Wounds after surgery
Read more about wounds after surgery
Read more about wounds after surgeryIf the Surgical Wound Becomes Infected, It Also Jeopardizes the Operation
Surgical wounds are wounds created by the physician, created by suturing after a clean surgical incision. Jul. These wounds are expected to heal spontaneously, in a short time, in a way called primary wound closure, and special care is not required. However, there may also be significant problems with surgical wounds for many reasons, such as the mistakes of the physician or the surgical team who made the incision, and not paying attention to the hygiene conditions after surgery.
wound with gauze soaked in batikon (povidone iodine solution) 1 time a day and make a dressing by covering it with a dry gauze.
While the surgical incision is sometimes a door that provides access to the surgical site, as in plastic surgery operations, it is sometimes the reconstruction (reshaping) process itself. In both cases, a boil or infection that will occur in the sutures can endanger the entire surgical site and the surgical procedure performed. If this condition is neglected, the patient may be hospitalized, in a general infection that can lead to blood poisoning that might put your life at risk, a long and challenging field dressing process, the series of consecutive surgeries, wound healing can lead to aesthetic and functionally defective.
Remove the Dressing Bandage by Wetting
The dressing bandage should be opened slowly by wetting it with serum or antiseptic solution because of the possibility that the bandage adhesive is stuck to the skin and the surgical incision. In this way, the patient is also given less pain. This procedure should be performed more gently, especially for infants, the elderly and patients using cortisone, as their skin is more fragile.
If You Have These Symptoms in Your Wound, Contact Your Doctor
In the first 4 days after surgery, it is normal to see heat, redness, color changes, pain and edema at the operating site. These changes coincide with the inflammation (inflammation) phase of wound healing. The formation of the upper layer of the skin called the new epidermis on the incision is completed at the 72nd hour after the operation. This layer of epidermis acts as a barrier that prevents the entry of bacterial organisms into the wound and meets a trauma that may come from the outside. In case of prolonged heat increase at the wound site, pain, discharge, color changes ranging from red to black, displacement of sutures, loosening, it is necessary to consult the surgeon who performed the surgery without wasting time.
In some patients, bleeding may develop after discharge due to both the use of blood thinners, the lack of factors that can lead to bleeding, and problems with the surgical incision. In case of such bleeding, pressure should be applied to the bleeding area with a clean gauze for at least Jul 10 minutes and the physician should be contacted. It should be acted in accordance with the warnings of the physician.
In some patients, bleeding may develop after discharge due to both the use of blood thinners, the lack of factors that can lead to bleeding, and problems with the surgical incision. In case of such bleeding, pressure should be applied to the bleeding area with a clean gauze for at least Jul 10 minutes and the physician should be contacted. It should be acted in accordance with the warnings of the physician.
Why Does the Surgical Wound Itch?
After any injury in the body, such as a surgical incision, a number of cells are directed by our body towards the wound area. These cells come to the wound site in a certain order and perform a number of vital stages in wound healing. Mast cells, which are one of these cells, are responsible for destroying foreign bodies and bacteria in the wound and calling other cells that will perform tasks to the wound area. For this purpose, they secrete a number of substances. Histamine, one of these substances, causes redness, increased heat and itching in the wound. This itching experienced in the first days is a normal finding. Itching in the following days may again depend on the secretions of similar cells, the drying wound and the surrounding skin, the sensitivity that develops to the antiseptic and wound care dressings used. For this, it is necessary to consult a physician. If the doctor deems it necessary, he can change the materials used in the dressing; he can give pills and creams to relieve itching.
From 1 to 4 after the operation. Day
There are signs of inflammation (inflammation) around the wound. These are redness, pink-red changes in skin color, edema around the wound, pain and increased skin temperature. Their absence is negative indicators in terms of wound healing. It is normal to have a small amount of bloody discharge from the wound in the first 2 days. 3 and 4. towards the day, the color of the discharge turns dirty yellow-red, and its amount decreases. 4. after the day, the discharge decreases well, even stops. The color of the discharge also turns into a colorless quality called serous. 4. it is important that the color of the discharge turns yellow after the day and an increase in its amount is not normal and indicates that there is a problem with wound healing.
Epithelization (formation of a new upper layer of skin) 4. it ends as of the day. At this stage, the skin appears light pink in color. If there is a collection of blood in the wound, the wound edge may become soft, edematous, and a dark color resembling bruising may occur.
From 5 to 9 after the operation. Day
Among these days, the most obvious feature in wound healing is that the wound edges are hard due to the construction and accumulation of new collagen, which shows the healing line along the wound edges. The presence of soft areas along this line may indicate that wound healing is not complete in these areas. The color of the discharge from the wound should be serous and from 4 to 6. the day the discharge is interrupted. If otherwise present, it may mean that there is a problem or delay in wound healing.
Factors Affecting the Healing Process of the Wound
Surgical wounds that are healing with the primary wound closure process are wounds that are ideal for wound healing. But a number of factors play an important role, allowing correct wound healing. First of all, factors related to surgery affect wound healing. To be applied to the region of surgery, pre-operative preparation (cleaning and hair region), bathroom, antibiotic prophylaxis of patients with Asa score, called score showing the risks of surgery, prior to surgery, during surgery and at the end, to be considered to operating room personnel, including sterility, the type and size of the surgery, the patient's body temperature during surgery, low or normal eclipse, type of surgical incision (clean; contaminated-clean; polluted; dirty surgery), surgical time, proper incision, incision size, keeping wound lips respectful of tissues, wound lips will not be stretched after cleaning all infected and poorly blooded tissues, and all anatomical folds should be properly faced, wound lips should be sutured in such a way that the circulation of the wound lips is not disturbed, and tightness is important. These are known factors associated with surgery and can often be controlled.
In addition, patient age (the mechanisms of wound healing is slower in older patients), wound location (does not have good blood circulation, difficult to clean, skin katlanti zones or skin-subcutaneous tissue are nervous that body areas), obesity, diabetes, heart and lung failure, arterial occlusion, venous insufficiency, lymphedema, malnutrition, cancer, a number of chronic diseases that delay wound healing, as well as the use of medications used in these diseases that delay wound healing (such as cortisone), uncontrollable or difficult-to-control factors associated with the patient may affect wound healing after surgery. Apart from these two main factors, deficiencies and mistakes made in wound care can also prolong the healing time of the wound.
15 After the Operation. Period From Day to 1-2 Years
The structuring phase (proliferation period) is over, the remodeling phase has begun. During this period, the wound visually and functionally takes the most appropriate shape to the original. The scar turns from pink to white or silvery in color. The incision scar, which is puffy, shrinks and goes down to the same level as normal skin. Depending on a number of factors, such as the anatomical location of the wound site, the operation performed, the genetic structure of the patient, and his age, the wound scar may present changes.