[Vacuum assisted closure therapy in dehiscence of abdominal wound after cesarean section treated in a hospital-at-home]. / Dehiscencia de una herida abdominal tras una cesárea tratada con terapia de cierre al vacío en el domicilio.

The Hospital at Home is a range of hospital care provided to patients in the comfort of their own homes, so patient and family can actively participate in the process. Cesarean section is a surgical procedure that requires a short hospital stay. However if complications arise during the process, such as a dehiscence of surgical wound, the hospital stay is prolonged, delaying mother-child bonding, which is very important for the growth of the child. Nursing care in wound healing by secondary intention is a priority for the patient's recovery. VAC therapy (vacuum assisted closure) promotes a rapid recovery, although it requires dressings and active medical surveillance, as well as training by the nursing staff for carrying it out at home. We describe the outcome and the process of the healing of a surgical wound after cesarean section, not only because of a complex wound, but the previously mentioned factors that make us consider the Hospital at Home as the best alternative care.

Dehiscencia de una herida abdominal tras una cesárea tratada con terapia de cierre al vacío en el domicilio / Vacuum assisted closure therapy in dehiscence of abdominal wound after cesarean section treated in a hospital-at-home

Resumen La hospitalización a domicilio es una asistencia de rango hospitalario que se proporciona a los pacientes en su propio domicilio de manera que paciente y familia se hacen partícipes activamente del proceso. La cesárea es una intervención quirúrgica que requiere una corta estancia hospitalaria. Sin embargo, si aparecen complicaciones en dicho proceso, como es el caso de la dehiscencia de la herida quirúrgica, el ingreso se prolonga en el tiempo impidiendo la unión materno-infantil que es de suma importancia para el desarrollo del bebé. Los cuidados de enfermería en el cierre de las heridas por segunda intención son prioritarios para su curación. La terapia VAC ayuda a una pronta recuperación, requiriendo curas de ámbito hospitalario y vigilancia activa, así como un adiestramiento por parte del personal de enfermería para su manejo en el domicilio. Describimos el caso de una dehiscencia quirúrgica y la evolución en las curas con la terapia VAC no solo por el interés intrínseco de una cura complicada, sino por los factores asociados de la realización de este procedimiento en su domicilio ya que consideramos la hospitalización a domicilio como la mejor alternativa asistencial en este caso (AU)

Abstract The Hospital at Home is a range of hospital care provided to patients in the comfort of their own homes, so patient and family can actively participate in the process. Cesarean section is a surgical procedure that requires a short hospital stay. However if complications arise during the process, such as a dehiscence of surgical wound, the hospital stay is prolonged, delaying mother-child bonding, which is very important for the growth of the child. Nursing care in wound healing by secondary intention is a priority for the patient's recovery. VAC therapy (vacuum assisted closure) promotes a rapid recovery, although it requires dressings and active medical surveillance, as well as training by the nursing staff for carrying it out at home. We describe the outcome and the process of the healing of a surgical wound after caesarean section, not only because of a complex wound, but the previously mentioned factors that make us consider the Hospital at Home as the best alternative care (AU)