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How should complications following surgery be managed during the major surgical global period?

  1. By referring to a specialist

  2. To be managed unless a return to the operating room is needed

  3. Only monitored, no intervention allowed

  4. By prescribing medication only

The correct answer is: To be managed unless a return to the operating room is needed

During the major surgical global period, which typically lasts for 90 days following the surgery, management of any complications that arise is primarily the responsibility of the surgeon who performed the procedure. These complications can include a range of issues such as infection, bleeding, or abnormal healing. The correct approach involves managing these complications unless a situation arises that necessitates a return to the operating room. This indicates that the surgeon should assess and treat any issues that may occur, ensuring appropriate follow-up care without needing to refer the patient out or only monitor the condition without intervention. This active management is crucial because it directly impacts patient recovery and can prevent further complications or the need for additional surgeries. Each of the other options presents a more limited approach to the management of complications. Referring to a specialist may be appropriate for specific situations, but it is not a blanket necessity for all complications. Merely monitoring a complication without any intervention is not considered adequate care in this context, as proactive treatment is often essential to mitigate issues. Finally, prescribing medication alone does not encompass the full spectrum of care required to address potential surgical complications, which may involve various treatment modalities including follow-up examinations, surgical interventions, and overall management plans.