Study of Risk Factors and Management of Abdominal Wound Dehiscence
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 4
Abstract
Introduction: Dehiscence of abdominal wound is easily the most notorious complication observed in abdominal surgery. It is disturbing for both to the patient and the treating surgeon. Abdominal wound dehiscence has significant impact on health care cost, both for patients and hospitals. This study was aimed to elucidate factors contributing to abdominal wound dehiscence. Material and methods: This was a longitudinal study in 31 patients who developed burst abdomen following various types of laparotomies from July 2016 to November 2017, participated in this study. Results: Burst abdomen common during 3rd, 4th,5th and 6th decades. In study 71% Male and 29% Female and Female to Male ratio being 7:3 showing a clear predilection towards male sex. 94% of cases of burst abdomen followed midline incision. 86.5% cases of burst abdomen followed emergency operations in which 73% cases operated for peritonitis. 48.4% of cases developed wound infection post operatively. 28.8% of cases had respiratory tract infection. 64.5% cases of burst abdomen followed in patients with Anaemia. When HB less than 11 gm% taken a criteria. Out of 31 cases is only 20 cases serum protein measured in which 65% of Cases of 13 cases having Hypoproteinaemia. Majority of patients 54%(17) had wound disruption occurring between the sixth to tenth post operative day. Conclusion: In majority of patient of post op abdominal wound dehiscence there is associated hypoproteinaemia. Finally it appears that post operative wound disruptions are usually local manifestation of a generalized failure of the healing process.
Authors and Affiliations
Vinay Sagar Cheeti, D Asha, B Raju
Keywords
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- EP ID EP472439
- DOI 10.21276/ijcmsr.2018.3.4.3
- Views 124
- Downloads 0
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