CLINICAL STUDY OF POST LAPAROTOMY WOUND DEHISCENCE
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 32
Abstract
BACKGROUND The aim of the study is to- 1. Assess the association and prevalence of risk factors involved in causing post laparotomy wound dehiscence. 2. Identify the type of disease involved in causing abdominal wound dehiscence. 3. Effectively manage cases of wound dehiscence. MATERIALS AND METHODS Total 50 cases clinically presenting as gaping of abdominal wound and discharge from the site during the period of October 2014 to April 2016 were taken for study. Patients presenting with abdominal wound dehiscence after undergoing elective or emergency operation Each case was examined clinically and properly in systematic manner and an elaborative study of history based on chief complaints, significant risk factors, investigations, time and type of surgery performed and postoperative events and day of onset of wound dehiscence. RESULTS Males outnumbered females with 64% males and 36% females. Patients in the age group of 41-50 years and 51-60 years found to have highest incidence of abdominal wound dehiscence. Mean age of the patients affected was 48.02 years. Incidence of abdominal wound dehiscence is more common in patients with peritonitis due to duodenal and appendicular perforation than in case of intestinal obstruction. Incidence of abdominal wound dehiscence is more common in patients who are operated in emergency than elective (35:15). Surgical procedures, which included perforation closure carried higher incidence of wound dehiscence. Patients operated with midline incision carried higher risk for wound dehiscence than those operated with paramedian incisions. Incidence of abdominal wound dehiscence is more common in patients having their BMI >25 and anaemia (Hb% <10 g%). Average stay was 22 days, which increased both economic burden on patient and hospital. Out of 50 cases, 48 survivals and 2 were mortals. Partial wound dehiscence was conservative management, i.e. healing by secondary intention was observed in 32 patients and 8 patients had undergone secondary suturings, 10 patients had undergone complete wound dehiscence, i.e. tension suturing. CONCLUSION Surgical factors like midline incisions, improper suture technique and improper aseptic precautions may lead to wound infection and then wound dehiscence.
Authors and Affiliations
Chanda Ramanachalam, Durga Rani P. V, Appa Rao K
Keywords
Related Articles
- EP ID EP218682
- DOI 10.18410/jebmh/2017/370
- Views 99
- Downloads 0
ANESTHETIC CONSIDERATIONS IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Chronic obstructive pulmonary disease (COPD) is a spectrum of diseases that includes emphysema, chronic bronchitis, and small airway disease. It is characterized by progressive increased resistance to breathing. Patients...
BILATERAL ENDOGENOUS BACTERIAL ENDOPHTHALMITIS SECONDARY TO PNEUMONIA IN AN AIDS PATIENT: A CASE REPORT
Endogenous or metastatic endophthalmitis is a very rare sever form of ocular disease which is uncommon now-a- days. Prevalence of endogenous bacterial endophthalmitis is 2-8% of all cases of endophthalmitis1 . Mostly it...
AN ANALYSIS OF MALIGNANCIES PRESENTING AS ACUTE GENERAL SURGICAL EMERGENCIES
BACKGROUND Malignancies in the setting of acute general surgical emergencies are rare to present. The commonly presenting malignancies to the general surgeon in emergency conditions are perforation, obstruction, haemorrh...
PIGMENTED ACTINIC KERATOSIS MASQUERADING AS MALIGNANT MELANOMA
PRESENTATION OF CASE A 28-year-old Asian, agriculturist by profession, presented to the Department of Ophthalmology with history of two pigmented lesions one each on the temporal and nasal bulbar conjunctiva of the right...
ECTOPIC SPLEEN- A CASE REPORT
BACKGROUND Ectopic spleen is a rare clinical entity. It maybe asymptomatic or presents as abdominal discomfort. We report a case of ectopic spleen in a 25-year-old male patient presented as lower abdominal pain. On ultra...