A clinical study of abdominal wound dehiscence with emphasis on surgical management in Bangalore medical college and research institute, Karnataka, India

Kapoor, Ketan K.; Hassan, Mir Mohammed Noorul

doi:10.18203/2349-2902.isj20164078

Cited by 10 publications

(10 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…is finding is similar to the studies carried out in New York, USA 1% [25], but it was slightly higher than the study carried out in Mesologgi General Hospital 0.43% [7]. On the contrary, the current study finding is lower than the studies done in Siddhartha Medical College, in Pakistan Institute of Medical Sciences, Islamabad, 5.9% [12], and in RNT Medical College, Udaipur, India, 5.38% [10]. e reason might be due to the difference in the study population that those who were above 70 years old patients with the mean age was 69.5 years were in the sample in Mesologgi General Hospital [7].…”

Section: Discussionsupporting

confidence: 84%

“…It is recorded to be 1-3% in most hospitals with an impact of mortality rate as high as 45% [1,8,9]. Different combinations of factors are identified as risk factors in several studies [9][10][11] and are mostly classified as local and general factors. So, early identification of these factors and doing simple routine laboratory investigations may help in reducing the occurrence of wound dehiscence [9][10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

“…Different combinations of factors are identified as risk factors in several studies [9][10][11] and are mostly classified as local and general factors. So, early identification of these factors and doing simple routine laboratory investigations may help in reducing the occurrence of wound dehiscence [9][10][11][12][13][14][15]. Patients undergoing emergency surgery are more at risk to develop abdominal wound dehiscence as compared to the patient undergoing elective surgery [16], and different studies have shown that its incidence is common in older age groups [17][18][19][20][21].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Magnitude of Abdominal Wound Dehiscence and Associated Factors of Patients Who Underwent Abdominal Operation at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia

Teklewold

Pioth

Dana

2020

Surgery Research and Practice

View full text Add to dashboard Cite

Background. Abdominal wound dehiscence (AWD) is the separation of different layers of an abdominal wound before complete healing has taken place. It is a major cause of postoperative morbidity and mortality in sub-Saharan Africa including Ethiopia, and little is known about its prevalence and related factors in the study area. Objectives. The aim of this study is to assess the magnitude of abdominal wound dehiscence and related factors on patients operated at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia. Methods. A hospital-based retrospective review of the chart was carried out by using the data covering three years (September 2014–September 2017) period. Data were collected from hospital medical records of sampled patients such as operation room logbooks and individual patient medical records. The collected data were checked for consistency, coded, and entered into SPSS version 20 for data processing and analysis. Descriptive analysis was conducted, and tables and graphs and summary statistics were used to depict data. Results. A total of 41 patients developed abdominal wound dehiscence from among 4137 patients who underwent abdominal laparotomy in the hospital. Among the patients, 51.2% were in the age range of 41 and above with mean age 29.8 (SD = 1.21) and 70.7% of them were male. Abdominal wound dehiscence was more common in emergency patients (90%) and vertical incision was the most common type of incision. Over half (58.5%) of the wound dehiscence occurred within 6–10 postoperative days. The majority (95.2%) of dehisced patients underwent relaparotomy for the management of the wound dehiscence, and 48.8% of them were treated with tension suture during the second operation of abdominal closure. Four of the patients (9.7%) died after the management of the second operation. Conclusion. The current study revealed that the overall magnitude of abdominal wound dehiscence in the study area was 0.99%. Most of the dehiscence has occurred in male patients, and older age groups were highly affected than the younger ones. Emergency admission is the most common form of admission identified in the study, and this signifies appropriate preoperative preparation of patients for an optimal outcome. However, regarding the management outcome, 9.8% of patients died in our study within the institution after the second operation which is the high mortality rate.

show abstract

Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Magnitude of Abdominal Wound Dehiscence and Associated Factors of Patients Who Underwent Abdominal Operation at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia

Teklewold

Pioth

Dana

2020

Surgery Research and Practice

View full text Add to dashboard Cite

show abstract

“…19 In another study by Kapoor KK et al, incidence of burst abdomen was more common in the patients who underwent laparotomy with mid midline incisions. 20 Similarly, in the present study all patients had midline vertical incisions of which mid midline incisions (incisions extending below and above umbilicus to a variable extent) had maximum number of burst abdomen. This may be due to higher number of mid midline incisions taken during emergency surgery as most of our cases were exploratory laparotomies because the exact diagnosis was not known preoperatively and because the patients needed thorough irrigation of peritoneal cavity and pelvic cavity for advanced peritonitis.…”

Section: Discussionsupporting

confidence: 57%

Incidence and risk factors influencing morbidity and mortality in cases of burst abdomen after emergency and elective midline laparotomies

Vardhini¹,

Kishan²

2018

Int Surg J

View full text Add to dashboard Cite

Background: Burst abdomen is a serious postoperative complication faced by surgeons and of greatest concern because of risk of evisceration, the need for immediate intervention and the possibility of repeat dehiscence. Wound dehiscence carries with it a substantial morbidity and mortality. In addition, there is an increase in the cost, increased hospital stays, nursing and manpower cost in managing its complications.Methods: In this study a total 202 patients enrolled who underwent emergency and elective midline laparotomies. Patients clinically presenting as gaping of abdominal wound were included in study. Diagnosis was established by clinical examination. In all cases gentle probing of the wound with gloved finger done to confirm defect.Results: In this study incidence of burst abdomen was seen in 80 patients (39.6%) and was common in patients who underwent emergency surgeries. Patients who had stoma construction had maximum number of burst abdomen. 150 (74%) cases underwent emergency laparotomies in which 64 (42%) cases developed burst abdomen. In 60 cases closure done with re-suturing of fascia and remaining cases by skin closure only due to sepsis, poor general condition of patients. Mortality was seen in (22.5%) patients due to postoperative complicationsConclusions: Burst abdomen is more common in emergency surgeries than elective surgeries. Wound infection and stoma construction increase the rate of burst abdomen. Mid-mid line incisions have increased incidence of wound dehiscence. Mortality is high despite early treatment due to complications.

show abstract

“…In the present study, the most frequent associated risk factors for development of incisional hernia were emergency laparotomy (67.5%) and history of wound infection (55%). In their study on 60 cases of incisional hernia, Kapoor and Hassan reported that in 87% of the cases, the original operation was done on an emergency basis due to peritonitis or intestinal obstruction [12] . Singh et al, found that the most common risk factor for development of incisional hernia was the occurrence of wound infection after the previous surgery that was found in 46.67% of their cases [10] .…”

Section: Discussionmentioning

confidence: 99%

Comparative Study between Sublay versus Onlay Mesh Repair in Treatment of Incisional Hernia

Zarad¹,

Dorbok

2020

The Medical Journal of Cairo University

View full text Add to dashboard Cite

show abstract

A clinical study of abdominal wound dehiscence with emphasis on surgical management in Bangalore medical college and research institute, Karnataka, India

Cited by 10 publications

References 2 publications

Magnitude of Abdominal Wound Dehiscence and Associated Factors of Patients Who Underwent Abdominal Operation at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia

Magnitude of Abdominal Wound Dehiscence and Associated Factors of Patients Who Underwent Abdominal Operation at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia

Incidence and risk factors influencing morbidity and mortality in cases of burst abdomen after emergency and elective midline laparotomies

Comparative Study between Sublay versus Onlay Mesh Repair in Treatment of Incisional Hernia

Contact Info

Product

Resources

About