Post Laparotomy Abdominal Wound Dehisence – A Study in Tertiary Care Hospital
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 11
Abstract
Introduction: Wound dehiscence is defined as separation of all layers of incision. It may be partial or complete. Partial when one or more layers have separated but either the skin or the peritoneum is intact. Complete when all layers of the abdominal wall have opened apart and this may or may not be associated with evisceration of viscus. The study aimed to find out and record the etiological factors for Burst abdomen Material and methods: A prospective study with thirty three patients who developed wound dehiscence following various types of laparotomies in Osmania general hospital from July 2008 to October 2010 were included in this study. The patients were selected randomly. All the patients with burst abdomen during were included, and those who were lost with follow up and who died were excluded from the study. Results: The results showed the incidence is common during the 3rd to 6th decade. 78.7% of the patients were males and maximum incidences (72.72%) of wound dehiscence were encountered with emergency laparotomies. Peritonitis (51.51%) and duration of surgery more than 2.5 hours are (48.48%) the major risk factors. Bursts were seen mostly during 6th to 10th post operative day. Anemia in 63.63%, hypoprotenemia in 63.63%, post operative wound infection in72.72%, and respiratory infections in 51.51% were the contributing factors. Conclusions: Post laparotomy wound dehiscence has multifactor etiology. Vertical midline incision and surgeries for peritonitis are common causes. Respiratory infections, anemia, and hypoprotenemia are the contributing factors. Improper hemostasis during surgery and poor surgical technique are the predisposing factors.
Authors and Affiliations
G. Lakshmi, T. R. Ravimohan
Keywords
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