๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
Postoperative management
Postoperative management
Patients are admitted for observation after the procedure. Special attention should be paid to the hemorrhagic status (i.e., assessment of serum hemoglobin levels) of patients with significant intraoperative blood loss and a medical history of anemia. Topical care for open wounds (either for healing by secondary intention of for delayed skin grafting) consists of either povidone iodine ointment or an alginate dressing followed by paraffin gauze and absorbent dressings.17,25 Depending on the amount exudate produced, wounds are rinsed once or twice daily with a saline solution or clear running water. Vacuumassisted closure or hyperbaric oxygen therapy is not needed. Patients can be discharged from the hospital when postoperative pain management is adequate and medical home care is scheduled. From day one patients are instructed to stretch the wound area in order to prevent contractures of the newly generating scar tissue. Physical therapy and postoperative rehabilitation may be considered when patients develop contractures or are unable to perform the exercises without extra guidance. Patients should be seen 7 to 14 days after discharge from the hospital to evaluate the course of wound healing.