|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Wound dehiscenseFrom: art fougner, md (evsono@pipeline.com)Tue Dec 2 09:02:29 1997
At Mon, 1 Dec 1997, Robert Brenner wrote: > >Question to the list: > >I did a C-section on a 300+ lb patient last week. Did not put in a subcu >drain (probably should have). Developed a dehiscense of the entire subq and >skin. Fascia in tact. Presently, the incision is clean with good granulation >tissue. No pus. No fever. Incision was packed and irrigated over the past >several days. > >Let it heal by secondary intention, resuture, or steristrip? > >-- >Robert Brenner MD FACOG >Pikesville MD >Robbrenner@earthlink.net > have been there! actually worst case involved clostridial wound infection. the patient was taken to the OR and the wound was opened, cleaned and debrided. after she was afebrile with a clean, granulating wound ( about 4 days later) she was returned to the OR and resutured. she did well and was discharged. 4 weeks later her wound appeared better than many primary incisions. i say re-suture! art
-- art fougner, md SonoScan/Genetic Sciences forest hills, ny evsono@pipeline.com
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:26:02 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.