Symptoms of caesarean section fat liquefaction

It is a good thing to be able to give birth naturally, as it will be faster, and the recovery after delivery will be faster. There is also no need to have surgery on the abdomen, and there will be no scars. If natural childbirth is really not possible, we can have a caesarean section. Now the technology of caesarean section is relatively mature and the success rate is high. We can let pregnant women choose caesarean section with confidence. What are the symptoms of caesarean section fat liquefaction?

What are the symptoms of caesarean section fat liquefaction? Many patients experience symptoms of fat liquefaction after cesarean section, which is a common complication after cesarean section, especially in recent years with the increase in the proportion of obese and elderly patients and the widespread use of high-frequency electrosurgical units.

What are the symptoms of cesarean section fat liquefaction? Fat liquefaction is one of the main causes of poor surgical wound healing. Especially when there is a lot of fat at the incision site and electrosurgery is used, the mechanism of occurrence may be that the high temperature generated by the electrosurgery causes superficial burns of the subcutaneous fat tissue and degeneration of some fat cells due to thermal damage. At the same time, the capillaries in the fat tissue are embolized due to coagulation, which further obstructs the blood supply to the hypertrophic fat tissue with poor blood supply. After the operation, aseptic necrosis of the fat tissue occurs, forming a large amount of exudate, which affects the healing of the incision. How big are the risks of caesarean section? Let’s take a look.

Diagnostic principles of postoperative incisional fat liquefaction

There is no unified standard at present, but it is generally believed that those with the following manifestations should be diagnosed with incisional fat liquefaction. (1) It usually occurs 5 to 7 days after surgery. Most patients have no other symptoms except for complaining of excessive exudate from the incision. Some patients find yellow exudate on the dressing during routine examination of the incision, and more exudate under the skin of the incision when pressing. (2) The incision heals poorly, the subcutaneous tissue is loose, and floating fat droplets can be seen in the exudate. (3) There is no redness, swelling or tenderness at the incision, and no signs of necrosis at the incision edge and subcutaneous tissue. (4) Microscopic examination of the exudate smear revealed a large number of fat droplets, and no bacterial growth was observed after three consecutive cultures.

Causes of postoperative incision fat liquefaction

It is speculated that incision fat liquefaction is related to body obesity and whether a high-frequency electric knife is used to incise the skin and subcutaneous tissue during surgery. The mechanism of its occurrence may be that the high temperature generated by the electric knife causes superficial burns of the subcutaneous fat tissue and degeneration of some fat cells due to thermal damage. At the same time, the capillaries in the fat tissue are embolized due to thermal coagulation, which further obstructs the blood supply to the hypertrophic fat tissue with poor blood supply. After the operation, aseptic necrosis of the fat tissue occurs, forming a large amount of exudate, which affects the healing of the incision.