A Clinical study of Abdominal Wound Dehiscence

Chudar, A (2019) A Clinical study of Abdominal Wound Dehiscence. Masters thesis, Tirunelveli Medical College, Tirunelveli.


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INTRODUCTION: Abdominal wound dehiscence, also known as burst abdomen, acute wound failure, wound disruption, evisceration or eventration, remains one of the most dramatic and serious developments confronting the general surgeon. The aim of the study was to identify significant risk factors in patients developing abdominal wound dehiscence and its management. AIMS AND OBJECTIVES: To study the clinical profile of patients with the diagnosis of abdominal wound dehiscence with respect to: age distribution, gender incidence, clinical presentation, nature of preceding surgery (elective or emergency), contributing factors - local (type of incision, suture material used for abdominal closure) and systemic (anemia, hypoproteinemia, postoperative infection, postoperative pulmonary complications, obesity, comorbid conditions, drug use), management, outcome. MATERIALS AND METHODS: Total of sixty patients include both male and female of adult age group diagnosed with dehiscence of abdominal wound after undergoing surgical intervention in were included in the study. Data regarding Age, Gender, Clinical presentation, Type of surgery undergone (Elective/ Emergency), Presence of contributing factors and its Management were collected. RESULTS: Maximum cases were found to be in the 46-60 years age group. There was a marked male predominance in the sex distribution. Patients included in the study had been operated on for diverse surgical conditions, most common among the study population being perforated duodenal ulcer. Next common conditions were ileal perforation. 77.5% cases of abdominal wound dehiscence were found to occur following emergency surgery and 22.5% following elective surgery. Most cases studied had comorbidities or systemic illnesses such as diabetes, hypertension and anemia. Most cases were found to present with burst abdomen on the 7th and 8th postoperative days. Majority of the cases were managed with secondary suturing. CONCLUSION: Burst abdomen is a serious sequel of impaired wound healing. It occurs most commonly above the age of 50 years, predominantly in males and with vertical midline abdominal incisions. Many factors can predispose to this grave complication. Knowledge of the more common mechanisms and how to avoid or overcome these hazards help to reduce the incidence of this dangerous complication.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Wound gaping, Risk factors, Secondary Suturing.
Subjects: MEDICAL > General Surgery
Depositing User: Subramani R
Date Deposited: 02 Sep 2019 07:11
Last Modified: 07 Sep 2019 03:55
URI: http://repository-tnmgrmu.ac.in/id/eprint/11402

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