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Nutrition

  • Serum albumin <3.0 g/dl and total lymphocyte count (TLC) <1500 both correlate with poor healing. (Dickhaut SC, JBJS 1984; 66A:71)
  • Markers of malnutrition: albumin (lhalf-life=21days, transferrin(half-life 8days), prealbumin(half-life 2 days.)
  • Patients with poor nutritional status should be evaluated for dietary supplementation before surgery to maximize healing.
  • Cachetic apperance, temproal wasting, ascities, poor dentition indicated severe malnutrition.
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