Nursing Management of Postoperative Complications in Liver Resection: Biloma and Subphrenic Abscess

15.00
Hdl Handle:
http://hdl.handle.net/10755/165572
Category:
Abstract
Type:
Presentation
Title:
Nursing Management of Postoperative Complications in Liver Resection: Biloma and Subphrenic Abscess
Author(s):
Ramrup, Natasha
Author Details:
Natasha Ramrup, Memorial Sloan-Kettering Cancer Center, New York, New York, USA
Abstract:
Surgery for primary and secondary liver cancer offers the only potential cure for these aggressive malignancies. At this NCI-designated comprehensive cancer center approximately 250-300 liver resections are performed annually. Over the past 10 years the mortality rate at major cancer centers has decreased to less than 5% due to advances in surgical techniques, anesthesia administration, and enhanced perioperative care. Liver resection can be associated with complications such as biloma (bile collection) and subphrenic abscess formation during the postoperative course. Abscess formation may occur due to accumulation of contaminated bile in the area adjacent to the hepatic resection margin. Nursing knowledge of hepatic physiology and postoperative complications is essential to effectively manage, educate, and care for this patient population. Nursing care in the immediate postoperative period must prioritize keen patient assessment, maintenance of hemodynamic balance, and early detection of potential complications. A biloma may resolve through placement of a drainage catheter, or may simply resolve without intervention. However, subphrenic abscess requires a drainage catheter and antibiotic treatment. A drainage catheter is placed under fluoroscopy by the interventional radiology team and often remains in place post discharge. The nurse provides the patient/caregiver with written materials and a video that explains the purpose and function of the catheter. Verbal and written materials are given and return demonstration of catheter care is incorporated in the teaching process. The nurse provides support, reassurance, feedback, and pertinent explanation regarding the drainage catheter with the goal of preventing complications at home. Astute nursing management post liver resection is essential to improve the outcome of liver surgery. This presentation will 1) provide an overview of biloma and abscess formation, 2) outline the nursing plan of care for identifying and managing biloma and subphrenic abscess post liver resection, and 3) describe effective patient/caregiver education plan for drainage catheter management.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
27th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleNursing Management of Postoperative Complications in Liver Resection: Biloma and Subphrenic Abscessen_GB
dc.contributor.authorRamrup, Natashaen_US
dc.author.detailsNatasha Ramrup, Memorial Sloan-Kettering Cancer Center, New York, New York, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/165572-
dc.description.abstractSurgery for primary and secondary liver cancer offers the only potential cure for these aggressive malignancies. At this NCI-designated comprehensive cancer center approximately 250-300 liver resections are performed annually. Over the past 10 years the mortality rate at major cancer centers has decreased to less than 5% due to advances in surgical techniques, anesthesia administration, and enhanced perioperative care. Liver resection can be associated with complications such as biloma (bile collection) and subphrenic abscess formation during the postoperative course. Abscess formation may occur due to accumulation of contaminated bile in the area adjacent to the hepatic resection margin. Nursing knowledge of hepatic physiology and postoperative complications is essential to effectively manage, educate, and care for this patient population. Nursing care in the immediate postoperative period must prioritize keen patient assessment, maintenance of hemodynamic balance, and early detection of potential complications. A biloma may resolve through placement of a drainage catheter, or may simply resolve without intervention. However, subphrenic abscess requires a drainage catheter and antibiotic treatment. A drainage catheter is placed under fluoroscopy by the interventional radiology team and often remains in place post discharge. The nurse provides the patient/caregiver with written materials and a video that explains the purpose and function of the catheter. Verbal and written materials are given and return demonstration of catheter care is incorporated in the teaching process. The nurse provides support, reassurance, feedback, and pertinent explanation regarding the drainage catheter with the goal of preventing complications at home. Astute nursing management post liver resection is essential to improve the outcome of liver surgery. This presentation will 1) provide an overview of biloma and abscess formation, 2) outline the nursing plan of care for identifying and managing biloma and subphrenic abscess post liver resection, and 3) describe effective patient/caregiver education plan for drainage catheter management.en_GB
dc.date.available2011-10-27T12:21:06Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:21:06Z-
dc.conference.date2002en_US
dc.conference.name27th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationWashington, D.C., USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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