Stop of the nicotinism before an operation

Stop of the nicotinism before an operation

The smokers are subjects at the risk of post-operative complications. But if they stop their nicotinism 6 to 8 weeks before the intervention, the risk is brought back to that of the nonsmokers.
As all the reasons are good to stop smoking, here is one moreover, and consequent.
There exists a simple prevention of the perish-operational on-risk of the smokers: to stop smoking 6 to 8 weeks before the intervention and respecting this interruption during three weeks in three months afterwards. The risk becomes the same one then as that of the nonsmokers, which means reduction of the duration of the stay in surgery (two or three days less) and risk of passage in reanimation after the intervention.

Conversely, the smokers who are made operate have a risk multiplied by three of complications of the operational site (infections, complications of the scar…), by 8 of absence of osseous consolidation, by 2 to pass in resuscitation unit and to lengthen the hospital residence time.

These data, in addition to bringing a benefit for the patients, give serious indications to reduce the deficit of the social security. Indeed, the financial benefit which would result from an assumption of responsibility of the smokers into perish-operational would be considerable.

The experts propose to transmit a message in the general population, saying that one does not smoke in preoperative period, as it is currently the case near the expectant mothers.
The incentive of the smokers to stop their nicotinism and the means adequate must also be set up in the units of surgery. Surgeons, looking after, anesthetists and attending physicians have a whole an important role to play.