What is a belly bell?
The tummy tuck is a complication after an open laparotomy. A laparotomy is a surgical procedure for which the abdominal abdominal wall is opened. The wound of the operation is then sutured. The belly bump is created by the suture bursts open and the wound edges gape apart. This condition is known by the technical term seam dehiscence.
In this case, inner components of the abdominal cavity are present, that is, they crowd out of the body. Affected are potentially organs, parts of the intestine and the net. The mesh is a layer of tissue that surrounds the two stomach crumbs of the human. The incidence of the viscera is also known as prolapse or prolapse.
The medicine distinguishes between two different forms of the Platzbauches: Experts speak of a complete or open place belly, if all seams on the belly burst open. On the other hand, if the incomplete or subcutaneous space is absent, the outer skin suture remains intact while the supporting suture tears.
The plaque can be based on various causes. A bruise (hematoma) may favor the formation of the placenta. Even a seroma can lead to the belly. A seroma is a pseudocyst that contains blood serum or lymph fluid. The seroma can develop at the surgical wound if it has already closed superficially.
Another potential cause of the lower abdomen is the application of an unsuitable suture technique when closing the wound. Also, a strong abdominal press, which, for example, caused by strong coughing pressure on the abdomen, can cause the Platzbauch. Likewise, excessive pressure from mobilization too early is a possible trigger of the rampant; In case of rapid mobilization, overweight patients in particular are at an increased risk of suffering a tummy tuck.
Irrespective of this, overweight is generally a risk factor for complications following an operation. It also potentially weakens and overstretches the abdominal wall, which also increases the likelihood of a lower abdomen. Above all, an excess of subcutaneous fatty tissue favors the formation of the Platzbauches. Furthermore, the belly stomach can be caused by a metabolic disorder; this has a negative effect on the healing of the wound.
Reduced wound healing may also be due to cancer and / or associated chemotherapy or radiation therapy, diabetes, infection, liver or kidney failure.
Symptoms, complaints & signs
The belly bump usually manifests itself four to six days after surgery. Patients may experience increased pain from the wound and its surroundings as a result of the lower abdomen. The externally visible, gaping wound edges are symptomatic of the complete or open belly. The open abdomen usually attracts attention at the standard control of surgical suture.
A corresponding check-up can also detect an incomplete or subcutaneous space belly. In the case of a subcutaneous space belly, however, the outer suture is intact, making detection difficult. A possible indication of the subcutaneous space belly, for example, provides the outlet of clear liquid from the wound, which is not breastfeeding. The secretion of the fluid is caused by an infection of the surgical wound, which in turn results in an increased blood flow to the affected region.
Diagnosis & disease course
Suspected hypodermic ventricular tuberculosis requires the need for more accurate diagnostics using imaging techniques. In addition, investigations by means of ultrasound and / or computed tomography (CT) are possible. The fastest possible discovery of the temples is of great importance.
The reopened wound provides an open door for invaders such as bacteria and viruses and can cause infection of the surgical wound. In addition, organs, parts of the intestine, as well as the network may be present and crowd between the gaping wound edges. This can cause additional complications and pain.
Sufferers usually suffer from relatively severe pain at the wound after surgery. This pain can also spread to other regions of the body and thus cause pain in the back or on the flanks. The quality of life of the person affected is thereby significantly reduced and restricted.
Furthermore, without treatment, inflammation and infections of the wound itself occur. Fluid can escape from the wound and can not be breastfed. Likewise, a greater blood flow to the wound itself may occur. In the worst case, it comes to bleeding or blood poisoning. The person affected can eventually die of this.
The treatment of the temples is usually done by another minor intervention. Thus, the wound healing can be accelerated so that there are no further complications. However, scars may remain over from surgery or adhesions. The life expectancy of the patient is not affected by successful treatment. Furthermore, there is no further complication after complete concealment.
When should you go to the doctor?
