthermia after laparoscopy of the gallbladder or other organ. This is explained by the fact that after piercing with a needle, the integrity of tissues is violated, because of this, decay products appear, which are absorbed by the body.

Above all, hyperthermia rises after a strip operation. Moreover, the more complex the surgical intervention, the more serious its increase will be. And although laparoscopic treatment of the gallbladder or removal of the stone by this method is quite fast and has little consequences, the temperature may rise in this case. There are a number of reasons for this.

The presence of drainage

Immunity reacts to a foreign object, which causes an increase in body temperature. In this case, the normalization of the patient's condition occurs immediately after the removal of the drainage tubes. If the temperature has risen very high and lasts a long time, then the doctor may prescribe antipyretic drugs.

Decreased body defenses

After removal of the stone from the pelvis (or other similar operation) with the help of laparoscopy, viral or acute respiratory infections were picked up. As mentioned above, the operation is stressful for the body. After it, immunity is greatly reduced, and a person quickly becomes infected with viral infections. In this case, the temperature is accompanied by other symptoms of this disease.

Infection of the intervention area

Sepsis developed inside the body. It all depends on how long the temperature stays. If it started a couple of days after the operation and rose to a high level, then the doctor will definitely prescribe antibiotics.

You should not treat the complications that have arisen on your own. It is better to immediately consult a doctor and follow his instructions. After finding out the cause, he will be able to prescribe the correct treatment.

After the inflammation starts to go away, the rest of the symptoms will also go away. For a guaranteed effect, additional treatment of the wounds that remain after the laparoscopy procedure may be necessary. Laparoscopy of the gallbladder is a minimally invasive operation. Therefore, after it, the temperature practically does not rise, sometimes there may be an increase to subfebrile. Its normalization occurs quite rapidly, and the patient practically does not feel additional health problems.

If redness, swelling and pain appear in the suture area after surgery, you should consult a doctor

Should the temperature be lowered?

Laparoscopy to remove a cyst or stone is considered a very gentle operation, since you just need to make a small puncture. But even in this case, complications can arise, since blood can get under the skin during piercing. And this is the most common cause of inflammation. If the temperature rises immediately after the operation, and no other symptoms are observed, then there is no need to bring it down - it will pass by itself in a couple of days.


The procedure is quite safe when compared with abdominal operations.

But if, along with the temperature, the appearance of pain is observed, then you should immediately consult a doctor. This symptom may indicate that there are complications that require treatment. There are several reasons why hyperthermia appears after laparoscopy. It can be a simple infection or inflammation, or it can be a serious pathology. Only the attending physician can determine the cause of such a symptom.

Laparoscopic surgery is an excellent alternative to open surgery. Used in this case, special medical products allow for medical and diagnostic procedures in the cavity of the small pelvis and peritoneum without incisions on the wall of the latter. This method is widely used in abdominal surgery, endocrinology, urology, and gynecology.

Why does body temperature rise after laparoscopy?

There are several explanations for this phenomenon. First of all, the reason for its increase is caused by physiological factors. As a result of laparoscopy, as well as other surgical intervention, a wound is formed, which is stressful for the body. Why temperature after laparoscopy? Regardless of the origin, the wound process has a corresponding course, which is divided into several phases:

  • The first one takes about a week. During this period, energy processes predominate, and some individuals slightly lose weight. It is during this period that an increase in temperature is observed, and this phenomenon is considered an adequate reaction of the body.
  • The second - in this phase, the concentration of hormonal substances in the blood increases, the recovery processes become more active, the balance of electrolytes and metabolic processes, as well as the temperature return to normal.
  • The third - the individual is gaining lost weight, the body is fully restored.

