2/15/2024 0 Comments Skin necrosis surgery![]() ![]() Infected hematoma or abscess fluid expressed into subcutaneous layer through a fascial defect. I and D of joint, place drains, repair fascial defect if possible, use postoperative antibiotics. Serous drainage, increases with activity. Intra-articular blood and joint fluid expressed into subcutaneous layer through a fascial defect. If drainage persists, then I and D of subcutaneous layer. If drainage is minimal, treat with IV antibiotics and dressing changes. Joint aspiration to confirm absence of deep infection. Fever, erythema, and induration may be present. Oral or IV antibiotics if drainage excessive to prevent wound colonization.Ĭellulitis around wound. Summary of Types of Acute Postoperative Wound DrainageĮdema caused by surgical trauma and ischemia of subcutaneous soft tissues.Īfter initial onset, serous drainage volume decreases daily.ĭaily sterile dressing changes. ![]() If dissection is carried out into the subcutaneous plane and subcutaneous tissue is left attached to the fascia, however, the overlying soft tissue can become devascularized and lead to ischemia or necrosis ( Fig. If full-thickness skin and subcutaneous soft tissue flaps are dissected from the fascial layer, relatively large flaps can be raised without compromising soft tissue vascularity. Dissection of the subcutaneous tissue should be performed along the subfascial plane between the deepest portion of the subcutaneous layer and deep fascia. Blood vessels perforate through the fascia to form an anastomosis deep to the subcutaneous layer, which supplies circulation to the subcutaneous tissue and skin ( Fig. However, prior scars often restrict the location of the surgical incision so that flaps are required to expose the medial retinaculum and permit use of a medial parapatellar arthrotomy. Ideally, the skin incision is placed in close proximity to the arthrotomy incision to avoid elevating soft tissue flaps. Surgical technique can affect the vascularity to the skin and subcutaneous layer. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |