Abstract
Abdominal wound dehiscence is a one of the severe post-operative complication, incidence of which ranges from 0.4 to 3.5%1, and carries high morbidity and mortality. Clinical presentation of wound dehiscence tearing sensation by the patient to sudden high volume of pink colored fluid discharge, but it may occur without warning and evisceration make the diagnosis. A prospective study was carried out at VSS institute of Medical Science & research, Burla, Sambalpur, a tertiary referral centre and a teaching hospital in the Western Odisha from November 2014 to October, 2016. All patients undergone surgery with midline abdominal incision were provisional recruited for the study and out them 43 patients who developed wound dehiscence were taken up for the study after due clearance from the institutional ethical committee. They were evaluated for risk factors such as – age of the patient, sex of the patient, complete routine haematogical investigation including renal function and liver function tests. Elderly patients, patients with anemia, malnutrition, pulmonary disease, associated malignancy and patients undergoing emergency surgical procedures are risk factors for wound dehiscence. Knowing the predictors for wound dehiscence will help to inform the patient and patient relatives, appropriate measures to optimise patient so as to reduce the morbity and mortality.
References
- Afzal S, Bashir MM. Determinants of wound dehiscence in abdominal surgery in public sector hospital. Annals; 2008:14(3).
- Bryan M.Burt, Ali Tavakkoliadeh, Stephen J Ferzoco. Incisions, closure, and manage-ment of the abdominal wound. Mangots abdominal oeration, 11th Edition;97-99.
- Bellon-Caneiro JM. Abdominal wall closure in laparotomy, Cir Esp., 2005 March; 77(3):114-23.
- Alapati Sivender, Mandal Ilaiah, G. Shravan Reddy. A clinical study on risk factors causing abdominal wound dehiscence and management. IOSR journal of Dental and Medical sciencs, Volume 14, issue 10, e-ISSN;2279-0863; p 18-23.
- Waqer S, Malik Z, Razzaq A, Abdullah MT, Shaima A, Zahid MA. Frequency and risk factors for wound Dehiscence/burst abdomen in midline laparotomies. Journal Ayub Med Coll. 2005;17(4):70-3.
- S Naga Muneiah, N M Roopesh Kumar, P. Sabitha, G V Prakash. Abdominal wound dehisecence –A look into the risk factors. IOSR journal of Dental and Medical sciences, e-ISSN;2279-081. Volume 14, Issue 10, ver.I(Oct.2015), p 47-54.
- Spiliotis J, Konstantino S, Siveriotis T, Datsis AD, Archodaula, Georgios, et al. Wound dehiscence. World J Emerg Surg. 2009;4:12.
- Granam DJ, Stevenson JT, Mettenry CR. Association of intrabdominal infections and abdominal wound dehiscence. Am Surg. 1998;64(7):660-5.
- Ketan Kumar Kapoor, Mir Mohammed Noorul Hassan. A clinical study of abdominal wound dehiscence with emphasis on surgical management in Bangalore medical college and research institute, Karnataka, India International Surgery Journal | January 2017 | Vol 4 | Issue 1 Page 139.
- Fleischer GM, Ronnert A, Ruhmer M. Infected abdominal wall and burst abdomen. Chirurg;71:754e762.
- Gabrie¨lle H, van Ramshorst, Nieuwenhuizen J, Hop WCJ, Arends P, Boom J, et al. Abdominal wound dehiscence in adults: development and validation of a risk model. World J Surg. 2010;34:20-7.
- Garg Ramneesh, Shah Sheerin, Singh Surinder, Singh Bir. A prospective study of predictors for post laparotomy abdominal wounddehiscence, Journal of Clinical and Diagnostic research, 2014 Jan, Vol-8(1):80-83.
Corresponding Author
Dr Debananda Tudu
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DOI: https://dx.doi.org/10.18535/jmscr/v6i10.161
