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What may increase your risk for problems after surgery?

Healthwise
By Jan Nissl, RN, BS

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If you need to call your surgeon about a symptom or problem, be sure that you remind him or her about your other conditions, lifestyle choices, medicines, and diseases. You may be at risk for a more serious problem following surgery if you have any of the following.

Conditions

  • Age older than 60
  • History of deep venous thrombosis (DVT) or pulmonary embolism (PE)
  • History of bowel obstruction
  • History of kidney failure
  • History of transient ischemic attack (TIA) or stroke
  • Malnutrition
  • Mobility problems that confine you to a bed or chair
  • Obesity
  • Presence of an indwelling catheter, such as a feeding tube, IV line, or urinary catheter
  • Previous surgery to the surgical area
  • Surgery to remove the spleen

Lifestyle choices

  • Alcohol abuse or withdrawal
  • Drug abuse or withdrawal
  • Smoking or other tobacco use

Medicines

  • Blood-thinning medicines, such as warfarin, heparin, and aspirin
  • Corticosteroids, such as prednisone
  • Medicines to prevent organ transplant rejection
  • Medicines used to treat cancer (chemotherapy)
  • Radiation therapy

Diseases

  • Asthma
  • Anemia
  • Cancer
  • Chronic bronchitis
  • Chronic obstructive pulmonary disease (COPD) or emphysema
  • Chronic upper respiratory infections, such as chronic sinusitis, ear infections, or tonsillitis
  • Cystic fibrosis
  • Depression or bipolar disorder
  • Diabetes
  • Eating disorders, such as anorexia or bulimia
  • Enlargement of the prostate gland (benign prostatic hypertrophy)
  • Heart disease
  • Hemophilia
  • High blood pressure
  • Human immunodeficiency virus (HIV) infection
  • Hyperthyroidism or hypothyroidism
  • Idiopathic thrombocytopenic purpura (ITP)
  • Kidney failure
  • Leukemia
  • Liver disease or cirrhosis
  • Multiple sclerosis
  • Parkinson's disease
  • Peripheral arterial disease
  • Sickle cell disease
  • Stroke
  • Tuberculosis (TB)
  • Von Willebrand's disease

Credits

Author Jan Nissl, RN, BS
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Tracy Landauer
Primary Medical Reviewer Kathleen Romito, MD - Family Medicine
Specialist Medical Reviewer C. Dale Mercer, MD, FRCSC, FACS - General Surgery
Last Updated December 9, 2008
Last Updated: 12/09/2008