Exploration Wound Procedure note:
...Patient's incision gently probed through the opening where he had sme purulence, currently there is no tract entering into the abdomen. Several staples above and below this were removed and incision opened, patient had pururlent material, this did extend superiorly and the wound was opened 6/8 cm. All purulence was drained, surrounding tissue reveals good granulation. Facial closure was viewed and intact and there is no intraabdominal extension, wound otherwise healed from inferior aspect up to above his umbillicus. All staples were removed, the lower wound was left intact but no strips were placed, the upper wound was opened adn the area of purulence drained. No evidence of necrosis or gas gangrene. This was sterily packed with absorbent dressing followed by large dressing.
Following is part of the Original Surgery Note stating the original incision information (Exp Lap, extensive adhesiolysis, decompression of small bowel):
Previous insicion (prev ruptured appendectomy/exp lap) had been centered around his umbilicus and was 8-10 cm, this was reopended and extended superiorly to this incision. Dissection was carried down to the skin and subcutaneous tissues to the fascia. Abdomen was entered above the patient's previous incision, the fascia was opened.
Any help would be appreciated!