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Flashcards in Fascial Disruption Deck (9)
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0

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

1

Evisceration? Increased risk of?

Tx?

Instruction of all layers of incision with Intestinal contents penetrating through incision

Sepsis

1. Cover with sterile wet sponge
2. Immediately start antibiotics
3.Emergent surgery

2

Fascial disruptions – treatment?

Emergent surgery followed by broad-spectrum antibiotic therapy

3

Pt with fascial dehiscence are likely to have? (Risk factors)

Obesity, diabetes, cancer, vertical incision, coughing

4

Wound dehiscence?

Separation of part of the surgical incision, but peritoneum intact

5

Surgical site infection?

Infection related to procedure that occurs within 30 days

6

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

7

Why is diabetes associated with an increased risk for fascial separation?

Poor wound healing due to Poor blood circulation

8

Fascial disruption due to what suture problem? Tx?

Suture tearing through tissues

Immediate repair and broad-spectrum antibiotics