Med. praxi. 2018;15(3):171-174 | DOI: 10.36290/med.2018.064

Treatment of a patient with a defect in the orthopaedic scar

Bc. Markéta Guderová^{1, 2}, Mgr. Marie Holubová, Ph.D.²

¹ Aseptická chirurgie, Nemocnice Litoměřice, a.s.

² Fakulta zdravotnických studií, Univerzita Pardubice

A case report describes the case of a 73-year-old patient who was indicated for a total right hip endoprosthesis by reason ofa grade 3 coxarthrosis. The operation and the postoperative course were without complications. There were signs of surgicalwound in the early postoperative period at the rehabilitation department. Under aseptic conditions, necrectomy of the woundand subsequent re-suturing of the dehiscence was performed in local anaesthesia. The surgical wound, despite all the efforts,did not progress well, so the patient was indicated for re-suturing of the surgical wound under general anaesthesia. During thetreatment, a wound swab was performed for cultivation and sensitivity, with Staphylococcus epidermidis as a result. Accordingto the cultivation results and sensitivity, the antibiotic treatment was changed. Control wound swabs after the reoperation werealready sterile, as well as the wound drains which were sent to a microbiology lab.

Keywords: total endoprosthesis, debridement, postoperative wound

Received: April 24, 2019; Accepted: August 30, 2019; Prepublished online: August 30, 2019; Published: July 1, 2018  Show citation