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During the surgery, there are several precautions that can be taken to reduce the risk of postoperative wound complications. These are: minimizing traffic in the operating room, providing adequate ventilation, not closing wounds that are infected, minimize tissue handling, re-administer prophylactic antibiotics if large amounts of fluid are ...
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.
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
Damage control surgery is surgical intervention to keep the patient alive rather than correct the anatomy. [ 1 ] [ 2 ] It addresses the "lethal triad" for critically ill patients with severe hemorrhage affecting homeostasis leading to metabolic acidosis , hypothermia , and increased coagulopathy .
Negative pressure wound therapy device. Negative-pressure wound therapy (NPWT), also known as a vacuum assisted closure (VAC), is a therapeutic technique using a suction pump, tubing, and a dressing to remove excess exudate and promote healing in acute or chronic wounds and second- and third-degree burns. The therapy involves the controlled ...
The wound can be allowed to close by secondary intention. Alternatively, if the infection is cleared and healthy granulation tissue is evident at the base of the wound, the edges of the incision may be reapproximated, such as by using butterfly stitches, staples or sutures. [4]
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Like with any major surgery, a variety of complications may occur during and after an exploratory laparotomy. These include minor problems, such as superficial skin infection or delayed bowel motility , and major problems, such as bleeding, blood clots in the legs or in the lungs , stroke , deep intraabdominal infection which can lead to sepsis ...