Daniela Karasová*, Branislav Kolarovszki**
* Comenius University in Bratislava, Jessenius Medical Faculty in Martin, Department of Nursing
** University Hospital in Martin, Department of Neurosurgery
KARASOVÁ, D. – KOLAROVSZKI, B. Dehiscence after cervical spine surgery – wound management. In Ošetrovateľstvo: teória, výskum, vzdelávanie [online], 2012, vol. 2, no. 3, pp. 105-112. Available on: https://www.osetrovatelstvo.eu/en/archive/2012-volume-2/number-3/dehiscence-after-cervical-spine-surgery-wound-management.
Aim: The purpose of this study is to present the role of wound management of complicated wound after surgery with the elimination of risk factors and the use of different types of therapy (wet and negative pressure wound therapy).
Method and sample: The prospective analysis of 1 patient with wound dehiscence after laminectomy Th1/C7, Th8 and partial laminectomy Th7 and Th9. The analysis of empiric data was performed by meassurement (wound size, volume and the type od exsudation, laboratory parameters), analysis of clinical factors and photodocumentation. The intraindividual analysis of patient was described as a case report with discussion.
Discussion: The wound dehiscence (iatrogenic wounds) are still the serious postoperative complication. The most common cause of wound dehiscence is the wound infection, which leads to increased morbidity and mortality, prolonged time and increased cost of hospitalisation. The early diagnosis of wound infection can decrease the extent of wound complication and improve the wound healing. The decrease of microbial compound of the wound is related to the adequate local treatment and of the identification and elimination of risk factors, which have negative impact on wound healing.
Results and conclusion: The adequate wound care strategy and elimination of risk factors have a positive influence on the wound healing and can improve the return of patient to normal life.
Keywords: wound management, wound dehiscence, risk factor, negative pressure wound therapy
Mgr. Daniela Karasová
Ústav ošetrovateľstva JLF UK
Malá Hora 5
036 01 Martin
Slovenská republika
e–mail: dkarasova@gmail.com
Received: 9th July 2012
Accepted: 24th July 2012