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Erschienen in: European Surgery 2/2016

01.05.2016 | ICS congress 2015

Comprehensive surgical care: less recognized factors in successfull operative treatment

verfasst von: F. Arifin

Erschienen in: European Surgery | Sonderheft 2/2016

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Excerpt

A surgery is a stressful event, physically and psychologically. All surgeries are traumas, and physical response to injury resembles responses to trauma. Two major systemic responses to surgery are the neuroendocrine response and the acute phase response. The neuroendocrine response results mainly because of the loss of blood volume (hypovolemia), which in turn may be caused by the surgical wound itself, the disruption of the vessel, or the loss due to malfunction of the digestive system. Blood volume depletion triggers the activation of the renin-angiotensin-aldosterone pathways that are intended to increase volume by reducing urine production and fluid retention [14]. The cardiovascular system responses by maintaining cardiac output, mainly by increasing contractility and raising the heart rate. There is an activation of the coagulation system and contraction of the blood vessel to stop hemorrhage [4]. …
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Metadaten
Titel
Comprehensive surgical care: less recognized factors in successfull operative treatment
verfasst von
F. Arifin
Publikationsdatum
01.05.2016
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe Sonderheft 2/2016
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-015-0366-0

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