Dr Wishnew is expecting a baby boy soon! Unfortunately she was put on bed rest!! Her team will provide the same compassionate collaborative care until she returns on November 24! 

Surgical Wound

Jenna Wishnew, MD, FACS

General Surgeon & Wound Care Specialist located in Richardson, TX

A surgical incision wound is from an intentional cut in the skin to perform surgical procedures. The incision can open up post-surgery due to an infection, poor tissue structure, compromised circulation or stress/trauma to the wound. Some wounds closed with skin grafts or skin flap may also fail to heal and lead to a surgical wound. Even if surgical procedures are done safely in a sterile environment, there is still a risk for complications resulting from a wound.

CAUSES

- Surgical incision

- Invasive procedures

- Dehiscence

 

RISK FACTORS

- Prolonged surgery or surgery involving large areas for incision

- Age > 65 due to reduced subcutaneous fat and capillary blood flow

- Obesity

- Smoking 

- Immobilization i.e. Bedbound, wheelchair bound, paralysis, in coma or vegetative state

- Decreased mobility i.e. prolonged hospital stay, undergoing lengthy or complicated surgeries, weakness or cognitive impairment

- Wearing casts, splints or prosthetic devices

- Impaired capacity for wound healing secondary to malnutrition, diabetes, impaired tissue perfusion due to peripheral arterial disease or venous insufficiency

- Chronic comorbidities i.e. cancer, cerebral palsy, dementia, heart failure, kidney failure, spinal cord injury or spina bifida

 

TREATMENT

- Wound dressings

- Surgical debridement (Hyperlinked)

- Chemical debridement (Hyperlinked)

- Skin substitute graft (Hyperlinked)

- Skin graft (Hyperlinked)

- Hyperbaric oxygen therapy (Hyperlinked)