Saman Urooj ZEESHAN 医师
医学博士
A Case Report: Post-Operative Skin Wound Infection, Dehiscence and Necrosis in Abdominoplasty wound: Treatment with Platelet Rich Plasma
Objectives: Abdominoplasty wounds can undergo necrosis due to tension suturing. Added with the insult of prolonged surgery, per-operative temperature loss and blood loss, wounds can start getting necrosed and subsequently infected and get dehisced. Platelet Rich Plasma can be an effective means of treatment for such wounds, and can shorten recovery time drastically for affected patients.
Introduction: Abdominoplasty wounds can undergo necrosis due to tension suturing. Added with the insult of prolonged surgery, per-operative temperature loss and blood loss, wounds can start getting necrosed and subsequently infected and get dehisced. Platelet Rich Plasma can be an effective means of treatment for such wounds, and can shorten recovery time drastically for affected patients.
Materials / method: Observational Case Report: to report a case of wound infection, necrosis and dehiscence that was treated successfully with application of Platelet Rich Plasma
Results: After 15 days of dressings with PRP, wound cavity had closed and only superficial healing was required. At that stage, PRP gauze was used to seal and pack the wound on a daily basis, till complete healing was observed, on day 20.
Conclusion: Use of PRP shortened the recovery time drastically for the patient. We were able to achieve wound closure after 20 regular days of PRP.
To conclude, PRP can be an effective and helpful method to treat surgical wounds. While there is widespread use of silver dressings and other conventional methods for dealing with wound necrosis and dehiscence, the use of PRP can be considered for surgical site infections and necrosed wounds. The real challenge lies in sterile preparation and wound care and requirement for daily dressing change.