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The wound usually appears red and can be accompanied by drainage. Clinicians delay re-opening the wound unless it is necessary due to the potential of other complications. If the surgical wound worsens, or if a rupture of the digestive system is suspected the decision may be to investigate the source of the drainage or infection. [2] [3]
An exploratory laparotomy is a general surgical operation where the abdomen is opened and the abdominal organs are examined for injury or disease. It is the standard of care in various blunt and penetrating trauma situations in which there may be life-threatening internal injuries.
Depending on incision placement, laparotomy may give access to any abdominal organ or space, and is the first step in any major diagnostic or therapeutic surgical procedure of these organs, which include: [citation needed] the digestive tract (the stomach, duodenum, jejunum, ileum and colon) the liver, pancreas, gallbladder, and spleen; the bladder
A Pfannenstiel incision for a caesarian section closed with surgical staples.The superior aspect of mons pubis and pubic hair are seen at bottom of the image.. A Pfannenstiel incision / ˈ f ɑː n ɪ n ʃ t iː l /, Kerr incision, Pfannenstiel-Kerr incision [1] or pubic incision is a type of abdominal surgical incision that allows access to the abdomen.
There are four main complications. The first is development of an intra-abdominal abscess. This has been reported as high as 83%. [20] [21] Next is the development of an entero-atmospheric fistula, which ranges from 2 to 25%. [5] [24] The third is abdominal compartment syndrome that has been reported anywhere from 10 to 40% of the time.
The purpose of a drain is to prevent fluid (blood or other) build-up in a closed ("dead") space, [2] which may cause either disruption of the wound and the healing process or become an infected abscess, with either scenario possibly requiring a formal drainage/repair procedure (and possibly another trip to the operating room).
Wound bed, wound edge and periwound skin should be examined before the initial treatment plan is devised. It should also be re-assessed at each visit or each dressing change. For wound bed, the following parameters are assessed: Tissue type; presence and percentage of non-viable tissue covering the wound bed; Level of exudate; Presence of infection