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History Of Appendectomy. Wound Reopened Due To Infection. Prescribed Antibiotic. Correct Standard Of Care?
My husband had an open appendectomy in May of 2012. His incision was ultimately reopened approximately 2 weeks after due to an infection right in the surgeons office. The opened wound measured 10 cm X 5 cm. Are wounds that large typically reopened in the surgeons office like that? We were completely surprised that he wasn't readmitted to the hospital and the wound opened and cleaned out in an operating suite, he just did it in the office without sedation or any sort of pain killer. His wound was left open for a few weeks and then he was put on a wound vac. The wound closed and the surgeon had to reopen it due to the fact that he now had a MRSA infection that developed in it. The wound did not close until October, so it took a total of 5 months to heal. He was prescribed an antibiotic 8 times from when he was discharged from the hospital until the wound closed. Is this a standard of care for this type of incision?
Tue, 16 Jul 2013
Hi ! It is not surprising to see a post appendicectomy wound getting infected. Any infected wound is left open to heal by secondary intention after gradual cleaning of the floor of the wound with regular dressings. During this long course of healing, the patient is not necessarily admitted in the hospital unless there is any particular indication for admission which has to be decided by the treating doctor. Usually these wounds contain a lot of slough which is not much painful, and in that case no sedation is required. Hope I have answered your querry.
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Hi, Thanks for using HCM.
management of each patient is different, depends on several factors.
There are many factors which affect wound healing:
Nutritional status
Vascularity of wound
presence of infection
rest given to wound
chronic condition
immunosuppressed condition
uncontrolled sugar levels.
MRSA is difficult to treat as it is resistant to commonly used antibiotics.
its difficult to give standard line of management,
Hope I answered your question. Feel free to ask me if you have any further queries.
Wish you good health. Take
care.
Regards
Dr. Vidya
management of each patient is different, depends on several factors.
There are many factors which affect wound healing:
Nutritional status
Vascularity of wound
presence of infection
rest given to wound
chronic condition
immunosuppressed condition
uncontrolled sugar levels.
MRSA is difficult to treat as it is resistant to commonly used antibiotics.
its difficult to give standard line of management,
Hope I answered your question. Feel free to ask me if you have any further queries.
Wish you good health. Take
care.
Regards
Dr. Vidya
I find this answer helpful
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