STUDY OF RISK FACTORS IN ABDOMINAL WOUND DEHISCENCE FOLLOWING EMERGENCY LAPAROTOMY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 46
Abstract
BACKGROUND Abdominal wound dehiscence is a common complication following emergency laparotomy. Wound dehiscence often reflects an error of judgement on the part of surgeon and the elimination of postoperative wound dehiscence maybe within the jurisdiction of the operating surgeon. The chances of postoperative wound dehiscence can be predicated and can be prevented to some extent by identifying the risk factors responsible for wound dehiscence. MATERIALS AND METHODS A cross-sectional study of all the patients who are admitted in the Department of Surgery, B.R.D. Medical College, Gorakhpur, undergoing emergency laparotomy during a period of one year. RESULTS Anaemia was a common preoperative comorbidity taking up to 69% of all clinical comorbidities that were associated with wound dehiscence in this study. Chest infection (21%) uraemia (8%) and jaundice (2%) also contributed. None of the patients was on steroid therapy, radiotherapy or cytotoxic treatment. CONCLUSION Wound dehiscence following emergency laparotomy has multifactorial cause. These includes certain indications of laparotomy (e.g. perforation, peritonitis), intraoperative techniques and postoperative comorbidities and factors. The common causes in our study was anaemia, postoperative infections, coughing and poor nutritional status.
Authors and Affiliations
Anand Kumar Jaiswal, Rakesh Saxena, Krishna Mohan Kushwaha
Keywords
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- EP ID EP220008
- DOI 10.18410/jebmh/2017/557
- Views 94
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