An abdominal wound dehiscence of emergency explorative laparotomy and their management at tertiary care centre: an observational study

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dc.contributor.authorModi, Jen_US
dc.contributor.authorPatel, Yen_US
dc.contributor.authorTrivedi, Men_US
dc.contributor.authorBochiya, Gen_US
dc.date.accessioned2024-11-30T05:52:57Z
dc.date.available2024-11-30T05:52:57Z
dc.date.issued2023-09
dc.description.abstractBackground: Wound dehiscence is a very troublesome sequel of impaired wound healing. Despite of medical advances frequency of wound dehiscence in emergency laparotomy remains high due to multiple factors together predisposes. Better understanding of common mechanisms and highly contributing factors will help to keep high risk patients under strict surveillance to reduce the incidence of wound dehiscence. Methods: The observational study was carried out in 167 patients of above 14 years age at the department of General surgery, SMIMER hospital, Surat between November 2018 to October 2020 Result: 22.15% patients developed wound dehiscence, mean age in dehiscence group was 39.27±9.65 years. Abdominal pain was found in all the patients 100% followed by vomiting 28.74% and fever 13.17%. However, Fever (2.37±1.95 days vs 1.55±1.78 days) and Abdominal distention (1.05±1.06 days vs 0.47±0.87) have statistical significance between Wound Dehiscence and No Wound Dehiscence regarding chief complaints. As a treatment of wound dehiscence, 2 (5.40%) had Re-exploration and 6 (16.21%) had Re-exploration and Tension Suturing in complete wound dehiscence patient group and 29 (78.39%) had Secondary suturing found in partial wound dehiscence. 5.40% of mortality found in Wound Dehiscence group. Conclusions: Significant risk factors for abdominal wound dehiscence identified in this study are presenting complains like fever and abdominal distension, pre-operative hypoalbuminemia, pre-operative anemia, leucocytosis, renal dysfunction, intra-abdominal sepsis. Use of subcutaneous negative tube is protective for the condition. Hollow viscus perforation patients showed higher vulnerability for wound dehiscence.en_US
dc.identifier.affiliationsDepartment of General Surgery, SMIMER, Surat, Gujarat, Indiaen_US
dc.identifier.affiliationsDepartment of General Surgery, SMIMER, Surat, Gujarat, Indiaen_US
dc.identifier.affiliationsDepartment of General Surgery, SMIMER, Surat, Gujarat, Indiaen_US
dc.identifier.affiliationsDepartment of General Surgery, SMIMER, Surat, Gujarat, Indiaen_US
dc.identifier.citationModi J, Patel Y, Trivedi M, Bochiya G. An abdominal wound dehiscence of emergency explorative laparotomy and their management at tertiary care centre: an observational study. International Surgery Journal. 2023 Sept; 10(9): 1448-1454en_US
dc.identifier.issn2349-3305
dc.identifier.issn2349-2902
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/236004
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber9en_US
dc.relation.volume10en_US
dc.source.urihttps://doi.org/10.18203/2349-2902.isj20232500en_US
dc.subjectAbdominal wound dehiscenceen_US
dc.subjectExploratory laparotomyen_US
dc.subjectTertiary care hospitalen_US
dc.titleAn abdominal wound dehiscence of emergency explorative laparotomy and their management at tertiary care centre: an observational studyen_US
dc.typeJournal Articleen_US
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