Flashcards in Fascial Disruption Deck (9)
Typical presentation for fascial disruption? Mechanism?
Profuse and continuous serosanguineous drainage from the incision 5-14 days postsurgery
Because rectus fascia is interrupted, peritoneal fluid escapes through wound
Evisceration? Increased risk of?
Instruction of all layers of incision with Intestinal contents penetrating through incision
1. Cover with sterile wet sponge
2. Immediately start antibiotics
Fascial disruptions – treatment?
Emergent surgery followed by broad-spectrum antibiotic therapy
Pt with fascial dehiscence are likely to have? (Risk factors)
Obesity, diabetes, cancer, vertical incision, coughing
Separation of part of the surgical incision, but peritoneum intact
Surgical site infection?
Infection related to procedure that occurs within 30 days
Subcutaneous separation of incision leading to an infection – presents when? Signs? Treatment?
4-10 days post operatively
Red, tender, indurated decision
1. Reopen the wound and drain
2. broad-spectrum antibiotics
3. Wet-to-dry dressing
Why is diabetes associated with an increased risk for fascial separation?
Poor wound healing due to Poor blood circulation