Name of the Procedure:

Repair, Complex, Trunk; 1.1 cm to 2.5 cm
Common name(s): Complex Trunk Repair
Technical/medical term: Complex Repair of Laceration on the Trunk

Summary

A Complex Trunk Repair for a laceration between 1.1 cm to 2.5 cm is a surgical procedure used to close, repair, and heal deep or irregular cuts or wounds on the trunk of the body, such as the chest, back, or abdomen. This involves meticulous techniques to ensure proper healing and aesthetic outcomes.

Purpose

This procedure addresses deep, jagged, or wide lacerations that cannot be closed with simple suturing or glue.
The goal is to promote proper healing, prevent infection, minimize scarring, and restore function and appearance.

Indications

• Large, irregular, or deep cuts on the trunk.
• Wounds with significant tissue loss or damage.
• Lacerations not amenable to simple closure techniques.
• Situations requiring layered closure to support healing.

Preparation

• The patient may need to fast for a few hours prior to the procedure.
• Adjustments to medication regimes may be necessary, particularly with blood thinners.
• Pre-procedure assessments might include blood tests or imaging to evaluate the extent of tissue damage.

Procedure Description

1. The patient is positioned appropriately for access to the wound.
2. Local anesthesia is administered to numb the area.
3. The wound is cleaned and disinfected.
4. Precise debridement of damaged tissue may occur.
5. Layered closure begins, starting with deep sutures to approximate deeper layers.
6. Superficial closure involves delicate suturing to minimize scarring.
7. Sterile dressing is applied to protect the wound.

Duration

Typically takes 30 to 60 minutes, depending on the complexity and extent of the wound.

Setting

Performed in a hospital, outpatient clinic, or specialized surgical center.

Personnel

• Surgeon or a skilled practitioner specializing in surgical repairs.
• Nurse or surgical assistant.
• Anesthesiologist, if sedation beyond local anesthesia is required.

Risks and Complications

• Common: Infection, bleeding, pain at the site, scarring.
• Rare: Anesthesia reactions, wound dehiscence (reopening), nerve damage, prolonged healing.

Benefits

• Reduces the risk of infection and complications.
• Minimizes scarring and improves aesthetic outcomes.
• Promotes faster and more reliable wound healing.

Recovery

• Keep the wound clean and dry for a specified period.
• Follow-up appointments are required for suture removal and to monitor healing.
• Rest and avoid strenuous activity that could strain the repair area.
• Full recovery typically spans 2 to 4 weeks, depending on wound depth and overall health.

Alternatives

• Simple laceration repair for less complex wounds.
• Use of wound adhesives or strips for minor cuts.
• Pros and cons: Alternatives may be less invasive but might not be adequate for deeper or more extensive wounds, leading to higher risk of improper healing or poor cosmetic outcome.

Patient Experience

• Possible minor discomfort and stinging from local anesthesia.
• Sensations of pulling or pressure during the procedure.
• Post-operative soreness and tenderness managed with prescribed pain relief.
• Careful attention to wound care instructions can enhance comfort and expedite recovery.