Recovery after surgery and Abscesses Flashcards
what complication can occur 10-14d post op regarding wound healing?
bleeding/rupture
2 places wound healing is faster
scalp
face
more vascular tissues
slowest body part to heal
lower legs
whose wounds heal faster? Young or adult?
Young
what are the current guidelines regarding post op rest
6 weeks no heavy lifting
how long does it take to recover from minor surgery with GA?
1-2d
how long does it take to recover from a haemorrhoidectomy?
7-14d
how long does it take to recover from uncomplicated lap chole?
within 1w
how long does it take to recover from an open AAA repair?
6-12m
risks when flying after surgery?
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
define abscess
localised collection of pus
define sinus
blind ending tract
define fistula
abnormal connection between two epithelial lined surfaces
3 risk factors for an abscess
smoking
diabetes
immunosuppression
most common cause of cutaneous abscess?
staphylococcus aureus
Tx for subcut abscess
drainage with linear incision
what is primary intention?
making sure the wound heals how it anatomically should e.g. suturing skin back together in surgery
what is secondary intention?
leaving a wound open to heal from the bottom up- used for abscess
what is a pilonidal abscess?
abscess in natal cleft
risk factors for pilonidal abscess
obesity
large amount of body hair
sedentary lifestyle/job
Tx for pilonodial abscess
drainage- cut away from midline, remove embedded hairs ad excise overhanging edges
Tx for breast abscess
aspiration
What is hydradenitis supuritiva?
disease of apocrine sweat glands
what is the sole cause of cold abscess
TB
px of cold abscess?
white pus, no acute inflammation
what is a pseudoaneurysm?
abscess attached to artery