How long does the temperature last after laparoscopy? In most cases, it returns to normal within a week after the operation. It should be noted that with this type of surgical intervention, the temperature rarely exceeds 38 degrees. For example, to remove an ovarian cyst, gallbladder or appendicitis, body temperature can reach 37.5 degrees in the evening. This moment is directly dependent on the severity and extent of the surgical intervention. And this is explained by the course of the wound process. If an individual has had drainage installed, then after laparoscopy the temperature is 37 degrees and above for more than a week. This phenomenon is also not considered abnormal, but is a response of the body. The temperature returns to normal after the drainage is removed. However, there are situations when serious complications arise, despite all the efforts of the medical staff.

When should you sound the alarm?

Complications after surgical interventions are caused by damage to internal organs, nervous tissue, blood vessels, infection and other factors. You should contact a medical institution in the following cases:

  • After laparoscopy, the temperature rose and did not subside for more than a week.
  • Increased sweating, chills.
  • Nausea, vomiting.
  • Pus oozes from the wound, its edges are reddish and dense.
  • Intense pain in the puncture area.
  • The individual developed symptoms resembling the development of an infectious process, for example, pneumonia: wheezing in the chest, coughing or signs of intoxication - frequent pulse, dryness in the mouth, as well as signs of peritonitis.

Recovery period after laparoscopy

The rehabilitation period after the operation should be supervised by medical professionals who monitor the recovery processes and, if necessary, make the necessary appointments in the form of additional examinations and correction of ongoing pharmacotherapy, including evaluating the feasibility of using antipyretic and analgesic drugs. How long does the temperature last after laparoscopy, and is it possible to take drugs that reduce it? This question interests many patients who have undergone surgery. In the absence of postoperative complications, fever in the patient is recorded within a week. The decision to take antipyretics is decided by the medical staff individually, depending on the condition of the individual. In practice, mainly drugs of the group of non-steroidal anti-inflammatory drugs are used, which, in addition to antipyretic, have anti-inflammatory and analgesic effects.

Preventive actions

Any complication, including constant (within a month after laparoscopy) temperature, is easier to prevent than to treat. This can be achieved under certain conditions:

  • Minimal stay in stationary conditions - both before and after surgery.
  • Prevention Strict observance of sanitary and epidemiological requirements.
  • Timely detection and treatment of various infectious processes in an individual before surgery.
  • Mandatory prescription of antibacterial agents to the patient in order to prevent possible infectious complications.
  • The use of high-quality consumables and medical devices, including suture material.
  • The most rapid identification of adverse postoperative consequences and the adoption of measures to eliminate them.
  • Early start of physical activity under the supervision of a therapeutic gymnastics instructor.

Laparoscopy of an ovarian cyst

This method of surgical intervention in gynecological practice is used quite often and is carried out both for diagnostic and therapeutic purposes. It is not possible to cure a cyst with medications. Laparoscopy is the most gentle way to access the affected organ. Before the operation, the individual is given general anesthesia. No more than three incisions are made in the wall of the peritoneum, through which all surgical procedures are carried out. The peritoneum is filled with air. During the operation, the cyst is cut off along with the ovary or fluid is sucked out of it. Only two incisions are sutured, and drainage is inserted into the third. In terms of time, the surgical intervention lasts no more than an hour. In order to reduce the risk of postoperative complications, which include an increase in temperature after laparoscopy of an ovarian cyst, contraindications are preliminarily identified. The operation is not performed when:

  • respiratory failure;
  • exacerbation of bronchial asthma;
  • overweight;
  • problems with blood clotting;
  • pathologies of the cardiovascular system;
  • infectious diseases.

Increased pressure, adhesions in the abdominal cavity and some other factors are considered relative contraindications to surgery. In these cases, the doctor makes an individual decision.

Recovery period

Sometimes women are discharged from the hospital two days after the operation. However, if complications are detected, the length of stay in the hospital increases. During the rehabilitation period, after laparoscopy of the ovary, a temperature within 37 degrees can be recorded for several days, usually no more than five. During this period, the body activates all the forces to heal wounds and restore the reproductive system. On the fourth or fifth day, the drainage is removed and the stitches are removed. Pathological processes are evidenced by its sharp increase to 38-39 degrees or prolonged fever during the rehabilitation period.

