Pre-op / Post-op Care - Wounds / Infections
Jeremiah
Terms in this set (17)
When do wounds / infections usually occur? Between POD 5-7
· Result of inadequate hemostasis
Wound hematoma- What is it? · On the neck, an enlarging hematoma is potentially life threatening- airway may be
compromised
--- Control airway w/ early intubation and go to OR for evacuation
Wound hematoma- Diagnostics · Culture media for bacteria
Wound hematoma- Treatment · Warm compress (for non-enlarging hematoma in a benign location)
· Collection of lymphatic fluid
Wound seroma- What is it?
· Usually in dissection in lymphatic tissue region
· Use drains in susceptible region
Wound seroma- Treatment
· Tx may include aspiration
Wound dehiscence / Wound evisceration- · Dehiscence- separation of fascial layer
What is it? · Evisceration- protrusion of abdominal contents thru fascial defect
· Malnutrition
· Morbid obesity
· DM
Wound dehiscence / Wound evisceration- · Infection
Risk Factors · Ascites
· Coughing
· Chemo (interferes with wound healing... avoid up to 3 weeks)
· Radiation (inhibits protein synthesis and destroys small BVs)
· Dehiscence- repair in OR or repair non-operatively w/ binder
Wound dehiscence / Wound evisceration-
Pre-op / Post-op Care - Wounds / Infections
Treatment · Evisceration- cover w/ moist towel and emergent OR
o An incisional hernia is a later presentation of a wound dehiscence
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