Complications - Abdominal wall closure – techniques: Loop suture and small tissue bites - general and visceral surgery
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Postoperative complications and their prevention
- Wound infection with secondary fascial dehiscence → single shot antibiotic therapy; preventing necrosis formation from excessive tightening of the suture with subsequent tissue strangulation
- Acute wound dehiscence (burst abdomen) → adequate tension of the running suture with low strain on the tissue bridges to avoid "button holing"; atraumatic technique; prevention of wound infection see above; suture-to-wound length ratio of at least 4:1
- Chronic wound and fascial dehiscence with formation of incisional hernia→ atraumatic technique, prevention of wound infections see above; avoidance of high suture tension with tissue destruction by the suture cutting through tissue; suture-to-wound length ratio of at least 4:1; avoid excessively loose suture with subsequent leakage.
- Hematomas/seromas → thorough hemostasis; subcutaneous suture if applicable, Redon drain
- Suture fistulas/granulomas → avoidance of non-absorbable suture material
- Chronic wound pain → avoidance of non-absorbable suture material
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full access to all lectures
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for the modul: vascular surgery
from 8,17 €
inclusive VAT