An abscess must always be treated by a doctor. It comes with this disease not to a self-healing and usually to the death of the person affected, if the botched belly is not treated in time. Only by early diagnosis and treatment can further complications be avoided. As a rule, a doctor should be consulted if a wound causes severe pain and a laceration of the wound. In most cases, however, the belly bump falls on the post-op inspection, so it can be treated quickly. Furthermore, an escape of a fluid from the wound may indicate a tummy tuck and should be examined immediately by a doctor.
The diagnosis and treatment of this disease is carried out directly in the hospital, so that the person concerned usually does not have to additionally visit another doctor. Early diagnosis and treatment will result in a positive course of the disease and the life expectancy of the patient will not be adversely affected.
Therapy & Treatment
The treatment of the square belly is done in most cases surgically. The surgical procedure allows the control of the abdomen to exclude other causes or damage. Only then the surgeon performs a refreshment of the wound edges, so that the tissue can grow together. The new sutures often replace not only the old, split suture. Additional sutures through tissue farther from the surgical wound can reduce pressure and tension on the actual suture.
After closing the abdominal wall, a body bandage or abdominal girdle can provide additional protection against re-abdominal pain or other complications. In rarer cases, the disease is chronic and leads to a so-called incisional hernia. The scarred tissue breaks apart and forms with this opening the hernia, through which a bag-shaped protuberance (within the abdomen, as the abdominal wall is held together by the superficial suture) can bulge out of abdominal wall tissue as a hernia sac.
In the fracture bag, individual intestinal loops, organs such as ovaries or other bodily components can move. A possible consequence of the chronic Platzbauches are adhesions, which complicate the treatment. The incisional hernia may increase over time, decreasing the likelihood of surgical success. For the treatment of chronic tummy tummy, surgical treatment after half a year or one year is usually recommended. However, the exact time may vary as individual factors are incorporated into the surgical planning.
Elastic abdominal bandages are often used after laparotomy today to prevent the lower abdomen. They reduce the burden on the suture and counteract the internal pressure of the abdomen to prevent an internal organ prolapse.
Today, the specialist can carry out the treatment for a tummy tuck according to a certain pattern. Then it is guaranteed that a patient has no further difficulties. First, the inspection of the abdominal cavity to exclude causal causes is important. Thereafter, the doctors can take care of the actual treatment. This can be done inter alia by refreshing the wound edges. Good doctors are very competent in this regard.
Thereafter, additional penetrating and suture-removed sutures will be used. These can be considered as a successful treatment method. As a result, a new abdominal wall closure can be considered. So it is quite possible to mitigate or completely eliminate this disease. An elastic abdominal bandage or a bodice after the operation contribute to the fact that the disease heals well and no longer occurs.
In any case, a patient should contact the professionals in the field. So bad manifestations of the belly can be very well mitigated. The recognized therapies are still used today. This is positive for the patients who have been diagnosed with this condition. In large clinics, it is possible that you discuss with the doctors all the necessary therapies.
You can do that yourself
If it comes to a belly stomach, the emergency doctor must be called immediately. The bursting of a wound in the area of the abdomen represents a medical emergency, which must first be first-aid-treated and then further treated in the hospital. Therefore, the most important self-help measures is to alert the emergency services immediately.
Until medical help arrives, first aid must be given to the person concerned. In order to prevent intestinal components and organs from prolapsing, the affected person must be placed in a quiet position. Depending on the severity of the injury, the abdomen may be bandaged with a cloth or bandage. It is important to calm the injured and calm down until the ambulance arrives. The physician must be informed about the circumstances of the belly (for example, complications after an operation or an accident in the household). After the hospital stay, strict care applies. A renewed bursting of the wound could permanently damage the tissue and must therefore be avoided.
An elastic body bandage can prevent a tummy tuck. If the patient is overweight, immediately after recovery he should reduce obesity to facilitate future surgery and improve overall physical and mental health.