Help:) Wound exploration

PROCEDURE PERFORMED: wound exploration right upper extremity with excision of granuloma and foreign body. Primary closure.

Jimmie is a 55-year-old male with a history of infected graft which

was removed February 6, 2015. He had an infected graft and the graft

was removed and the wound was healed very well, except the distal wound

was not healing good. It was draining every day serous fluid, so the

plan was to explore this area. Possible there is a retained foreign

body reaction or still infected remnant piece of graft, so patient was

informed about the procedure and the risks and benefits were discussed

with the patient. Patient was taken to the operating room, put in the

supine position with the prevention of pressure ulcers, and he got 2

sequential devices on his calf muscles to prevent him from DVT. He got

3 g of Ancef and IV antibiotic before the incision, anesthesia sign-in,

and he got a block for his left upper extremity. We started our

procedure by scrubbing and draping in usual manner under sterile

technique for the left upper extremity, then we did the formal time-out.

Then we started our procedure by making an elliptical incision above the

area of unhealed wound, and we took down the incision and we dissected

all of the area there, bearing in mind to be away from the vital

structures. We took the dissection deep in the hand, did reach a hard

mass which was about 2 x 5 mm. It was like a foreign body and there was

reaction around it, and we took also about 3 mm from the remnant graft.

Then we oversewed the graft using a 4-0 Prolene running suture, and then

we approximated the area above it to obliterate the place using a 4-0

Dexon, and after that, we closed the skin using a 4-0 nylon vertical

mattress, and we irrigated the wound before we closed it with Betadine.

Would i use 35860??

Help:) Wound exploration