Possible negative consequences after removal of an ovarian cyst

Complications and such a phenomenon as high fever after laparoscopy of an ovarian cyst are quite rare in medical practice, in about two percent of the female sex. Due to the weakening of the body, the risk of infection increases. Serious consequences, such as adhesions leading to infertility, damage to large vessels, as well as damage to nearby organs, are usually associated with errors that were made during the surgical intervention by medical personnel.

An urgent visit to the doctor is necessary if, after laparoscopy of the cyst:

  • the temperature rises to 38 degrees and above, or there are sharp jumps, that is, it is unstable;
  • redness is observed in the seam area;
  • heavy bleeding;
  • growing weakness;
  • brownish or yellow-greenish discharge from the vagina.

In some cases, new formations appear on the site of the removed cyst. For their prevention, doctors recommend hormonal therapy. Taking antibacterial agents significantly reduces the risk of infectious complications. To restore the body, vitamin complexes and preparations from plant materials are shown.

Causes of fever after removal of the uterus

After laparoscopy of the uterus, the temperature may be elevated for several days after the intervention. During this period, the woman is in a hospital. Depending on the condition of the patient, doctors prescribe the necessary treatment. The temperature within subfebrile is considered a normal reaction of the body and does not require urgent action. Antipyretic agents in this case are not indicated. In case of registration of higher numbers, medical assistance is required, as this is one of the symptoms of abnormal processes that occurred in the postoperative period. To prevent such a situation after the operation, a mandatory course of antibiotic therapy is prescribed, due to which the risk of inflammatory reactions in the body of the individual, and, accordingly, the temperature is reduced. In addition, the reasons for its increase are:

  • Entry into the wound of infection or pathogenic microflora.
  • Failure to comply with certain rules recommended by the doctor when using hygiene products. For example, after removal of the uterus, it is forbidden to use tampons, since through them it is easy to bring microorganisms into the vagina and provoke an inflammatory process.
  • Inflammation also develops against the background of low immunity.

Thus, there are several reasons for the increase in temperature, but this phenomenon is not always dangerous. If the temperature has not returned to normal for a long time, i.e. more than a week, then you should visit your doctor.

Consequences of appendicitis surgery

An increase in temperature after laparoscopy of appendicitis at an early stage is considered a normal process and indicates a natural reaction of the body to the stress associated with surgery. The reasons for this phenomenon lie in the following:

  • the formation of toxic products of tissue breakdown;
  • loss of fluid due to bleeding;
  • drainage to improve the outflow of secretions from the wound;
  • decrease in protective forces in response to stress caused by tissue damage by medical instruments.

Thus, if after laparoscopy the temperature is 37 degrees, then this indicates the natural resistance of the individual's body. The temperature normalizes on its own within a week, since approximately so much time is required for wound healing.

A dangerous sign is a fever that lasts for a long period against the background of symptoms such as:

  • constipation;
  • pain syndrome in the abdomen;
  • dysbacteriosis;
  • sweating;
  • bouts of loss of consciousness;
  • vomit.

In addition, prolonged hyperthermia or fever a week after laparoscopy is observed in the following situations:

  • In inflammatory processes and sepsis, the temperature rises sharply a few days after surgery. In these cases, sometimes they resort to a second operation, as well as prescribe antibacterial and other drugs.
  • In the postoperative period, the individual has low immunity. Infections and viruses easily penetrate into an insufficiently well-protected organism, causing the development of a pathological process, which is accompanied by a rise in temperature.
  • After laparoscopy, a temperature of 37 degrees and above is observed in the presence of a drainage that was installed to the patient during the operation. When it is removed, the temperature returns to normal, antipyretics in this case are prescribed quite rarely.

It is important to remember that a fever after discharge from the hospital is a reason to go to a healthcare facility.

