operative wounds

Views:
 
Category: Education
     
 

Presentation Description

No description available.

Comments

Presentation Transcript

CLASSIFICATION OF SURGICAL WOUNDS:

CLASSIFICATION OF SURGICAL WOUNDS

It is classified as follow….:

It is classified as follow…. Clean wounds Clean-contaminated wounds Contaminated wounds Dirty wounds

CLEAN WOUNDS:

CLEAN WOUNDS The clean wound is one in which the surgical site can be prepared thoroughly, with no contamination of the area by communication with bacteria. Examples.. Thyroidectomy, Parotidectomy, Isolated neck dissection.

Slide 4:

Non traumatic surgery No viscera or tract is entered No infection at site No break in technique

CLEAN-CONTAMINATED WOUNDS:

CLEAN-CONTAMINATED WOUNDS They are the most frequent wounds in head and neck surgery. It includes the procedure that are started in an uninfected environment and proceed to incorporate entry into a contaminated environment. Examples, Tracheostomy Laryngectomy

Slide 6:

Otherwise clean but emergency surgery. Opening of any viscera/ tract but minimal spillage No contact with infected material Minor break in technique.

CONTAMINATED WOUNDS :

CONTAMINATED WOUNDS These wound procedures have extensive soilage and shows presence of numerous bacterias. Examples, Unprepared distal bowel surgery, Presence of acute, nonpurulent inflammation. Opening of infected biliary and genitourinary tract

Slide 8:

Gross spillage from the tract Penetrating injury more than 4 hr old. Major break in technique

DIRTY WOUNDS :

DIRTY WOUNDS The wounds which are infected and are due to result of contaminating trauma , are categorized as dirty wounds. Opening of abscess or purulent site Preoperative perforation of GI/ respiratory/ genitourinary tract. Penetrating injury of more than 4 hr old.

Prophylaxis:

Prophylaxis ORAL (single dose given 1 hr before the procedure) Amoxicillin (50mg/kg) cephalaxin(5omg/kg) azithromycin(15mg/kg) clarithromycin (15mg/kg)

Slide 11:

Parenteral (single injection given just before procedure) ampicillin (50mg/kg i.m./ i.v.) cefazolin (25 mg/kg i.v.) clindamycin(20mg/kg i.v)

authorStream Live Help