Signs of caesarean section fat liquefaction

Generally, the stitches on the wound from a cesarean section can be removed surgically in about a week. However, for some mothers, the wound has been there for a long time but has not shown any signs of improvement, and there is a lot of exudate at the wound. The result showed that it was fat liquefaction. So what are the symptoms of fat liquefaction after cesarean section?

What are the symptoms of caesarean section fat liquefaction

Fat liquefaction is one of the key reasons for poor wound repair after surgical treatment. Especially when there is more fat at the wound site and electrosurgery is used, the mechanism of occurrence may be that the high temperature caused by the electrosurgery causes superficial burns of the fat tissue and some of the fat tissue undergoes transformation due to thermal damage. In addition, the capillaries in the fat tissue are blocked due to coagulation, further hindering the blood supply to the hypertrophic fat tissue with weak blood circulation. After the operation, the fat tissue undergoes aseptic necrosis and produces more exudate, which affects wound healing.

It usually occurs 5 to 7 days after surgery. Most patients have no other active symptoms except complaining of a lot of exudate in the wound. Some patients found yellowish exudate on the medical dressing during routine physical examination of the wound, and a lot of exudate when lightly pressing the subcutaneous tissue of the wound.

The wound healed poorly, subcutaneous tissue contained mineral acid, and suspended fat droplets were visible in the exudate. There was no swelling or tenderness in the wound, and no signs of necrosis at the wound edge and subcutaneous tissue. (4) Acid-fast staining of the transudate revealed many fat droplets, which were maintained for 3 consecutive times without causing bacterial growth.

Solutions for fat liquefaction after cesarean section:

1. Early detection and early drainage methods are important. The early, mid-late and late treatment is closely related to the healing of the wound, because the vaporized fat deposits in the wound are not easy to be localized, and can spread to the surrounding fat tissue to accelerate vaporization. If the exudate is less and only part of the wound has not healed well, you only need to cut off 1 to 2 sutures, open the wound a little, embed saline gauze for drainage, and the wound can be healed by changing the dressing. There is no need to open the entire wound at will to avoid increasing the wound healing time. If there is a lot of exudate and the wound does not heal, the wound should be fully opened and drained with saline gauze. After the fresh granulation tissue is formed, secondary sutures should be performed to shorten the healing time.

2. If the wound after cesarean section is fresh, it should be sutured first and 2 to 3 stitches of support should be added; if the wound is not fresh, it should be cleaned with saline and sutured again when fresh granulation tissue grows in the wound, and the skin and fat cell layer should be sutured.

3. If the patient's fat liquefaction is more serious, traditional Chinese medicine such as Shishoubianfang can also be used for treatment. It can promote blood circulation in the injured area, thereby promoting wound healing and achieving good clinical results.