Surgical Wound Dehiscence Treatment
Objective: This article describes management of surgical wound dehiscence. in a cesarean section. Method: Case report. Case: A 39 years-old woman, P4, presented with reddish pus coming out from open surgical wound on day 4 following a caesarean section. Laboratory fi ndings revealed a condition of H...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Indonesian Society of Obstetrics and Gynecology
2023-04-01
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| Series: | Indonesian Journal of Obstetrics and Gynecology |
| Online Access: | https://inajog.com/index.php/journal/article/view/1847 |
| _version_ | 1797806295942692864 |
|---|---|
| author | Riyan H. Kurniawan Ni Putu C. D. Atmantika Achmad K. Harzif Dewita Nilasari |
| author_facet | Riyan H. Kurniawan Ni Putu C. D. Atmantika Achmad K. Harzif Dewita Nilasari |
| author_sort | Riyan H. Kurniawan |
| collection | DOAJ |
| description | Objective: This article describes management of surgical
wound dehiscence. in a cesarean section.
Method: Case report.
Case: A 39 years-old woman, P4, presented with reddish pus
coming out from open surgical wound on day 4 following a
caesarean section. Laboratory fi ndings revealed a condition
of Hypoalbuminemia, leukocytosis, and a Staphylococcus
aureus was detected on pus from the wound base. Upon the
resuturing, the wound was dressed with antimicrobial wound
dressings and pad and changed every 12 hours. After 3 days,
the wound was dressed with modern antimicrobial wound
dressings gel and pad, changed every 3 days and planned
for necrotomy afterwards. A presence of dry, granulation
tissue was observed before the resuturing.
Conclusion: Selection of dressing regimen should
be individualized according to the wounds. Modern
antimicrobial wound dressing can be a good therapy option
for surgical wound dehiscence after caesarean section.
Keywords: surgical site infection, surgical wound, wound
dehiscence.
Tujuan: Artikel ini melaporkan tata laksana dehisensi luka
operasi seksio sesarea.
Metode: Laporan kasus.
Kasus: Seorang perempuan 39 tahun, P4, datang dengan
keluhan nanah kemerahan keluar dari luka operasi terbuka
postoperasi seksio sesarea hari ke-4. Temuan laboratorium:
Hipoalbuminemia, leukositosis, dan Staphylococcus
aureus dari kultur dasar luka. Sebelum operasi penjahitan
kembali, luka dibalut dengan pembalut dan bantalan luka
antimikroba modern yang diresapi dengan hidrogel, diganti
setiap 12 jam. Setelah 3 hari, luka dibalut dengan gel dan
pembalut luka antimikroba modern yang diresapi dengan
hidrogel, diganti setiap 3 hari dan direncanakan untuk
nekrotomi. Sebelum operasi dilakukan kembali, luka tampak
kering dengan dasar jaringan granulasi.
Kesimpulan: Regimen pembalutan harus disesuaikan
dengan kebutuhan masing-masing luka. Pembalut luka
antimikroba modern dapat menjadi pilihan terapi yang baik
untuk dehisensi luka bedah setelah operasi seksio sesarea.
