Postoperative wound healing disorders

Abstract

Up till now no information could be found by them in the literature concerning the interaction of wound healing disorders with the nosocomial categories of the performed operations. The author's new establishment: as proceeding from category "A" towards category "D", not only the rates of surgical site infections became greater and greater, but those of wound healing disorders, too. But there is an important difference: the increase of the rates of wound healing disorders is in general meaningfully less than that of surgical site infections. Concerning the interaction of wound healing disorders with surgical site infections also another original observation was made by them: if the rate of surgical site infections is less than 2%, the identical rate of wound healing disorders is greater than the rate of surgical site infections and vice versa. If the rate of surgical site infections is greater than 2%, the rate of wound healing disorders becomes less than the rate of site infections. In conclusion the authors think that this relationship between the two sorts of rates - which can be seen in the majority (82.5%) of the rates of wound healing disorders and identical surgical site infections - seems to be fundamental. The interpretation of this observation can be done as follows: all wound healing disorders represent "loci minoris resistentiae" concerning the infection. They don't suppurate, or they scarcely suppurate in the aseptic category "A" and in the facultative septic category "B". On the other hand, more and more of their proportion becomes suppurated in the septic category "C", and even more in the seriously septic category "D". Finally they refer to their guessing, whereby, in an adequate context, the rates of wound healing disorders could be perhaps new indicators in surgical quality assurance.