Surgical Wound
Jenna Wishnew, MD, FACS
General Surgeon 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)
Featured Services
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Wound Caremore info
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Chronic Nauseamore info
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Swellingmore info
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Abscessmore info
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Pressure Ulcersmore info
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Deep Tissue Injurymore info
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Arterial Ulcersmore info
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Venous Ulcersmore info
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Diabetic Ulcermore info
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Surgical Woundmore info
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Trauma and Burn Injurymore info
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Pilonidal Cystsmore info
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Surgical Debridementmore info
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Chemical Debridementmore info
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Skin Substitute Graftmore info
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Skin Graftmore info
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Hyperbaric Oxygen Therapymore info