Faisal Lodhi, Mahmood Ayyaz, Haroon Javed Majeed, Farooq Afzal, M Waris Farooka, H R U Islam, Zafarullah Chaudhry.
Etiological Factors Responsible for Abdominal Wound Dehiscence and their Management.
Ann King Edward Med Uni Jan ;5(3,4):312-4.
Abdominal wound dehiscence is a continuing problem of general surgeons. In this prospective study over a period of two years (June 1997 to June 1999), a total of 77% major laparotomy wounds in adults were assessed. There were 21 burst abdomen (2.7%) with equal male to female ratio. Dehiscence occurred mostly between 50 and 70 years of age and 6th to 8th postoperative days. Malnutrition and old age were associated with increased risk of dehiscence. Wound infection, abdominal distension and pulmonary complications appear to be more important and should be prevented. Wounds closed by trainee surgeons had higher disruption rate, than those closed by the consultant surgeons. Midline wounds dehisced more often than paramedian wounds. The peritoneum need not to be closed, but fascia should be sutured securely with non absorbable sutures.
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