introduction
operative and post operative hemorrhage are a condition of deep bleeding that could face the patient either during surgery (operative) or after (post operative). the causes to this are a lot for example the incision may bleed due to the separation of the stitches , or it could happen internally when some organs get injured during surgery or the blood vessels may need to be secured.the hemorrhage may start shortly after the operation or after a couple of days. this could be life-threatening so thats why its so important to know how to manage this problem correctly.
risk factors
1.health status , the presence of diseases in the kidney and liver or bleeding disorders like hemophilia
2.medication for example …show more content…
This preparation will have included an assessment of fitness for the procedure and identification and management of any risk factors.In terms of surgical complications, ‘‘an ounce of prevention is worth a pound of cure,’’.
management
The management of hemorrhage in the post-operative period may be approached in several ways. In broad terms, bleeding may be classified as either localized or generalized. If localized, it may be classified as follows:
1.primary (bleeding which occurs at the time of operation)
2.reactionary :after suturing an operation wound bleeding occurs within the first 48 hours of the operation due to displacement of a clot in a vessel or slippage of the ligature.
3.secondary (bleeding occurring at 8 to 14 days later due to infection of wound or eroded)
in case of wound bleeding it could be managed by firm local pressure and packing and if this fails to control the bleeding the wound should be reopened usually under LA and remove the sutures and tie or coagulate the bleeding vessels. antibiotics must be prescribed