Removal of the gallbladder

The occurrence of consequences after surgery, including fever, depends on the method of performing the operation to remove the gallbladder. The following methods of cholecystectomy are known:

  • transgastric or transvaginal;
  • open minimally invasive;
  • traditional open;
  • laparoscopic.

Let's dwell on the latter in more detail. Laparoscopy is recognized as the best way to remove the gallbladder. This is a safe and effective operation. It is carried out with complications of gallstone disease, inflammatory processes in the gallbladder and some other pathological conditions. Before surgery, general anesthesia is administered. Next, several small punctures are made in the wall of the peritoneum, through which special tubes are inserted, and through one of them the laparoscope itself is inserted directly. It has a miniature camera with which the image is displayed on the monitor. In addition, carbon dioxide is pumped into the abdominal cavity. After the operation, which lasts about an hour, the punctures are sewn up. The rehabilitation period lasts several days.

The temperature after laparoscopy of the gallbladder is due to a number of reasons:

  • postoperative complications;
  • abnormal inflammatory processes.

Fever after gallbladder removal

An increase in temperature to 38 degrees in the first six days after the operation is not a cause for concern. In addition, in some cases, even 39 degrees are considered within the normal range for the early postoperative period. This phenomenon is caused by the response of the individual's immune system to the intervention. So the body responds to tissue damage and protects itself from harmful microorganisms by absorbing toxic substances from the wound into the bloodstream. Complications after removal of the gallbladder are possible with any method of surgical intervention. However, the lowest risk of their occurrence after using the method of laparoscopy. The temperature after removal of the gallbladder serves as the so-called indicator of postoperative consequences. If the temperature lasts more than six days, constantly increases or manifests itself from time to time for no particular reason, then most likely an inflammatory process develops in the body.

Reasons for the rise in temperature

The most common provocateurs of postoperative complications with a rise in temperature are infections, pneumonia, and diarrhea. The latter, after removal of the gallbladder, is associated with an intestinal infection, the manifestation of which is due to the active reproduction of pathogenic microflora against the background of a weakened immune system.

The cause of pneumonia may be atypical microflora. Its signs are manifested by fever, perspiration, headache, shortness of breath, pain in the chest, dry cough. Infection with temperature after laparoscopy of the gallbladder occurs directly in the wound and abdominal cavity. In the first case, the cause is the contamination of the wound surface with pathogens from the dermis, which is caused by errors in the preparation of the surgical field or poor-quality wound care after surgery. It is possible to introduce pathogenic bacteria through poorly processed medical products. Also, the reason may be in the weakened immune system of the individual, poor-quality cleaning of the wards, the operating unit, etc. The infectious process in the peritoneum (for example, peritonitis, abscess) is caused by non-compliance with aseptic rules, damage to the intestines during the operation, ingestion of bile and blood into the peritoneum. Usually the temperature after laparoscopy in these cases is above 38 degrees. In addition to it, the individual manifests:

  • Swelling of the edges of the wound, palpation of the discharge of contents from it, soreness, redness. These symptoms are inherent in postoperative wound infection.
  • Pain in the abdomen, constipation, bloating, severe itching of the dermis, jaundice, polyuria or urinary retention, deterioration in general well-being. Such phenomena are characteristic of the infectious process in the peritoneum.

The risk of complications associated with temperature after laparoscopy of the gallbladder increases if the following conditions are not met:

  • the correct preparatory period, which consists in the treatment of existing comorbidities, fasting, intestinal lavage, taking medications to prevent bloating and flatulence, hygienic water procedures before surgery;
  • for surgical intervention there must be strong indications;
  • compliance with the diet recommended by the doctor after laparoscopic surgery.

What are the steps to take in case of complications after removal of the gallbladder?

If a postoperative complication is detected, you should immediately contact your doctor. He will conduct the necessary types of examinations and prescribe adequate therapy. Do not try to cope with the situations that have arisen on your own or resort to the advice and help of friends and relatives. If the temperature persists after laparoscopy, then doctors most often recommend non-steroidal anti-inflammatory drugs as symptomatic therapy:

  • "Diclofenac";
  • "Voltaren";
  • "Ibuprofen";
  • "Brufen".

The above drugs have a low level of toxicity and do well not only with fever, but also reduce inflammation and pain. It is important to remember that fever in the postoperative period is not always a complication. According to the observations of practical doctors, after a laparoscopy operation, the temperature rises to 39 degrees and lasts for about seven days, after which the individual is fully restored and ready to start working.

The main reasons for the rise in temperature

Any intervention by the body is perceived as something unnatural and alien, and it experiences severe stress, and the protective functions fall. An increase in temperature is one of the possible reactions of the body to such external influences. The main causes of fever are:

  • absorption of the products of their decay formed after tissue injury;
  • decrease in the level of fluid in the bloodstream.

With a favorable course of the postoperative period, a slight increase in temperature returns to normal after a few days. Otherwise, the temperature after laparoscopy is a consequence of all kinds of complications that have different symptoms, including hyperthermia. What if the body reacted to the intervention in this way? In such cases, you should focus on the nature of the increase:

  • If there are no other signs, and the temperature increased immediately after the operation, then no measures should be taken, including taking medications that reduce it. This is a natural process and the temperature returns to normal within a few days.
  • If, in addition to a high temperature, other signs are observed, for example, pain, then a specialist consultation is required. He will assess all the risks and identify possible pathological processes in order to prescribe appropriate treatment in the future.

If the temperature rises after laparoscopy, then this is absolutely natural. However, this moment does not exclude control over its values.

How to measure temperature correctly?

Temperature measurement is an absolutely simple procedure, the main thing is to follow some rules. One of the most common mistakes is measuring it incorrectly. In order to correctly evaluate the testimony, it is necessary to take into account such points as:

  • the room temperature should not be below 18 and above 25 degrees;
  • air should not be allowed to enter the axillary fossa;
  • the temperature in the oral cavity is half a degree higher than in the armpit;
  • you can not measure the temperature after eating, smoking, hot drinks;
  • it is undesirable to take a bath with hot water, engage in sports and physical exercises immediately before the measurement;
  • the thermometer is taken out with a smooth movement;
  • the dermis in the armpit should be dry;
  • it is not recommended to measure the temperature several times to make sure the thermometer is working.

The average time for taking readings from a measuring device is about six minutes, for a mercury thermometer - ten, for an electronic one - three. During the period of illness, the temperature is measured at least twice, in the morning and in the evening. If possible, it is best to do this at the same time in order to trace the dynamics.

If the high temperature does not subside for a long period of time after surgery, then you should immediately consult a doctor. This will help to identify pathology in a timely manner and begin appropriate therapy. Do not self-medicate, as it is dangerous and can be harmful to health.

Conclusion

Thus, the temperature after laparoscopy is both a sign of a normal physiological process and a symptom of a pathological condition. The recovery period, spent under the supervision of medical professionals, reduces the risk of adverse effects, and if they occur, allows them to be eliminated as quickly as possible.

№ 36 229 Surgeon 26.08.2016

Hello! My father had his gallbladder removed and drained. Today the drainage was removed and my father started having terrible pains, the doctor said that this happens after the removal of the drainage, for someone in the evening, for someone later. Dad started having pains right after the removal, they put him under a dropper, made several injections and said that this pain would be once, then everything would go away, when we arrived home, he started having repeated pains, he couldn’t even get up on his own, sit down , lie down, go to the toilet, you have to drive him under the handles. Please tell me, is it supposed to be like this or is it some kind of complication? Is this normal at all? It should be? And how long will it continue? He has abdominal pain, pain in his right shoulder, and numbness in his fingers. Thank you!

sergey, nizhny novgorod

ANSWERED: 08/26/2016

Hello, yes, indeed, at the time of removal, some time after removal, there may be pain at the site of the drainage, along the wound channel where the drainage took place, there may be some features of the postoperative period that you did not indicate here. Antispasmodics and painkillers for a day or two, and then the pain will gradually go away. As for the numbness of the fingers, then apparently there is osteochondrosis of the cervical spine. Here, an examination by a neurologist, a consultation with a rehabilitologist will be useful.

