A Prospective Study of Predictors for Post Laparotomy Abdominal Wound Dehiscence

Garg, Ramneesh; Shah, Sheerin; Surinder, Singh; Bir, Singh

doi:10.7860/jcdr/2014/7348.3921

Cited by 18 publications

(10 citation statements)

References 10 publications

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“…[12] Various study done by Maingot, [13] Wolff10, Garg R et al and Muneiah SN et al who observed that old age (45 years) as an independent risk factor for AWD. [14,15] Almost similar results were obtained in our study. The mean age in our study was 48.02±19.39 years.…”

Section: Discussionsupporting

confidence: 91%

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A Study of Abdominal Wound Dehiscence in Adults-Etiology and Its Management

Saxena¹,

Rai²

2017

AIMDR

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Background: Abdominal wound dehiscence (AWD) is a severe postoperative complication associated with high mortality and morbidity. Prolonged hospital stay, high incidence of incisional hernia, and subsequent reoperations underline the severity of this complication. The goal of the underlying study was to evaluate possible risk factors for abdominal wound dehiscence and its management. Methods: This clinical study included post operative AWD between 15 january 2015 to 15 july 2016 in the department of general surgery at Dayanand Medical College & Hospital. The subjects were followed after laparotomy till their wound healed or abdominal wound dehiscence occurred. After taking informed consent complete record of all the patients were maintained and kept confidential. Results: The present study showed the incidence of AWD was 6.23% and majority of patients belonged to age group between 21-30 years. 68.3% patients who had AWD were having hypoproteinemia, majority of patients were anemic (63.4%) and 43.9% patients having underlying perforation peritonitis as a primary cause of exploratory laparotomy. There was higher incidence of AWD between 6th to 8th post operative days. 24.4% patients were managed conservatively by means of regular dressing for AWD and 7.3% patients who were high risk candidate for re-do-surgery bagota bag was applied. Conclusion: We concluded that incidence of abdominal wound dehiscence was 6.23% in our study. Hence, patients with various risk factors such as hyperbilirubinemia, hypoproteinaemia, anaemia and operative risk factor require more attention and special care to minimize the risk of occurrence.

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Section: Discussionsupporting

confidence: 91%

“…The present study showed 31.7% of patient had preoperative serum albumin values more than 3 mg/dl. Garg R et al also reported a higher incidence of burst abdomen in patients having renal failure, [14] 38% of patients were having uraemia. However, Afzal S and Bashir M.M reported little or no contribution of uraemia in wound dehiscence.…”

Section: Discussionmentioning

confidence: 92%

A Study of Abdominal Wound Dehiscence in Adults-Etiology and Its Management

Saxena¹,

Rai²

2017

AIMDR

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“…Out of these patients, 20 (13%) cases were afflicted with wound dehiscence, and the rate of wound dehiscence was higher in males (P=0.013) as reported in most studies (9-12). There was no significant relationship between the age of patients and wound dehiscence in the present study; nonetheless, a study by Ramneesh et al (2014)indicated that old age, particularly the fourth decade of life, contributed to the development of wound dehiscence. Moreover, in their study, Gabrielle et al (2010) referred to age as one of the risk factors for wound dehiscence.…”

Section: Discussioncontrasting

confidence: 75%

“…The incidence reported in the studies ranges from 0.3%-3.5%; nonetheless, it has been reported as 10% in some other studies (4)(5)(6). The influential factors affecting wound dehiscence are assigned to three categories: preoperative, intraoperative, and postoperative (7)(8)(9)(10). Among these factors, we can refer to chronic obstructive pulmonary disease, male gender, age> 40 years, smoking, Body mass index> 30, anemia, low albumin, high bilirubin, ascites, infection, long operative time, postoperative trauma, inexperienced surgeon, peripheral vascular disorders, and strain (10,(11)(12)(13)(14)(15).…”

