Wounds and Post Op Complications

this video will review wounds and basic post-operative complications in preparation for your general surgery shelf review there are various types of wounds to start clean wounds arise from sterile non-traumatic fashion an area free of pre-existing inflammation think respiratory genital urinary not entered everyone in the surgical case follows strict aseptic technique clean contaminated this is the respiratory or genital urinary tract that was entered but no specific spillage like feces for examp

le has entered into the site there is no established infection although there may be a minor break in aseptic technique an example of this type of surgery would include K cystectomy with an open Lumen contaminated cases have gross spillage from the GI tract or the GU or biliary case where the tract was entered in the presence of local infection think colangitis or there's a major break in aseptic technique cases include colon reection during an asmosis without clean bowel prep dirty wounds are a

result from remote trauma and contains affected tissue or perent material there is an established infection or perforated viscera prior to the procedure wounds in the thoracic cardiac neuro breast opto vascular and Ortho regions you need to consider staff orus and staff species for surgeries including appendectomy chorl bilary oby cases and Urological procedures please consider grab negative in Anor robes animal bites s pastorella strep and staff now that we have reviewed the types of surgical

wounds we need to address post-operative wound care if you see a salmon color drainage from the operative site think about fasal dehance if your sutures are busting open greater than 1 cm width think about herting viscera parital Neal sign include a rigid abdomen tenderness with or without rebound and involuntary guarding patients with an acute abdomen need to go back to surgery immediately this is very high yield if someone has an acute abdomen with blood in their stool think about mesic esea i

f there is evidence of an acute abdomen with blood in the urine or profound back pain think about a ruptured abdominal aortic aneurysm a less tested but possible exam finding is something called the Cur sign this is where a patient will get referred pain to the left shoulder due to irritation of the left Hemi diaphragm this is seen with spaic rupture and residual pneumo perenium after laparoscopic surgery now that we've reviewed wounds the types of wounds and post-operative complications I want

to review the five ws or the five ideologies of fever the classic training and pneumonic to consider fever in the postoperative patient includes the obvious cause the wound wind includes atelectasis water consider urinary tract infections think of this little walking Emoji to consider the ideology of fever from a deep vein thrombosis and or pulmonary embolism the last deut to consider includes Wonder drugs typically associated with sedatives and induction agent surrounding intubation this conclu

des your brief overview for wounds and post-operative complications for the general surgery shelf review please comment if you have any questions and thank you so much for your time