Dehiscence of Surgical Wound

 

 
   Patient was treated at Memorial
   Hermann Baptist Beaumont
   Hospital Wound Healing Center
   which is affiliated with Praxis
   Clinical Services.

 

Dehiscence of
Surgical Wound
Center for Wound Healing
and Hyperbaric Medicine
240 Williamson Street, Suite 104 - Elizabeth, NJ 07207
(908) 994-5480
PATIENT:
50 year old male with dehiscence of surgical wound following saphenous vein harvest on left lower extremity. Previous wound care consisted of cleansing with hydrogen peroxide and wet-moist dressings. Co-morbidities include coronary artery disease, atherosclerosis, thyroid disease, and hypertension..
INITIAL PRESENTATION:
- Full thickness surgical wound
- Adherent yellow slough
- 1+ pitting edema
- Peri-wound edema with erythema
- Mild odor
- Moderate serous drainage
- Palpable pulses
COMPREHENSIVE WOUND HEALING CENTER MANAGEMENT:
08/08/02 Initial assessment. Wound measurements 4cm x 2 cm x 1 cm. Keflex 250mg TID x 7 days.
Iodosorb dressings.
08/14/02 Only slight improvement in wound dimensions: 4cm x 1.8 cm x 1 cm. Vacuum Assisted
Closure (VAC) therapy ordered. Iodosorb continued.
08/21/02 VAC applied, black sponge, with 125 mmHg continuous pressure.
09/10/02 Wound measurements 1cm x 0.5 cm x 0.1 cm. VAC discontinued.
09/17/02 Wound healed.
RESULTS:
09/17/02 Patient completed a 4 week cardiac rehabilitation program and returned to his full time job.

Referral Information

Patients should be referred to the Center for Wound Healing and Hyperbaric Medicine at Trinitas Regional Medical Center for aggressive, outcome based wound management. Our center is designed to compliment the attending physicianís services by providing expert wound management consultation and care including the application of advanced wound care technology and hyperbaric oxygen treatment as indicated based on a comprehensive system of evidence based clinical practice guidelines. The referring physician will continue to treat comorbid conditions and provide for the patientís overall medical care. Hyperbaric oxygen treatment is available specifically for the treatment of soft tissue radionecrosis, osteoradionecrosis, osteomyelitis, clostridial myonecrosis and other necrotizing soft tissue infections, compromised skin grafts and flaps, crush injuries and other acute traumatic ischemias, and diabetic wounds of the lower extremities. All etiologies of wound healing failure are accepted for evaluation and care.

Types of wounds treated include Diabetic, Venous Stasis, Ischemic, Pressure, Traumatic, Surgical and other wounds that resist healing.
Problem wound patients should be referred to the Center when:
The wound has failed to show significant progress in 4 weeks of standard care
When the wound involves deep tissue structures or is limb or life threatening
When the wound is complicated by significant comorbidities including peripheral
    vascular disease, persistent edema, persistent infection, prior radiation treatment
   to the area, or compromised immune status of the patient

To refer a patient, please call (908) 994-5480 or visit us at www.trinitashospital.com


 

 

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