2023-08-16 02:00:57
Illustrated-What should I do if the wound of more than ten centimeters is infected and keloids develop after caesarean section?
The caesarean section wound was more than 10 centimeters long, like being stabbed in the abdomen! Postpartum care is more important than natural childbirth in order to avoid infection, scarring and sticking. A young woman in her thirties wants to undergo minimally invasive surgery, but many diseases can be treated with minimally invasive surgery, but only cesarean section cannot be used, otherwise the baby will not be born. The baby was delivered by Wang Leming, director of obstetrics and obstetrics department of Wanfang Hospital, and antibacterial dressing was used for the parturient. The wound was replaced with almost no exudate. The wound recovered in about 7-10 days, protecting the health of the mother and baby.
Gynecological operations are often located in abdominal infection complicated by fasciitis, which may be fatal
Due to the particularity of women’s physiological structure, after pregnancy, hormonal changes and the influence of westernized diet, they may need to undergo surgery due to three types of factors such as childbirth or disease factors in their lifetime.
Production: Caesarean section is required in cases of abnormal fetal position. Benign tumors: such as uterine fibroids and chocolate cysts. Malignant tumors: such as uterine body cancer and ovarian cancer
Postoperative not only to pay attention to bleeding, but also pay attention to wound care. Although today’s medical technology is advanced, the risk of infection has been greatly reduced, but most of the obstetrics and gynecology surgery sites are in the abdomen, where many organs are concentrated. Once infection causes fasciitis, it may be fatal. In addition, patients with diabetes, connective tissue diseases, and poor blood coagulation function have slower wound healing speeds than ordinary people, and have a higher risk of infection. Therefore, care must be taken for wound care, otherwise the risk of infection will greatly increase.
“Any wound will have tissue fluid or even ooze blood. If it is not replaced cleanly, it will become a breeding ground for bacteria!” Wang Leming explained that there are Staphylococcus aureus on the human skin, and the most feared thing is infection when the wound is in contact with the outside world. Judging whether the wound is infected is characterized by “redness, swelling, heat, pain”. In the early stage of infection, it will be red. If you lightly press the wound and feel tingling, you should be careful that it may be inflammation. You need to disinfect it with betadine. In severe cases, you need to take antibiotics . A patient once mistakenly thought that the gauze would not need to be replaced after the gauze was pasted, and the wound was stuffy, sweating, wet and sticky. After a week, the patient returned to the clinic and opened it, and the gauze turned black!
To prevent “wound centipede” from climbing up the upper body, choose dressing 4 key points:
Easy to operate: Whether it is easy to tear off, to avoid wound laceration Healing days: The wound healing speed of different parts is different, the face takes about 3-5 days, the common abdominal wound of obstetrics and gynecology takes about 7-10 days, and the joints of hands and feet are active. It takes about 2-3 weeks.Reasonable price: One of the key points that patients care about most. Recovery effect: whether the wound can be healed faster
Women love beauty by nature. In addition to worrying about infection, causing pigmentation or keloids, and even fearing that the wound will look like a centipede, they hope to restore beautiful skin. In the early days of wound care, beta iodine was used to sterilize and disinfect the wound, and it was done with gauze. Now it has entered the “Dressing Warring States Era” and the choices are diversified.
Wang Leming said that some dressings can absorb tissue fluid, and some can help accelerate wound healing, such as PHMB (polyhexamethylene biguanide hydrochloride) antibacterial ingredients, colorless, odorless, will not cause pigmentation, and will not cause allergies , and non-antibiotic, so there is no resistance problem. The dressing should be changed every 2-3 days at the beginning of the operation. After the wound gradually heals, it can be extended to 3-5 days, which can not only accelerate wound healing, but also reduce the risk of infection. Doctors remind people who have surgical wounds to take care of the wound carefully to avoid secondary infection. If there is any abnormality, they should return to the clinic for inspection and dressing, and take good care of the wound so as not to leave scars.
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