[Post-operative course in tetraplegics after urological surgers (author's transl)].
The authors report their experience with 33 tetraplegics undergoing surgery. The operations were varied, endoscopic (resection of the bladder neck, of the prostate or striate sphincter, lithot-itiasis) or surgical (lombotomies, transintentinal cutaneous ureterostomies). The post-operative course may be dramatic or even fatal (acute hypertension with cerebral haemorrhage). Respiratory insufficiency poses no particular problem and can be controlled. Epidural anaesthesia maintained for several days makes it possible to avoid the more serious problems: -- autonomic hyperreflectivity, -- delayed resolution of ileus and digestive complication. The authors hence use epidural anaesthesia routinely and are satisfied with the technique.
D000767:Anesthesia, Epidural; D002543:Cerebral Hemorrhage / Q000209:etiology; D004724:Endoscopy; D005769:Gastrointestinal Motility; D006801:Humans; D006973:Hypertension / Q000209:etiology; D007813:Laparotomy; D008012:Lidocaine / Q000008:administration & dosage; D008297:Male; D011183:Postoperative Complications; D011782:Quadriplegia / Q000150:complications*; D012021:Reflex, Abnormal; D012131:Respiratory Insufficiency / Q000209:etiology; D014546:Urinary Catheterization; D014551:Urinary Tract / Q000601:surgery*; D014570:Urologic Diseases / Q000150:complications / Q000601:surgery*
D008012:Lidocaine
A propos des suites opératoires des tétraplégiques en chirurgie urologique