Section: Introductionmentioning

confidence: 99%

Causes of wound dehiscence in trauma patients with penetrating and non-penetrating abdominal wound in Rasool Akram Hospital within 2017-2020

et al. 2021

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Introduction: Wound dehiscence is one of the serious complications of surgery that is associated with mortality and morbidity (about 45%); moreover, it increases medical costs. The present study assessed the incidence and predictors of wound dehiscence in trauma patients referred to Hazrat Rasool Akram Hospital. Methods: This cross-sectional study was conducted on all trauma patients with penetrating or non-penetrating abdominal wounds referred to Hazrat Rasool Akram Hospital within April 2017-March 2020. Patients were evaluated in two stages, three days after the surgery and one month later. The data were analyzed in SPSS software (version 19) using Fisherchr('39')s exact tests, independent t-test, Pearsonchr('39')s correlation coefficient, and chi-square test. A p-value less than 0.05 was considered statistically significant. Results: The present study included 154 patients with a mean age of 43.53±16.81(age range:16-91 years). Moreover, the majority of the cases were female (n=86; 55.8%). The wound of 20 (13%) patients did not heal. There was a significant relationship between male gender and wound dehiscence (P=0.013). The two groups did not differ in age, smoking, alcohol or opioid use, and the type of surgery. Nevertheless, wound dehiscence was significantly correlated with chemotherapy and the number of sessions. The number of hospitalization days was significantly higher in the group with wound dehiscence (P=0.001). Furthermore, wound dehiscence was closely correlated with low albumin, low hemoglobin, low hematocrit (leading to anemia), and high bilirubin (leading to jaundice). Conclusions: As evidenced by the obtained results, wound dehiscence was significantly correlated with gender, low albumin, low hemoglobin, low hematocrit, bilirubin elevation, steroid usage, and chemotherapy history

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“…Incidência das lesões confundidoras da lesão por pressão em unidade de terapia intensiva oncológica suficiente de precursores, cofatores e fonte de energia. A desnutrição afeta negativamente a evolução clínica dos indivíduos por aumentar o tempo internação, a incidência de complicações pós-operatórias, como infecções e retardo na epitelização de feridas, além de aumentar a taxa de mortalidade 15 . Condições clínicas tais como caquexia/ anorexia, desnutrição, anemias, síndromes metabólicas, idade avançada e distúrbios circulatórios comprometem a saúde da pele 16 .…”

Section: Resultsunclassified

Incidência das lesões confundidoras da lesão por pressão em unidade de terapia intensiva oncológica

Júnior

Borges

Spira³

2019

ESTIMA, Braz. J. Enterostomal Ther.

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Objetivos: Estimar a incidência das lesões confundidoras (LCs) da lesão por pressão (LP) em unidade de terapia intensiva (UTI) de um hospital oncológico, caracterizar os pacientes e as LCs. Métodos: Estudo de coorte prospectivo realizado em UTI de hospital oncológico de Belo Horizonte, estado de Minas Gerais. A amostra foi composta por 67 pacientes que atenderam aos critérios de inclusão. Os dados foram coletados durante o período de um mês por único pesquisador estomaterapeuta e registrado em formulário elaborado para esse fim. O estudo foi aprovado pelo comitê de ética em pesquisa. Resultados: 58,1% eram mulheres, 65,1% idosos, 51,2% brancos, com predominância de câncer gastrointestinal, 71,6% em uso de quimioterapia adjuvante, com índice de massa corporal (IMC) abaixo da normalidade, 100% apresentavam incontinência urinária ou fecal e em uso de fraldas. A incidência das LCs foi 35,6%, com predomínio da dermatite associada à incontinência (DAI). O tempo médio para o surgimento foi de 11 dias. Conclusão: A incidência das LCs foi elevada e infere-se que possa ter relação com a presença do câncer e o tratamento neoadjuvante, o que requer estudos específicos para elucidar o fato.

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A Prospective Study of Predictors for Post Laparotomy Abdominal Wound Dehiscence

Abstract: Abdominal wound dehiscence after laparotomy is a surgical emergency with high morbidity and mortality leading to escalation in hospital costs and prolonged illness. This complication can be avoided if the factors involved in wound dehiscence are properly addressed.

Cited by 18 publications

References 10 publications

A Study of Abdominal Wound Dehiscence in Adults-Etiology and Its Management

A Study of Abdominal Wound Dehiscence in Adults-Etiology and Its Management

Causes of wound dehiscence in trauma patients with penetrating and non-penetrating abdominal wound in Rasool Akram Hospital within 2017-2020

Incidência das lesões confundidoras da lesão por pressão em unidade de terapia intensiva oncológica

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