Arthrofibrosis | Operative complication

Arthrofibrosis

Arthrofibrosis is a dreaded, in its aetiology largely unexplained joint disease following surgery or injury, resulting in a more or less severe, sometimes painful restriction of joint mobility.

Sudeck’s disease

Sudeck’s disease is a serious disease that often occurs after injuries such as bone fractures or operations, but sometimes also after minor injuries or a faulty infusion, or even without a recognizable cause. The cause of Sudeck’s disease is a disturbance of the nervous system with consequences of circulatory disturbance, decalcification of the bone but severe disturbance of the metabolism.

Complication after bypass surgery

Various complications can occur after a bypass operation, whereby the probability of a disturbed healing process depends strongly on the intraoperative findings and the individual risk factors of the affected person. The most dreaded complication after bypass surgery is the early closure of the newly created vessel at the heart by a blood clot. An incomplete occlusion can then result in a tight chest with shortness of breath as well as felt cardiac dysrhythmia.

If the blood clot seals the vessel completely, a (new) heart attack is inevitable. In rare cases, the exact opposite is a postoperative complication. If the “new” vessel ends do not adapt sufficiently to each other, a so-called suture insufficiency can occur. As a result, blood leaks out at the suture points, leading to blood loss in itself and bleeding into the chest cavity, which in the worst case can cause life-threatening circulatory and respiratory problems. An infection with subsequent spread of germs is often caused by inadequate wound care of the surgical scar (= non-sterile dressing change), so that pathogens can connect to the vascular system via the skin defects and cause serious inflammatory symptoms.

Complication after caesarean section

After a caesarean section, almost every imaginable complication can occur, since it is a major surgical procedure with a wide scar on an organ that is well supplied with blood.A bleeding becomes noticeable relatively quickly after a caesarean section, since experience shows that a high blood loss occurs quickly due to good blood circulation. Those affected notice this by a vaginal blood loss, an increase in the abdominal circumference after surgery and the occurrence of circulatory problems. A complication that occurs later is infection of the uterus, which can be caused by the penetration of pathogens via the wound suture as well as by the entry of pathogens from the vagina.

However, in the case of a non-sterile dressing change, for example, it is very easy for pathogens to enter the uterus, as the infection can descend via the wound defect. The natural barrier function of the individual skin and organ layers is interrupted. This is where the typical inflammatory symptoms develop in those affected and, depending on their severity, require antibiotic or even surgical treatment.