identification and treatment of surgical wound complications christopher l. cole, do, facos surgical...
TRANSCRIPT
![Page 1: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/1.jpg)
IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS
Christopher L. Cole, DO, FACOS
Surgical Associates, Inc
Tulsa, OK
![Page 2: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/2.jpg)
OBJECTIVES
1. Review of physiology of wound healing
2. Discuss barriers of wound healing in surgical patients
3. Identification of complications associated with postoperative surgical wounds and management.
![Page 3: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/3.jpg)
![Page 4: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/4.jpg)
![Page 5: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/5.jpg)
![Page 6: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/6.jpg)
![Page 7: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/7.jpg)
SURGICAL WOUND CLASSIFICATION
![Page 8: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/8.jpg)
![Page 9: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/9.jpg)
![Page 10: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/10.jpg)
![Page 11: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/11.jpg)
![Page 12: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/12.jpg)
![Page 13: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/13.jpg)
![Page 14: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/14.jpg)
![Page 15: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/15.jpg)
![Page 16: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/16.jpg)
![Page 17: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/17.jpg)
FISTULAS
1. Enterocutaneous Fistulas
2. Enteroatmospheric Fistulas
3. Colocutaneous Fistulas
4. Gastrocutaneous Fistulas
5. Other Fistulas
![Page 18: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/18.jpg)
CAUSES OF FISTULAS
- Anastamotic Leaks
Ischemia
Previous Radiation
Injury
Foreign Body Erosion
Abscess
Trauma
Inflammatory Bowel Disease
![Page 19: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/19.jpg)
SIGNS OF FISTULA- Usually about 4-7 days postop
- Fever
- Bloody, Purulent Drainage
- Enteric Fluid
![Page 20: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/20.jpg)
TREATMENT OF FISTULAS
-Control Drainage
-Management of Sepsis
-Fluid and Electrolyte Management
-Nutritional Support
-Typically Months Before Definitive Surgical Therapy
![Page 21: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/21.jpg)
![Page 22: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/22.jpg)
![Page 23: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/23.jpg)
![Page 24: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/24.jpg)
![Page 25: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/25.jpg)
![Page 26: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/26.jpg)
![Page 27: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/27.jpg)
![Page 28: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/28.jpg)
![Page 29: IDENTIFICATION AND TREATMENT OF SURGICAL WOUND COMPLICATIONS Christopher L. Cole, DO, FACOS Surgical Associates, Inc Tulsa, OK](https://reader035.vdocuments.net/reader035/viewer/2022062518/56649f3b5503460f94c58c8c/html5/thumbnails/29.jpg)