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Temperature after surgery - is it normal? This question can arise in any patient who has undergone surgery. The results of thermometry, that is, body temperature measurements, are the data that the doctor relies on, assessing the patient's condition in dynamics. High numbers indicate the onset of fever, but additional testing is required to establish the exact cause. An increase in temperature after surgery is a non-specific symptom that occurs in a variety of conditions, not all of which can be called a disease.

Postoperative fever is considered to be an increase in temperature above 38.5 ° C, which is recorded at least 2 times during the first 24 hours after the completion of the operation.

However, the body temperature during the development of postoperative complications may be subfebrile - it depends on the type of pathology, the age and condition of the patient, and a number of additional factors. Therefore, other criteria for determining fever are also used - an increase in temperature of more than 37.2 ° C in the morning and more than 37.7 ° C in the evening.

Temperature after surgery in a child or adult may be due to:

  1. Infection.
  2. Phlebothrombosis.
  3. Thyrotoxic crisis.

In some cases, fever is explained by immune disorders, the development of a rejection reaction after transplantation, the presence of a neoplasm, and exacerbation of chronic concomitant diseases. An increase in temperature in combination with a decrease in blood pressure is characteristic of acute adrenal insufficiency.

In the first hours after surgery on the stomach or other organ, the temperature may rise due to shivering. Severe shivering occurs as a compensatory reaction if the body experiences heat loss during surgery (intraoperative hypothermia) due to low temperature in the operating room, the administration of anesthetics, transfusion of solutions, and the use of respiratory mixtures that were not warm enough. The temperature reaches 38-39 ° C and normalizes after the trembling stops.

The temperature in the range of 37.1-37.4 ° C after abdominal and chest surgery can persist for several days. If the patient feels satisfactory, there are no pathological changes in the area of ​​the surgical wound, there is no reason to think about an infection or other complication.

Symptoms

Fever is usually accompanied by:

  1. General malaise, drowsiness.
  2. Trembling, chilliness, alternating with a feeling of heat.
  3. Decrease or lack of appetite.
  4. Weight loss.
  5. Pain in muscles, joints.
  6. Increased skin sensitivity.

High blood pressure and tachycardia (increased heart rate) are classic symptoms of a temperature reaction.

In some diseases, they are absent, the opposite phenomenon can be observed - bradycardia.

Infection

Infection is one of the most common causes of fever after knee surgery or other surgical options. Common infectious complications include:

  • surgical wound infection;
  • urinary tract infections;
  • respiratory system infections.

According to clinical observations, the more accurate the assumption of infection, the later the fever appeared.

In the first hours after surgery on the lung, the temperature is of non-infectious origin, but if a febrile reaction occurs on the second day and at a later date, it is necessary to include an infectious pathology in the diagnostic search.

The likelihood of complications depends largely on the degree of bacterial contamination of the wound.

Temperature after abdominal surgery for appendicitis is observed, as a rule, with a belated intervention and the presence of peritonitis. If the lumen of the digestive, respiratory and urinary tract is opened, the wound is considered conditionally contaminated, the risk of purulent infection increases by 5-10% compared to a clean wound surface (during prosthetics, herniotomy). Open fractures, fecal peritonitis are classified as contaminated wounds, infection in which is observed in almost 50% of cases.

In addition to wound infection, complications can be caused by artificial ventilation of the lungs (pneumonia), the use of a urethral catheter (cystitis), venous access (thrombophlebitis). The temperature after the operation to remove the gallbladder above 38.5 ° C should suggest a possible purulent infection (liver abscess, subdiaphragmatic abscess, peritonitis). The list of possible infectious diseases, one way or another associated with surgery, is quite wide. Assume infection is necessary in the presence of fever after surgery, pain, redness and swelling in the area of ​​the surgical wound, the presence of purulent discharge.

