The postoperative period of former President Jair Bolsonaro will be delicate and prolonged, as reported on Monday (14) of the medical team that accompanies the politician. Bolsonaro underwent surgery of about 12 hours on Sunday (13) and is still hospitalized at the Intensive Care Unit (ICU) of the DF Star Hospital in Brasilia, with no forecast of discharge.
In a press conference, cardiologist Leandro Echenique, who accompanies Bolsonaro Since the episode in which the former president was stabbedin 2018, he recalled that this was the seventh surgery to which he underwent.
“Some less complex, simpler. Others, very complex, over all these years. About the procedure performed yesterday [domingo]We categorized it among the most complex, ”said Echenique.
“There was a lot of grip, which have been complications since the initial period, 2018. If there were no that first surgery, the others would not have happened,” he explained, adding that “fortunately ended very well.”
“The end result was excellent. Of course, a 12-hour large procedure implies some very specific postoperative care of the clinical part, which we will follow in the coming days.”
According to the cardiologist, despite the long period in the operating room, There were no complications during Bolsonaro surgery. “This is what was expected,” he said, citing that when the patient undergoes a very prolonged procedure, the body ends up developing an important inflammatory response.
“It is very inflamed and this can occur postoperatively. It is common, it is normal,” he explained.
Among the complications that may still arise over the next few days, according to the doctor, there are increased risk of infections, increased risk of drugs to control pressure, as the vessels dilate due to inflammation. There is also an increased risk of thrombosis and other blood coagulation problems.
“A series of complications that can happen. Now, all preventive measures will be taken. So he is in the ICU right now,” said Echenique.
During the press conference, the chief doctor of the team who conducted the surgery of the former president, Claudio Birolini, detailed that Bolsonaro was already keeping a distension and abdominal discomfort persistent And that health professionals observed an elevation of inflammatory markers, which led to the indication of surgical treatment.
“Roughly speaking, the former president’s situation was as follows: a hostile abdomen, with multiple previous surgeries and adhesions, causing a picture of intestinal obstruction. And a widely damaged abdominal wall due to stab and previous surgeries. [o procedimento de domingo] It would be quite complex and quite laborious. ”
According to the doctor, it took 2 hours to access the abdominal cavityplus 4 or 5 hours for release of adhesions. In a second stage, the team began reconstruction of the abdominal wall.
“His gut was very suffering, which leads us to believe that he had been with this subclinical picture for a few months,” he added.
“These first 48 hours are quite critical. We have to be alert, with an eye. After that, we enter another postoperative phase, slightly quieter, but already anticipate that I do not have high expectations of rapid evolution. We need to let the gut rest, disinflam, resume their activity and then think of oral and resumption of other activities,” said the doctor.
Bolsonaro is kept in an intravenous parenteral feeding.
“The former president has a very intense agenda and it is difficult to hold him. I will try to hold it as far as possible, but he has his pace,” said Birolini, mentioning that the objective of the medical team is that the former president will have a normal life, without restrictions.
“Visits to family members are released, but I talked to the team and Michelle [Bolsonaro, esposa do ex-presidente] For us to restrict our best. He is very fond of talking, talking, and this is the moment when we have to make it more relaxed, in a more reserved environment, ”he said.
