Postoperative Orders
- Routine VS, diet
- HOB, positioning, activity, bathing: Prone position for 1–3 days after surgery. Bathing is possible 3 days after surgery.
- Medications and dosages including PRN drugs: Dexamethasone is discontinued the day after surgery. Antibiotics are used only perioperatively.
- Laboratory studies: Laboratory studies are obtained as needed for infected cases.
- Physical therapy and orthotics: Postoperative physiotherapy is recommended for patients with neurological deficits.
- Consultations: Infectious disease consultation should be obtained for complicated cases with abscesses; a urological consultation is needed for neurogenic bladder; and an orthopedic consultation should be obtained in cases with lower extremity deformities.
Postoperative Morbidity
- More likely with infection: Infection of the CSF space is associated with significant arachnoiditis and adhesions. This can result in meningitis, neurological deficits in the lower extremities, and bowel and bladder dysfunction.
Please create a free account or log in to read 'Recovery After Surgery for Dermal Sinus Tracts in Children'
Registration is free, quick and easy. Register and complete your profile and get access to the following:
- Full unrestricted access to The ISPN Guide
- Download pages as PDFs for offline viewing
- Create and manage page bookmarks
- Access to new and improved on-page references
