Disruption of Abdominal Wounds

Wolff, William I.

doi:10.1097/00000658-195004000-00007

Cited by 42 publications

(15 citation statements)

References 12 publications

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“…It is reported as low as 11% by Wolff and as high as 40% by Hartzell and Winfield Hampton observed the mortality rate to be 23% in 1963. [23][24] In the present study the mortality rate was 10%. …”

Section: Discussionsupporting

confidence: 44%

A prospective study of risk factors for abdominal wound dehiscence

et al. 2017

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Section: Discussionsupporting

confidence: 44%

A prospective study of risk factors for abdominal wound dehiscence

et al. 2017

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“…Our study showed maximum incidence of wound dehiscence in the age group of 31-40 years which is in line with other studies such as Wolff 6 and Maingot 7 .…”

Section: Exclusionsupporting

confidence: 93%

“…In a study carried out at Oula University Hospital, among 48 patients who developed wound dehiscence, there were 31 (65%) patients with pre-operative hypoalbuminemia 6 , other risk factors included anemia 7 , malnutrition, chronic lung disease 10 and emergency procedure. In our study out of 50 patients about 32(64%) of patients had anaemia.…”

Section: Exclusionmentioning

confidence: 99%

A Prospective Study of 50 Cases of Abdominal Wound Dehiscence - Etiology & Its Management

2017

IJSR

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Abstract:Background: In our study we identify the pre-operative and post operative risk factors causing wound dehiscence and also review its management. Objectives: To assess the various pre operative, post operative risk factors leading to wound dehiscence in patients undergoing emergency and elective abdominal operations and also study its management. Methodology: In this study 50 cases of postoperative abdominal wound dehiscence were studied at General Surgery Department ,Civil Hospital Rajkot including all the patients >10 years who underwent abdominal operation and developed wound dehiscence. Results: Incidence rate was 4.9% with male to female ratio being 4:1 and most common age group being 31-40 years. Most common preoperative factors were anemia and cough while wound infection was most common post operative factor and dehiscence mainly occurred on 7 th day. Those treated with immediate suturing had early recovery while those treated conservatively or delayed suturing had prolonged hospitalization. Conclusion: Factors like older age group, male sex, anaemia, peritonitis and those who had undergone emergency operation, improper suture technique and improper aseptic precautions lead to wound dehiscence. Patients who developed wound dehiscences were managed either conservatively / immediate / delayed suturing of the wound or re-laparotomy was done.

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“…The incidence of anaemia in cases of burst abdomen varies widely from series to series. It was only 6.66% in the study conducted by Wolf WI et al, while it was 90% in study conducted by Pierre J et al and 100% in study conducted by Waqar SH et al 5,8,9 Hypoproteinemia is also one of the most important factor which leads to delayed wound healing. In present study 48 patients out of 82 cases had a serum protein below 6gm%.…”

Section: Discussionmentioning

confidence: 95%

Study of burst abdomen: it’s causes and management

Jaiswal

Shekhar

2018

Int Surg J

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INTRODUCTIONBurst abdomen (abdominal wound dehiscence) is a severe post-operative complication. Incidence as described in literature ranges from 0.4% to 3.5%.1 Burst abdomen is defined as post-operative separation of abdominal musculo-aponeurotic layers, which is recognised within days after surgery and requires some form of intervention.Various risk factors are responsible for wound dehiscence such as emergency surgery, intra-abdominal infection, malnutrition (hypoalbuminemia, anaemia), advanced age, systemic diseases (uraemia, diabetes mellitus) etc.2 Good knowledge of these risk factors is mandatory for prophylaxis. 3Patient identified as being high risk may benefit from close observation and early intervention.The study aims to find etiological factors of burst abdomen in hospitalised patients, evaluate current management methods and to compare conservative and operative approach with respect to complication and outcomes. ABSTRACTBackground: Burst abdomen (abdominal wound dehiscence) is a severe post-operative complication. Burst abdomen is defined as post-operative separation of abdominal musculo-aponeurotic layers. The study aims to find etiological factors of burst abdomen in hospitalised patients, evaluate current management methods and to compare conservative and operative approach with respect to complication and outcomes. Methods: All cases presenting with abdominal wound dehiscence after surgery were included. An elaborate clinical history was taken in view of the significant risk factors, the types of surgery performed, type of disease involved and management methods and their outcome. A total of 82 cases were included in this prospective study. Data was analyzed using appropriate software. Results: The results concluded that male patients have a higher incidence of laparotomy wound dehiscence and in 5

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Disruption of Abdominal Wounds

Cited by 42 publications

References 12 publications

A prospective study of risk factors for abdominal wound dehiscence

A prospective study of risk factors for abdominal wound dehiscence

A Prospective Study of 50 Cases of Abdominal Wound Dehiscence - Etiology & Its Management

Study of burst abdomen: it’s causes and management

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