How to prevent wound dehiscence and reduce scarring?

Regardless of the size of the operation, it will cause certain damage to the skin. Some large wounds will be sutured before the end of the operation. Our daily activities will also increase the tension of the skin, so some wounds will crack. If the cracked wound is Small, no need to deal with it can be restored automatically.

If the wound dehiscence is relatively large and there is still pus, then it is necessary to pay attention to the cleanliness of the wound surface to prevent infection, so what should I do if the sutured wound dehisces? Let's take a look together below.

What are the types of wound suturing in common operations?

During surgery, surgical wounds are usually healed with staples and sutures, and sometimes they may open due to infection or other findings during surgery.

Why do wounds open after surgery?

More exudate: There is more exudate in the local wound, and the drainage is not smooth, which will cause wound infection, which will lead to further expansion and dehiscence of the wound.

Large range of motion: Because the wound has not fully healed, strenuous activities or excessive range of motion have been done, which will cause the wound to be stretched and dedicated.

Location: Wounds in some joints. Due to the special location, the wounds in these parts often need to be moved, so they wound in these parts are prone to cracking.

Common risk factors for surgical wound dehiscence:

① Diabetes

② Malnutrition or malnutrition

③ smoking

④ Obesity

⑤ Ischemia

⑥ infection

How to manage wound dehiscence?

The appearance and location of the wound should first be assessed: wound measurements need to be recorded as length, width, and depth, and an assessment of the wound tract and destruction should be completed accordingly. The condition of the peri-wound skin and wound drainage (volume, color, odor) also needs to be assessed and documented.

Disinfect the wound: Use running water to clean the surface of the wound, and then use povidone iodine to disinfect the wound after drying. Take care to keep the wound site clean until the wound heals.

Use functional wound dressing: Note that large wounds still need to be sutured again. For small wounds, you can use non-seam tape to stick to the wound. If the wound is deep, you can use wound skin closure (elastic bandage) to tie the wound vertically from the middle of the wound Skin closure strips. Stick it from both ends of the wound to the middle, so as to prevent the wound from dehiscence.

How to prevent surgical wound dehiscence?

Some ways to prevent surgical wound dehiscence include supporting the abdomen when coughing, sneezing, or walking around in bed or sitting up, avoiding pressure or pressure on the wound area (weight lifting, exercise, coughing, straining for Good eating habits and good oral intake to prevent dehydration.

It is important to practice good hygiene, keep the wound clean, dry, and intact, and follow the provider's specific instructions for wound care and any prescribed medications. In addition, elastic bandages can also be attached to the sutured wound site to reduce the chance of wound dehiscence.

In addition to reducing the chance of wound dehiscence, the wound skin closure (elastic bandage)

It can also act on the "suture" of wounds,

Realize needle-free suturing, which is super convenient for one stick and one pull.

Advantages of wound skin closure (elastic strap) 1. Non-invasive eversion suture: easy-to-achieve skin eversion suture, presenting the most beautiful epidermal healing effect. 2. Safe and reliable: It is reliable to fix epidermal wounds, strong in tension resistance, and safe to use. 3. Reduce scars: uniform tension reduction, no centipede foot scars, correct alignment, and no misalignment. 4. No pain and no foreign body: no secondary trauma, no puncture pain, no foreign body invasion, and no influence on blood supply. 5. Promote wound healing: wound exudate can be discharged, easy to clean the wound and avoid wound infection. Promotes wound healing. 6. Time-saving and labor-saving: convenient operation, time-saving and labor-saving. It can be operated with simple training. 7. No suture removal: easy and quick removal after healing, avoiding the pain of stitch removal.