Experience in Abdominal Surgery of 13 Psychotic Patients

Mitsuhiro Kimura, Kenji Kakizaki, Hidemi Yamauchi

Department of Surgery, Sendai National Hospital

We have been involved in surgical treatment of 13 patients with psychosis for the last two years. There were six patients with schizophrenia, four with manic-depressive psychosis, and one each with a mental disorder due to epilepsy, alcoholic psychosis and paranoia. The mean duration of anti-psychotic therapy was 14 years. In cooperation with the psychiatrist and anesthesiologist, a great effort was made to prevent the onset of psychiatric symptoms and side effects of antipsychotics during the perioperative period. Psychiatric symptoms could be minimized by an adequate dose of antipsychiatric agents through an adequate route. However, suppressed respiration was noticed in one case, probably because of an overdose of antipsychotic drugs. Also side effect of antipsychotic agents, namely, postoperative paralytic ileus, hypotension and so on, were noticed. Therefore, we must take the influence of antipsychiatric agents into consideration during surgical treatment of psychotic patients as well as treatment of the psychosis itself.

Key words
abdominal surgery, psychotic patient, perioperative management of psychotics

Reprint requests
Kenji Kakizaki Department of Surgery, Sendai National Hospital
Miyagino 2-8-8, Miyaginoku, Sendai, 983 JAPAN

Accepted
November 11, 1992

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