Abstract
BackgroundThe inadequate application of postoperative dressings can lead to significant complications, including skin injuries, compartment syndromes, and potential limb loss. To our knowledge, the occurrence of post laparoscopic cholecystectomy related skin complications have not yet been reported in the peer-reviewed literature.Case PresentationFollowing laparoscopic cholecystectomy for symptomatic gallstone disease, a seventy eight year old healthy white male broke out in painful erythema on either side of his epigastric port site. Vesicles akin to a partial thickness burns were revealed upon removal of dressings. An unusual indentation created by the dressing, and skin traction by the dressing's adhesive edges were implicated, raising questions about technique of its application.ConclusionIncorrect application of wound dressings can disrupt skin architecture, causing painful blistering. This complication should not occur to patients, as it is theoretically 100% preventable. Avoidance of stretching adhesive dressings, and careful adherence to relevant manufacturers' instructions are recommended.
Highlights
Postoperative peri-wound blistering is a well-recognized phenomenon in Orthopaedic, and to a lesser extent Gynaecological surgery
We report the first case of post laparoscopic cholecystectomy wound traction blistering, and suggest recommendations to avoid it
Within 24 hours he developed an area of painful erythema, with blistering and increased local heat on Correspondence: abayomi.sanusi@rcsed.ac.uk Department of Surgery, York Hospital, Wiggington Road, York, North Yorkshire, YO31 8HE, UK
Summary
Incorrect application of wound dressings can disrupt skin architecture, causing painful blistering. This complication should not occur to patients, as it is theoretically 100% preventable. Avoidance of stretching adhesive dressings, and careful adherence to relevant manufacturers’ instructions are recommended
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