It is necessary to pay attention not only to the presence of fever.

It is important to assess its duration, the time of occurrence, the presence of sharp drops and rises in temperature, as well as symptoms indicating the localization of the lesion.

For example, if the temperature after heart surgery is combined with weakness, chills, and the appearance of heart murmurs, there is reason to suspect infective endocarditis.

The basis of treatment is antibiotic therapy. If the penetration of the infection is associated with a urethral or venous catheter, it must be removed. When a purulent focus (abscess, phlegmon) is formed, surgical intervention is required.

Phlebothrombosis

During anesthesia, the activity of the blood coagulation system increases, blood flow slows down. Phlebothrombosis is a probable complication of general anesthesia with the use of muscle relaxants, more often observed in patients older than 40 years. The risk of blood clots in the veins increases with a large volume of surgery, the duration of surgery for more than 4 hours, obesity, varicose veins of the lower extremities. A symptom of thrombosis may be temperature after surgery to remove the tumor.

Clinical manifestations of deep vein thrombosis of the lower extremities:

  1. Weakness, fever.
  2. Swelling and pain in limbs.
  3. Pale or bluish discoloration of the skin.

Patients require bed rest, an elevated position, and elastic bandaging of the limb. Anticoagulants (fraxiparin, heparin, phenylin), antiplatelet agents (chimes, trental) are prescribed. Thrombolysis (thrombus dissolution with the introduction of streptokinase, streptase) is used according to strict indications because of the risk of bleeding. Thrombus removal can also be done surgically.

Thyrotoxic crisis

One of the most likely endocrine disorders in the postoperative period is a thyrotoxic crisis - a condition caused by a sharp increase in the level of thyroid hormones in the blood.

Occurs in patients with diffuse toxic goiter in case of late detection of pathology and / or lack of adequate therapy. During the operation, the body experiences stress associated with anesthesia and surgery - this is a trigger for the development of a thyrotoxic crisis. The following symptoms are observed:


High temperature after surgery on the thyroid gland, intestines and other organs, which is a manifestation of a thyrotoxic crisis, is an indication for emergency medical care. Thyrostatic drugs (mercasolil), beta-blockers (anaprilin, propranolol), glucocorticosteroids (prednisolone), infusion therapy are used.

Temperature after surgery is a normal phenomenon, which indicates the active recovery of the body after surgery. But there are a number of problems that also affect the performance of the thermometer. It is important to be able to recognize familiar situations from complications.

Norm indicators

Each patient, regardless of the complexity or location of the operation, has to endure the temperature. Its value does not exceed 37.5 degrees. It is these indicators that are associated with weakness and aches in the body.

The good condition of the patient depends on how many days the fever was. With quality treatment, it passes in a week. Sometimes even earlier. In order to pass the postoperative period with confidence, it is necessary to navigate in terms of the norm.

Type of operation Indicators Explanation
Plastic surgery on the upper layers no raise

or 37-37.5 degrees

The body does not experience a strong shock. The patient, to a greater extent, has to deal with pain and weakness.
Operations on the bones no raise

or up to 37 degrees

This includes cosmetic procedures, and healing after serious injuries.
Removal of suppuration, infected organs, inflammation, appendicitis up to 39 degrees Big jumps should not scare in such cases. But the fever usually goes away after 5-7 days.
General array of operations 37.3-37.5 degrees After any operation, a person may have a slight fever. The temperature is now normal, then rises within these limits.

Attention! The lower temperature does not bring anything good. The body is weak. He cannot recover properly. This means that the postoperative period will increase dramatically. There are also two additional threats:

  • the inability of the patient to cope with the infection if complications arise;
  • the presence of vegetative-vascular dystonia (the body does not respond well to treatment).

