plarabee
Networker
I am pulling my hair out trying to decide if this is repair of a wound dehiscence or if this is debridement and repair. I would appreciate any feedback.
Patient is 3 1/2 wks s/p lumbar arthrodesis instrumentation removal and a repeat laminectomy. She is seen for possible wound dehiscence.After the patient was under anesthesia, one of the wounds was probed with a curved hemostat which went deep into the fascia. The wound was dissected down to the fascia and upon reaching the fascia there was some drainage. The fascia was opened to reveal a large seroma which extended to the dura. All soft tissue was curetted, lavaged and layer closured.
I don't know whether this should be a debridement with layer closure or repair of the wound dehiscence.
Thanks for any feedback.
Pat
Patient is 3 1/2 wks s/p lumbar arthrodesis instrumentation removal and a repeat laminectomy. She is seen for possible wound dehiscence.After the patient was under anesthesia, one of the wounds was probed with a curved hemostat which went deep into the fascia. The wound was dissected down to the fascia and upon reaching the fascia there was some drainage. The fascia was opened to reveal a large seroma which extended to the dura. All soft tissue was curetted, lavaged and layer closured.
I don't know whether this should be a debridement with layer closure or repair of the wound dehiscence.
Thanks for any feedback.
Pat