Evaluation of postoperative pyrexia in general surgery patients in Medicity Institute of Medical Sciences, Ghanpur, Medchal, India

J. Yadagiri Rao, Akshay Singh


Background: Postoperative fever is one of the most common problems seen in the postoperative ward. Most cases of fever immediately following surgery are self-limiting. The appearance of postoperative fever is not limited to specific types of surgery. Fever can occur immediately after surgery and seen to be related directly to the operation or may occur sometime after the surgery as a result of an infection at the surgical site or infections that involve organs distant from the surgery. Therefore, during evaluating postoperative fever, it is important to recognize when a wait and see approach is appropriate, when further work-up is needed and when immediate action is indicated.

Methods: The study on the evaluation of postoperative pyrexia is based on 110 patients admitted in Mediciti Institute of Medical Sciences during the period from Jan’2015 to Jun’2016 and who underwent surgery for various surgical causes. The study includes 45 females and 65 males and covers an age group between 10-70 years.

Results: Between the period of Jan’2015 and Jun’2016, a total of 1022 major elective surgical procedures were performed at our hospital. Only 110 patients developed pyrexia in the post operative period. Of the total number of patients (110 cases) who developed pyrexia, 65 patients were males and the remaining 45 were females.

Conclusions: Postoperative pyrexia is a common occurrence in the first 48 hours after surgery and the etiology can be difficult to establish in certain clinical situations. This poses great diagnostic dilemmas to the operating surgeon. Age and Sex of the patient do not significantly influence the occurrence of pyrexia in the postoperative period. The more the number of preoperative co-morbid problems, the more is the complication rate and the delay in recovery from pyrexia.


Appendectomy, Fever, Postoperative period, Thyroidectomy

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