Dehiscence – The discrepancy between the joints after surgery – Эventratsiya

Wound Dehiscence (Surgical Wound Dehiscence; Operative Wound Dehiscence)

What sutures after surgery?

The discrepancy between the joints after surgery is a surgical wound dehiscence. Expenses or surface layer, or the whole wound. Dehiscence is a serious problem and needs to seek medical help.

Reasons dehiscence

Dehiscence depends on the operation and state of health of the patient. Below is a list of the most frequent causes of differences seams:

• The infection in the wound;
• The pressure on the joints;
• Too tight seams;
• Injury to the wound area;
• Weak tissue or muscle at the wound site;
• To close the incision using improper technique seam;
• The use of high doses or long-term use of corticosteroids;
• Acute shortage of vitamin C (tsinga).

Risk factors sutures after surgery

Factors, that may increase the risk of divergence sutures after surgery include:

• Overweight;
• Advanced age;
• Poor diet;
• Diabetes;
• Smoking;
• Malignant tumor;
• The presence of the scar before surgery or radiation exposure to the cut;
• Failure to follow post-operative instructions (early excessive exercise or lifting heavy objects until the end of the recovery period);
• Surgical Errors;
• The increased pressure in the abdominal cavity through: fluid buildup (ascites); irritable bowel; severe coughing, voltage or vomiting;
• Prolonged use of corticosteroids;
• Other diseases, such as diabetes, kidney disease, cancer, diseases of the immune system, chemotherapy or radiotherapy.

Symptoms differences incision

If you experience one or more of the symptoms in the surgical area, consult a doctor.

• Bleeding;
• Pain;
• Swelling;
• Redness;
• Fever;
• Gapping;
• Open wound.

Diagnosis differences incision

The doctor will ask about your symptoms, and perform inspection of the surgical site. Tests may include the following:

• Laboratory Tests, such as:
  • Isolation of bacteria cultures, to determine, whether there is an infection;
  • Blood tests, to determine the presence of infection;
• Procedures for medical imaging, such as:
  • Roentgen – to assess the degree of divergence of wounds;
  • Ultrasound – field to detect accumulation of pus and body fluids;
  • CT – to discover the area of ​​accumulation of pus and fluids.

Treatment differences incision

• Farmakoterapija:
  • Antibakterialynaya therapy;
• Treatment:
  • If necessary, you need to frequently change the dressing, to prevent infection;
  • If necessary, to keep the wound outdoors, to accelerate healing and prevent infection, as well as to accelerate the growth of new tissue;
• Surgical intervention:
  • Surgical removal of contaminated, dead tissue;
  • Re-stitching the surgical wound;
  • Placement of a temporary or permanent grid, to prevent further tearing wounds.

If you are diagnosed with a discrepancy incision, Follow your doctor's instructions.

Prevention differences incision

• If necessary,, preoperatively pass a course of antibiotic therapy;
• If necessary,, Walk the course of antibiotic therapy after surgery;
• When bandaging wounds do not exert strong pressure on it;
• Keep the wound clean, to avoid infection;
• Follow the aftercare instructions.