Introduction. Abdominal wound dehiscence (AWD) is a complication of severe postoperative abdominal surgery, with reported death rates ranging from 10% to 45%. Significant mortality, prolonged hospitalization, increased incidence of incisional hernias and reoperations for ruptured stomachs, with costs associated with the community, emphasize the severity of these complications. The VAMC score and KIMS-14 can be used as screening in predicting surgical injury dehiscence Method.This study is a diagnostic test study to assess the sensitivity and specificity of VAMC and KIMS-14 scoring in predicting the occurrence of abdominal wound dehiscence to be performed in surgery outpatient and digestive surgery ward at the General Hospital, Dr. Mohammad Hoesin Palembang in the period March to May 2019.Results. There were 44 subjects that participated in this study. VAMC has a sensitivity value of 87.5% and specificity of 97.2 with an area under curve value of 0.958 with a cut-off of  10. KIMS 14 has a sensitivity value of 100% and a specificity of 94.4% with an area under curve value of 0.944 with a cut-off of  5.Conclusion: KIMS-14 is better in sensitivity, but VAMC is more specific to predict dehiscence licensing in patients undergoing intraabdominal surgery.Keywords: VAMC, KIMS-14, abdominal wound dehiscence, post-laparotomy, mortality, burst abdomen.

Background: Trauma is the main cause of death in the subgroup of patients under 40 years of age. The main cause of death. Abdominal trauma ranks third as a cause of death due to trauma after head and chest injuries. The classification of abdominal trauma based on the type of trauma is divided into two, namely sharp trauma and blunt trauma. The aim of this study is to investigate the characteristics of abdominal trauma patients at dr. Mohammad Hoesin Palembang General Hospital. Methods: This research was a retrospective descriptive study. Using secondary data from the medical records of Mohammad Hoesin Hospital, Palembang. Performed in the from January 2019 to December 2019. Samples inculded were all patients diagnosed with abdominal trauma, underwent laparotomy, and hospitalized in digestive surgery wards. Results: There were 33 subjects participated who met study critera. The highest age group for abdominal trauma was at the age group 26-45 years as many as 16 people. Abdominal trauma patients were mostly found in the male, with 32 people (97%). Based on their causes of abdominal trauma, most of them were caused by stab wounds as many as 16 people (48.5%). In abdominal trauma patients based on the type of trauma, most of them occurred due to sharp trauma, with 23 people (69.7%). The organs most frequently injured due to abdominal trauma were the small intestine and large intestine, with 14 people (42.4%). The length of stay of patients with abdominal trauma varies from 1 day to 22 days, with the most length of stay between 0-7 days as many as 20 cases (60.6%). Conclusion: Male patients, aged 26–45-year-old, caused by stab wound, sharp trauma, affecting small and large intestine, and hospitalized up to 7 days are the most common characteristic of patients diagnosed with abdominal trauma.

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Introduction: Trauma is a major health problem throughout the world. Trauma is the most common cause of death and the most common cause of disability in adults and young adults. Abdominal trauma accounts for 7-10% of all trauma sufferers and causes severe trauma. The purpose of this study was to determine the relationship between the Revised Trauma Score (RTS) to the mortality of abdominal trauma sufferers. Methods: This study was an observational analytic study with a retrospective design to assess the relationship between Revised Trauma Score (RTS) and mortality in abdominal trauma patients treated in the Emergency Department of RSUP DR. Mohammad Hoesin Palembang. Data collected were analyzed using SPSS-23 devices using the chi-square method and Mann Whitney Results: 144 abdominal trauma patients studied. The mean age was 28 ± 11,340 years, 97.4% were male, 64.0% of patients had abdominal trauma. The average RTS value was 7.429 ± 1,001. The mean value in the group of patients who died was 6.628 ± 0.795 and the mean value of the RTS in the group of patients who did not die was 7.459 ± 0.795. There was a significant relationship between RTS values ​​and mortality in abdominal trauma patients (p = 0.0.03). Conclusion: the results of this study indicate that RTS is a meaningful assessment system in predicting death in abdominal trauma patients