Kata kunci: dehisensi luka, infeksi luka operasi, luka operasi. |
| first_indexed | 2024-03-13T06:05:11Z |
| format | Article |
| id | doaj.art-5158fca1eb5d4090bb1c75e32f1796f0 |
| institution | Directory Open Access Journal |
| issn | 2338-6401 2338-7335 |
| language | English |
| last_indexed | 2024-03-13T06:05:11Z |
| publishDate | 2023-04-01 |
| publisher | Indonesian Society of Obstetrics and Gynecology |
| record_format | Article |
| series | Indonesian Journal of Obstetrics and Gynecology |
| spelling | doaj.art-5158fca1eb5d4090bb1c75e32f1796f02023-06-12T04:11:07ZengIndonesian Society of Obstetrics and GynecologyIndonesian Journal of Obstetrics and Gynecology2338-64012338-73352023-04-0111912310.32771/inajog.v11i2.18471847Surgical Wound Dehiscence TreatmentRiyan H. Kurniawan0Ni Putu C. D. Atmantika1Achmad K. Harzif2Dewita Nilasari3Faculty of Medicine Universitas Indonesia - Dr. Cipto Mangunkusumo National General Hospital, JakartaFaculty of Medicine, Universitas IndonesiaFaculty of Medicine Universitas Indonesia - dr. Cipto Mangunkusumo National General Hospital, JakartaObstetric and Gynecology Department, Faculty of Medicine Universitas Indonesia - dr. Cipto Mangunkusumo National General Hospital, JakartaObjective: This article describes management of surgical wound dehiscence. in a cesarean section. Method: Case report. Case: A 39 years-old woman, P4, presented with reddish pus coming out from open surgical wound on day 4 following a caesarean section. Laboratory fi ndings revealed a condition of Hypoalbuminemia, leukocytosis, and a Staphylococcus aureus was detected on pus from the wound base. Upon the resuturing, the wound was dressed with antimicrobial wound dressings and pad and changed every 12 hours. After 3 days, the wound was dressed with modern antimicrobial wound dressings gel and pad, changed every 3 days and planned for necrotomy afterwards. A presence of dry, granulation tissue was observed before the resuturing. Conclusion: Selection of dressing regimen should be individualized according to the wounds. Modern antimicrobial wound dressing can be a good therapy option for surgical wound dehiscence after caesarean section. Keywords: surgical site infection, surgical wound, wound dehiscence. Tujuan: Artikel ini melaporkan tata laksana dehisensi luka operasi seksio sesarea. Metode: Laporan kasus. Kasus: Seorang perempuan 39 tahun, P4, datang dengan keluhan nanah kemerahan keluar dari luka operasi terbuka postoperasi seksio sesarea hari ke-4. Temuan laboratorium: Hipoalbuminemia, leukositosis, dan Staphylococcus aureus dari kultur dasar luka. Sebelum operasi penjahitan kembali, luka dibalut dengan pembalut dan bantalan luka antimikroba modern yang diresapi dengan hidrogel, diganti setiap 12 jam. Setelah 3 hari, luka dibalut dengan gel dan pembalut luka antimikroba modern yang diresapi dengan hidrogel, diganti setiap 3 hari dan direncanakan untuk nekrotomi. Sebelum operasi dilakukan kembali, luka tampak kering dengan dasar jaringan granulasi. Kesimpulan: Regimen pembalutan harus disesuaikan dengan kebutuhan masing-masing luka. Pembalut luka antimikroba modern dapat menjadi pilihan terapi yang baik untuk dehisensi luka bedah setelah operasi seksio sesarea. Kata kunci: dehisensi luka, infeksi luka operasi, luka operasi.https://inajog.com/index.php/journal/article/view/1847 |
| spellingShingle | Riyan H. Kurniawan Ni Putu C. D. Atmantika Achmad K. Harzif Dewita Nilasari Surgical Wound Dehiscence Treatment Indonesian Journal of Obstetrics and Gynecology |
| title | Surgical Wound Dehiscence Treatment |
| title_full | Surgical Wound Dehiscence Treatment |
| title_fullStr | Surgical Wound Dehiscence Treatment |
| title_full_unstemmed | Surgical Wound Dehiscence Treatment |
| title_short | Surgical Wound Dehiscence Treatment |
| title_sort | surgical wound dehiscence treatment |
| url | https://inajog.com/index.php/journal/article/view/1847 |
| work_keys_str_mv | AT riyanhkurniawan surgicalwounddehiscencetreatment AT niputucdatmantika surgicalwounddehiscencetreatment AT achmadkharzif surgicalwounddehiscencetreatment AT dewitanilasari surgicalwounddehiscencetreatment |