{"id":139705,"date":"2026-02-04T00:00:28","date_gmt":"2026-02-03T23:00:28","guid":{"rendered":"https:\/\/dev.institutchiaribcn.com\/?post_type=enfermedades&p=139705"},"modified":"2026-03-26T12:16:26","modified_gmt":"2026-03-26T11:16:26","slug":"mes-informacio-sobre-postoperatori","status":"publish","type":"enfermedades","link":"https:\/\/institutchiaribcn.com\/ca\/mes-informacio-sobre-postoperatori\/","title":{"rendered":"Per a m\u00e9s informaci\u00f3 sobre el postoperatori"},"content":{"rendered":"

\u00daltima actualizaci\u00f3n: 18\/07\/2019, <\/strong>Dr. Miguel B. Royo Salvador<\/strong><\/a>, Numero colegiado 10389.<\/strong> Neurocirujano y Neur\u00f3logo.<\/strong><\/p>\n

 <\/p>\n

Riscos i complicacions <\/strong><\/h2>\n

 <\/p>\n

En general, els riscos d’aquestes intervencions s\u00f3n els propis de qualsevol intervenci\u00f3 quir\u00fargica, com la infecci\u00f3 o hemorr\u00e0gia a la zona de la ferida quir\u00fargica.<\/p>\n

Les malalties pr\u00e8vies del pacient condicionen el postoperatori i l’evoluci\u00f3 subseg\u00fcent.<\/p>\n

Els riscos intraoperatoris espec\u00edfics de cada t\u00e8cnica utilitzada, s’indiquen al pacient pr\u00e8viament a la intervenci\u00f3 i han d’estar reflectits en el consentiment informat a signar.<\/p>\n

 <\/p>\n

Postoperatori<\/strong><\/h2>\n

 <\/p>\n

Segons el tipus de t\u00e8cnica operat\u00f2ria, el cirurgi\u00e0 indica els temps de recuperaci\u00f3, les contraindicacions durant aquesta, la medicaci\u00f3 postoperat\u00f2ria i els controls de la ferida quir\u00fargica, fins a la seva completa curaci\u00f3.<\/p>\n

Tal com succeeix despr\u00e9s de qualsevol intervenci\u00f3 quir\u00fargica, en el per\u00edode postoperatori els s\u00edmptomes previs poden tenir fluctuacions; en la majoria dels casos obtenint una millora progressiva amb l’alleujament i desaparici\u00f3 dels dolors i de la inflamaci\u00f3 \u2013al llarg d’uns mesos o durant el primer any posterior a l’operaci\u00f3\u2013.<\/p>\n

 <\/p>\n

En el cas de persist\u00e8ncia de les seq\u00fceles a llarg termini<\/strong><\/h2>\n

 <\/p>\n

Quan un s\u00edmptoma a causa de l’evoluci\u00f3 de l’h\u00e8rnia\/protrusi\u00f3 pr\u00e8via a l’operaci\u00f3 d’ex\u00e8resi \u2013de dolor, irradiaci\u00f3, inflamaci\u00f3, alteraci\u00f3 de la sensibilitat o p\u00e8rdua de for\u00e7a\u2013, no disminueix, no millora, persisteix invariant o fins i tot augmenta, el pacient pot t\u00e9mer que el tractament quir\u00fargic no hagi tingut \u00e8xit i\/o que incl\u00fas sigui responsable de qu\u00e8 el trastorn perduri.<\/p>\n

El primer que ha de fer \u00e9s consultar l’especialista, qui s’ocupar\u00e0, \u2013mitjan\u00e7ant les visites i les proves complement\u00e0ries oportunes\u2013, de:<\/p>\n

1. Comprovar i despr\u00e9s confirmar al malalt que:<\/u><\/p>\n

    \n
  • S’ha eliminat la tracci\u00f3 medul\u00b7lar amb \u00e8xit \u2013en el cas de coexist\u00e8ncia d’una Malaltia del Filum\u2013.<\/u><\/li>\n
  • S’ha aplicat la t\u00e8cnica correcta d\u2019ex\u00e8resi de l’h\u00e8rnia\/protrusi\u00f3.<\/u><\/li>\n
  • S’han col\u00b7locat correctament els eventuals empelts o caixes intersom\u00e0tiques i s’ha triat un material compatible i segur per al cas particular.<\/u><\/li>\n<\/ul>\n

    2. Descartar o confirmar:<\/u><\/p>\n

      \n
    • Que no hi hagin hagut complicacions postoperat\u00f2ries<\/u> \u2013traumes o esfor\u00e7os abans d\u2019hora durant el per\u00edode postoperatori\u2013, que puguin haver complicat la curaci\u00f3 de les vies nervioses afectades.<\/li>\n
    • Altres diagn\u00f2stics associats<\/u>: una vegada operada l’h\u00e8rnia\/protrusi\u00f3, \u00e9s possible detectar altres patologies dels discs, que amb el quadre cl\u00ednic anterior no es podien diferenciar, per\u00f2 que ara s\u00f3n molt m\u00e9s evidents (estenosi del canal, s\u00edndrome de Baastrup, facetaria, etc.) i poden provocar s\u00edmptomes similars i a les mateixes vies afectades.<\/li>\n<\/ul>\n

       <\/p>\n

      En el cas que es detecti alguna causa entre les esmentades, es procedeix a tractar-la i al seguiment ulterior del pacient, fins a la remissi\u00f3 completa dels s\u00edmptomes.<\/p>\n

      Per altra banda, en el cas que s’hagi descartat qualsevol possibilitat de les citades en els punts 1 i 2, es pot assumir que el s\u00edmptoma pot romandre a causa d’una lesi\u00f3 probablement irreversible<\/u>, i que llavors ser\u00e0 dif\u00edcil que remeti. Fins i tot, existeixen seq\u00fceles de lesions irreversibles que poden tenir una evoluci\u00f3 encara que s’elimini l’h\u00e8rnia\/protrusi\u00f3. El s\u00edmptoma corresponent pot anar empitjorant ulteriorment, perqu\u00e8 \u00e9s impossible tant recuperar com aturar la degeneraci\u00f3 del teixit nervi\u00f3s afectat.<\/p>\n

      En aquests casos, el metge podr\u00e0 recomanar tractaments pal\u00b7liatius, simptom\u00e0tics i conservadors idonis per a cada malalt.<\/p>\n","protected":false},"featured_media":138846,"template":"","class_list":["post-139705","enfermedades","type-enfermedades","status-publish","has-post-thumbnail","hentry"],"yoast_head":"\nPer a m\u00e9s informaci\u00f3 sobre el postoperatori | Institut Chiari<\/title>\n<meta name=\"description\" content=\"\u00daltima actualizaci\u00f3n: 18\/07\/2019, Dr. Miguel B. Royo Salvador, Numero colegiado 10389. 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