Wound management following orbital exenteration surgery.

摘要

Exenteration of the orbital contents is a rare but mutilating surgical procedure which can have a profound effect on a patient's life. As a specialist nurse working within the oculoplastics team at Manchester Royal Eye Hospital, the author has taken a particular interest in the wound management of post-operative exenteration patients. Using evidence-based practice relating to cavity wound healing as a cornerstone, he has developed guidelines for the post-operative wound management of these patients both for nurses and other allied professionals. Several surgical approaches to the exenteration of the orbital contents are outlined. The implications for wound healing and other elements of the post operative care for these patients are also explored. Selected dressing products which may be used in patients having undergone orbital exenteration surgery ar reviewed, and practice recommendations and guidelines proposed.