- Joined
- Sep 24, 2019
Cutting her open isn't going to be the toughest bit - they'll just go layer by layer until they get to where they want to go. It's the closing her up that's going to be a bitch. Trying to approximate, (match for position), one side of the wound to the other for stitches/staples … gonna need a couple of strong people and/or some special kit to make that happen.
A woman of normal weight having that op - there is a combined thickness of perhaps a couple of inches to piece back together once they're ready to close. Amber... a layer 2-3 mm. of skin, then I dunno… 8-10 inches of pure fat, then 3 muscle layers before they get to the fat under the muscle layers & surrounding the affected organs. All told, there might be 10-12" of Amber to piece back together starting from the innermost layers & working out. I think the bulk of the problem will be the fat layer on top of the muscle layers - how do you hold that together? Never worked the operating room so don't have a clue.
Every layer they go through has blood vessels & if memory serves me right, the larger ones will be cauterized to limit blood loss. If I remember right & please correct me if I'm wrong, fat tissue doesn't have as many or as large blood vessels as muscles & other areas that don't simply serve as an energy store & producer of hormones. That being said, she has a LOT of fat they've got to get through, full of capillaries; too many to cauterize.
So post-op, she'll have the strain of all that... fat trying its damnedest to pull her incision apart & a gazillion tiny blood vessels oozing blood for a few days. And that my friends, even with the most scrupulous cleaning of the outside - is a recipe for infection. A very deep wound which will be under strain for several reasons, poor nutrition, shitty immune system...I will be rather surprised if she does NOT develop an infection, with or without part of her wound opening up.
The complications she faces from the incision alone are numerous - as mentioned: infection, part of the wound opening, hernias. Add to that the many complications for which she's a much higher risk & I salute the surgeon & surgical team brave enough to take her on. Were I the surgeon, I would advise her of the possible complications 3-4 times, ask her to recall specific risks mentioned AND have at least 2 witnesses in the room; just to try & head off any post surgery lawsuits.
A woman of normal weight having that op - there is a combined thickness of perhaps a couple of inches to piece back together once they're ready to close. Amber... a layer 2-3 mm. of skin, then I dunno… 8-10 inches of pure fat, then 3 muscle layers before they get to the fat under the muscle layers & surrounding the affected organs. All told, there might be 10-12" of Amber to piece back together starting from the innermost layers & working out. I think the bulk of the problem will be the fat layer on top of the muscle layers - how do you hold that together? Never worked the operating room so don't have a clue.
Every layer they go through has blood vessels & if memory serves me right, the larger ones will be cauterized to limit blood loss. If I remember right & please correct me if I'm wrong, fat tissue doesn't have as many or as large blood vessels as muscles & other areas that don't simply serve as an energy store & producer of hormones. That being said, she has a LOT of fat they've got to get through, full of capillaries; too many to cauterize.
So post-op, she'll have the strain of all that... fat trying its damnedest to pull her incision apart & a gazillion tiny blood vessels oozing blood for a few days. And that my friends, even with the most scrupulous cleaning of the outside - is a recipe for infection. A very deep wound which will be under strain for several reasons, poor nutrition, shitty immune system...I will be rather surprised if she does NOT develop an infection, with or without part of her wound opening up.
The complications she faces from the incision alone are numerous - as mentioned: infection, part of the wound opening, hernias. Add to that the many complications for which she's a much higher risk & I salute the surgeon & surgical team brave enough to take her on. Were I the surgeon, I would advise her of the possible complications 3-4 times, ask her to recall specific risks mentioned AND have at least 2 witnesses in the room; just to try & head off any post surgery lawsuits.