Recovery after surgery and Abscesses

Question 1

what complication can occur 10-14d post op regarding wound healing?

Answer 1

bleeding/rupture

Question 2

2 places wound healing is faster

Answer 2

scalp
face
more vascular tissues

Question 3

slowest body part to heal

Answer 3

lower legs

Question 4

whose wounds heal faster? Young or adult?

Answer 4

Young

Question 5

what are the current guidelines regarding post op rest

Answer 5

6 weeks no heavy lifting

Question 6

how long does it take to recover from minor surgery with GA?

Answer 6

1-2d

Question 7

how long does it take to recover from a haemorrhoidectomy?

Answer 7

7-14d

Question 8

how long does it take to recover from uncomplicated lap chole?

Answer 8

within 1w

Question 9

how long does it take to recover from an open AAA repair?

Answer 9

6-12m

Question 10

risks when flying after surgery?

Answer 10

gas expands within first 24h

increased risk of DVT due to immobilisation on plane

decreased air pressure can lead to desaturation- ensure patients sats are good

Question 11

define abscess

Answer 11

localised collection of pus

Question 12

define sinus

Answer 12

blind ending tract

Question 13

define fistula

Answer 13

abnormal connection between two epithelial lined surfaces

Question 14

3 risk factors for an abscess

Answer 14

smoking
diabetes
immunosuppression

Question 15

most common cause of cutaneous abscess?

Answer 15

staphylococcus aureus

Question 16

Tx for subcut abscess

Answer 16

drainage with linear incision

Question 17

what is primary intention?

Answer 17

making sure the wound heals how it anatomically should e.g. suturing skin back together in surgery

Question 18

what is secondary intention?

Answer 18

leaving a wound open to heal from the bottom up- used for abscess

Question 19

what is a pilonidal abscess?

Answer 19

abscess in natal cleft

Question 20

risk factors for pilonidal abscess

Answer 20

obesity
large amount of body hair
sedentary lifestyle/job

Question 21

Tx for pilonodial abscess

Answer 21

drainage- cut away from midline, remove embedded hairs ad excise overhanging edges

Question 22

Tx for breast abscess

Answer 22

aspiration

Question 23

What is hydradenitis supuritiva?

Answer 23

disease of apocrine sweat glands

Question 24

what is the sole cause of cold abscess

Answer 24

TB

Question 25

px of cold abscess?

Answer 25

white pus, no acute inflammation

Question 26

what is a pseudoaneurysm?

Answer 26

abscess attached to artery