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A. Purpose
The degree of risk involved in a surgical procedure is affected by the client’s age, general health, nutritional status, use of
medications, and mental status.
Very young and elder clients are greater surgical risks than children and adults.
The physiologic response of an infant to surgery is substantially different from an adult’s.
The blood volume in an infant is small, and its fluid reserves limited.
The older adult often has fewer physiologic reserves to meet the extra demands caused by
surgery.
Age The older adult may be poorly nourished, which can impair healing.
Surgery is least risky when the client’s general health is good. Common health problems that
increase surgical risk and may lead to the decision to postpone or cancel surgery are malnutrition,
cardiac conditions, blood coagulation disorders, renal diseases, diabetes mellitus, liver diseases,
General Health etc.
Adequate nutrition is required for normal tissue repair.
Obesity contributes to postoperative complications such as pneumonia, wound infection and
wound separation.
Obese and underweight client are vulnerable to pressure ulcer formation due to positioning
required for surgery.
A malnourished client is at risk for delayed wound healing, wound infection and fluid and
Nutritional Status electrolyte alterations.
The following medication can increase surgical risk:
Anticoagulants increase blood coagulation time.
Tranquilizers may interact with anesthetics, increasing the risk of respiratory depression.
Corticosteroids may interfere with wound healing and increase the risk of infection.
Medications Diuretics may affect fluid and electrolyte balance.
Clients with dementia may have difficulty understanding proposed surgical procedures and may
respond unpredictably to anesthetics.
Extreme anxiety also increases surgical risk and interferes with the client’s ability to process
Mental Status information and respond appropriately to instructions.
Terminology
Excision surgery names often start with a name for the organ to be excised (cut out) and end in -ectomy.
Procedures involving cutting into an organ or tissue end in -otomy. A surgical procedurecutting through the abdominal wall to
gain access to the abdominal cavity is a laparotomy.
Minimally invasive procedures involving small incisions through which an endoscope is inserted end in -oscopy. For example,
such surgery in the abdominal cavity is called laparoscopy.
Procedures for formation of a permanent or semi-permanent opening called a stoma in the body end in -ostomy.
Reconstruction, plastic or cosmetic surgery of a body part starts with a name for the body part to be reconstructed and ends in -
oplasty. Rhino is used as a prefix for “nose”, sorhinoplasty is basically reconstructive or cosmetic surgery for the nose.
Reparation of damaged or congenital abnormal structure ends in -rraphy. Herniorraphy is the reparation of a hernia, while
perineorraphy is the reparation of perineum.