cavity wound
Russian translation: рана с полостью
| 13:16 Nov 3, 2008 |
| English to Russian translations [PRO] Medical - Medical: Health Care | |||||||
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|  Selected response from: Maksym Nevzorov Ukraine Local time: 15:58 | ||||||
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peer agreement (net): +5рана с полостью Explanation: -------------------------------------------------- Note added at 7 mins (2008-11-03 13:24:23 GMT) -------------------------------------------------- Вполне вероятно, что имеются в виду гнойные раны, т.е. раны, заживающие вторичным натяжением из-за воспалительного процесса, с подкожной полостью, в которой скапливается гной. -------------------------------------------------- Note added at 18 mins (2008-11-03 13:35:21 GMT) -------------------------------------------------- Знаете, я бы в этом контексте даже написал просто "гнойные раны". Или "раны с большой подкожной полостью". Суть в том, что эти раны ведут открытым способом, а не зашивают, потому что если их зашить - они нагноятся, гной нормально оттекать не будет, и воспаление будет распространяться глубже. Вот для них и подходит предлагаемая повязка. Еще вариант: "раны, заживающие вторичным натяжением". Вот тут неплохо перечислены причины возникновения таких ран: http://209.85.135.104/search?q=cache:uooxafJJ2e0J:www.piloni... Surgically created cavity wounds These are created at the time of surgery, where the surgeon has decided that healing should be by secondary intention. It is undertaken when there is extensive tissue loss which would prevent primary closure of the wound or because the wound is heavily contaminated or infected at the time of surgery e.g. pilonidal sinus, breast abscess. The surgeon aims to achieve haemostasis and avoid the development of an haematoma, as well as creating an evenly shaped cavity with gently sloping sides, which allows free drainage and for the cavity to heal from the depth of the wound (Figure 1) (Berry & Jones, 1993). Dehiscence wounds: This is where a surgically closed wound has partially or completely separated, causing a cavity wound, and may be due to the suturing technique adopted in wound closure or as a result of a wound infection. Total dehiscence will require surgical intervention to explore the wound, allow excision of any devitalised tissue and closure of the wound. In partial dehiscence, the cavity wound can be lightly filled with an appropriate dressing, and allowed to heal by secondary intention (Figure 2, an abdominal wound which has broken down, but also contains a mucus fistula). Traumatic wounds: The nature of the injury can indicate that it may not be feasible to bring the skin edges together, due to either extensive tissue loss, the presence of devitalised tissue, the potential risk of infection, or damage to underlying structures following an vulsion injury. The principle of treatment for managing a cavity wound caused by a traumatic injury is to surgically debride any devitalised tissue within the wound and lay the wound open if infection is suspected. Chronic wounds: Pressure sores can be superficial, but extensive tissue damage caused by shearing forces or pressure can lead to the formation of a cavity wound. These patients need to be nursed on an appropriate support surface to ensure further tissue damage will not occur, as well as managing any predisposing factors such as incontinence or a poor nutritional state. The cavity wound can be managed conservatively with an appropriate dressing, or may require reconstructive surgery whereby the defect is filled by a rotational skin flap. Fungating malignant wounds often become cavity wounds, due to extensive tissue destruction. These patients also have the added problem of copious amounts of exudate and malodour. The main aim of management is palliative, i.e. to reduce odour and control exudate. |
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