What should be monitored in patients who underwent major abdominal surgery?

Monitoring bowel function and the return of peristalsis is crucial in patients who have undergone major abdominal surgery for several reasons. After such surgeries, the gastrointestinal tract can experience temporary paralysis, known as ileus, where normal peristaltic movements are diminished or halted. This can lead to complications such as abdominal distension, discomfort, and potential bowel obstruction.

By closely observing bowel function, healthcare providers can assess the resumption of normal digestive processes, including the presence of bowel sounds and the passage of flatus or stool. A return to normal peristalsis is an indicator that the gastrointestinal system is recovering and functioning properly, which is essential for the overall recovery of the patient.

Monitoring other vital parameters, such as skin integrity and color, urinary output, and psychological well-being, also plays an important role in post-operative care, but the specific focus on bowel function and peristalsis addresses a critical aspect of recovery from abdominal surgery.