Traumatische wonden - DOKh

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Chirurgische wonden • Alle wonden gemaakt door een chirurg/specialist - Laparotomie - Fractuurchirurgie - Thoracotomie - Vaatchirurgie - Kleine verrichtingen - Fasciotomie - Wondtoilet /debridement (DM) • In principe schone wonden, dus primair gesloten - Met staples, ethilon, monocryl (intracutaan) - Alleen verband zolang de wond lekt - Daarna droog - Douchen mag na 24 uur - Hechtingen gemiddeld na 10-14 dagen uit (muv bijv DM-patienten) - Let op tekenen van wondinfectie openen wond, kweken
Fracturen en wonden • Gustilo and Anderson classificatie Gustilo Grade Definition I Open fracture, clean wound, wound 1 cm in length without extensive soft-tissue damage, flaps, avulsions Open fracture with extensive soft-tissue laceration, damage, or loss or an open segmental fracture. This type also includes open fractures caused by farm injuries, fractures requiring vascular repair, or fractures that have been open for 8 hr prior to treatment Type III fracture with adequate periosteal coverage of the fracture bone despite the extensive soft-tissue laceration or damage Type III fracture with extensive soft-tissue loss and periosteal stripping and bone damage. Usually associated with massive contamination. Will often need further soft-tissue coverage procedure (i.e. free or rotational flap) Type III fracture associated with an arterial injury requiring repair, irrespective of degree of soft-tissue injury.
Page 1 and 2: datum5 juni 2013 Traumatische wonde
Page 3 and 4: Geschiedenis • Stenen tijdperk: k
Page 5 and 6: • Kennis van de anatomie • Ambr
Page 7 and 8: WO I • triage van gewonden en beh
Page 9 and 10: Richtlijn ‘Wondzorg’ Anno nu Af
Page 11 and 12: Typen wonden • Mechanische wonden
Page 13 and 14: • Schone of vieze wond • Diep o
Page 15 and 16: datum5 juni 2013 ROOD-GEEL-ZWART MO
Page 17 and 18: 1. reactiefase Fasen wondgenezing -
Page 19 and 20: 3. rijpingsfase • maturatiefase o
Page 21 and 22: • Afhankelijk van Duur wondgenezi
Page 23 and 24: • Stoornis door besmetting met ba
Page 25 and 26: Mechanische en chirurgische wonden
Page 27 and 28: Mechanische wonden • Afhankelijk
Page 29 and 30: datum5 juni 2013
Page 31 and 32: • Als primair niet te sluiten - A
Page 33: • Pijnstilling - VAS 1-6 pcm en e
Page 37 and 38: Graad II • Open fracture, wound >
Page 39 and 40: Graad IIIB • Open fracture with e
Page 41 and 42: datum5 juni 2013 Graad IIIA-C behan

Traumatische wonden - DOKh

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