Temperature Causes: Complications

If the patient has an elevated temperature, which is far from the norm, then the doctor must go through a special list. This is a list of the reasons due to which in most cases there are problems:

1.Infection. Heat is her sure sign. Treatment should be immediate, as it can spread throughout the body. In addition, the infection will not go away on its own. A course of antibiotics is needed (sometimes several names are combined). Infection can occur during surgery, as the wound is in contact with air, or with poor-quality dressings.

2. Bad seam. The divergence of the seam from the first second becomes a threat. Microbes and bacteria can get into it. The surgeon must carefully do his job, choose the right threads and tools, the right type of suture.

3. Necrosis. After any operation, a quality cleaning should be carried out. It is impossible for the body to have the remains of a removed organ or tissue. They will start to rot. A neglected situation can lead to the death of the patient.

4. Catheters or drains. Installed foreign bodies can move and damage organs or tissues. Even their presence is always accompanied by fever.

5. . A frequent occurrence after using the artificial respiration apparatus. Lung problems also require antibiotic treatment. You need to take timely pictures and analyze the situation.

6. Inflammation different types: peritonitis (abdominal cavity), osteomyelitis (with a fracture of the bones). This is one of the most serious complications, since the treatment is most often a second operation.

7. . Determining the body's response to a transfusion is difficult. Even if the blood type matches exactly. But doctors often have no choice. Severe bleeding requires rapid replenishment of the blood supply.

Attention! It is not always known why the temperature appears. The patient's chronic diagnoses may influence this issue. Therefore, one has to resort to different analyses.

As soon as the doctor determines why the thermometer goes off scale, he can prescribe treatment. All of the above problems are complications, and therefore require quick solutions.

How to identify a complication

The torn seam is immediately visible. But not always the general picture of the patient's condition is immediately visible. Therefore, you need to focus on the following signs:

  • slow wound healing (strongly deviates from the norm);
  • change in the edges of the wound (redness, discoloration, bruising);
  • active formation of pus;
  • symptoms (persistent cough without sputum, loud wheezing).

Attention! The main symptom is always a prolonged temperature. It can be observed even for more than a month.

Operations to remove appendicitis

This type of surgery is considered separately. It has its own specifics, which you should find out everything in advance. The reaction of the body depends on how the appendix was removed.

Laparoscopic surgery, whose essence is in small tissue punctures, guarantees a quick recovery. The fever will last a maximum of 3 days, and this is in cases where it appears at all. Open surgery with a standard incision is more traumatic. A temperature of 38 degrees can last about 10 days.

As soon as the period passes, the doctor expects to see 36.6 on the thermometer. If the fever does not go away, then you have to look for its cause. Common causes of complications after are:

Treatment in such cases is divided into 3 stages. The first includes antibiotic therapy (antibiotics). The second is anti-inflammatory therapy (Ibuprofen). The third is standard antipyretic drugs.

Even the last stage can only be prescribed by a doctor. He specifies the dose. He also needs to know the exact time of taking the medicine to see if it works or not.

temperature control

The temperature after the operation only increases the discomfort. But it is not always possible to knock it down right away. First, readings below 38.5 are never a reason to use medication. Doctors always forbid anything to be used with a small temperature. Secondly, it is better to give the body the opportunity to work and recover properly.

It is worth starting active actions only in some cases:

  • temperature above 38.5 degrees;
  • the patient suffers from convulsions;
  • have serious heart problems.

You can bring down the temperature with the help of medicines or wet compresses. Compresses can only be done with cold water. They can not be placed on the chest and back. Try to place them on the folds of the arms and legs, on the forehead and on the back of the head. Then the effect will be maximum.

Of the medicines, Nimesil, Paracetamol, Ibuprofen and their analogues are most often used. If a sharp jump has begun and the pills do not help, then you have to make special injections. After them, the temperature can drop to 35 degrees.

In order for the recovery process not to be delayed, the temperature after the operation should be monitored every few hours. It is especially important to do this on the first day. A good reaction of the patient and doctors will be the key to a quick recovery.