A prospective study of risk factors for abdominal wound dehiscence

Mahey, Rajesh; Ghetla, Smruti; Rajpurohit, Jitesh; Desai, Dhaval; Suryawanshi, Sachin A.

doi:10.18203/2349-2902.isj20163983

Cited by 11 publications

(11 citation statements)

References 12 publications

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“…Which is almost equal to Shetty ARS et al 9 which is similar to Alexander series 8 in which 26% cases had respiratory infection. Mahey R et al 10 concluded that factors like anaemia, malnutrition, obesity, diabetes mellitus and cough and surgery factors like type of surgery (elective/ emergency), underlying disease and type of incision, type of closure, suturing material and suturing method play important role in development of wound infection and subsequently development of wound dehiscence which correlates well with our study.…”

Section: Discussionsupporting

confidence: 89%

Study of Risk Factors and Management of Abdominal Wound Dehiscence

Cheeti¹,

Asha²,

Raju³

2018

IJCMSR

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Section: Discussionsupporting

confidence: 89%

Study of Risk Factors and Management of Abdominal Wound Dehiscence

Cheeti¹,

Asha²,

Raju³

2018

IJCMSR

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“…The result is the opposite of the previously reported case, series when layered stitches and all-layer technique were compared the result shows the wound dehiscence is lower with the all-layer technique. 3 All five patients that received hospital care underwent a repair surgery with retention sutures technique. Unfortunately, of five patients, four were reported to have recurrent abdominal burst 6 to 14 days after.…”

Section: Discussionmentioning

confidence: 99%

“…2 It is defined as an open postoperative wound in the abdomen, that in 20% to 45% of cases leads to internal organ release, which relates to the mortality rate in the perioperative period. 3 Mortality rate in abdominal burst ranges from 15% to 45%, while the incidence rate ranges from 0.4% to 3.5% of all laparotomy surgeries. 4 Most cases happen in the second week and the peak in the 10th-day postoperation.…”

Section: Introductionmentioning

confidence: 99%

Recurrent Abdominal Burst after Obstetric Surgical Procedure

Zulhijayanti¹,

Aryananda²,

Hariani³

et al. 2019

Journal of South Asian Federation of Obstetrics and Gynaecology

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Introduction: Abdominal burst due to obstetric surgery complications is still a concern because it increases maternal morbidity and mortality. Case description: There are 15 cases with abdominal burst obtained from 3,914 obstetric surgical procedures during 2013 to 2018 in Dr Soetomo General Hospital, with 5 cases (30%) of recurrent abdominal bursts. Preoperative risk factors are obtained from the host, such as anemia, hypoalbuminemia, and autoimmune diseases. Two recurrent abdominal burst cases occurred after cesarean section, and three cases occurred in hysterectomy after cesarean section, all of which used retention sutures as initial management, and in reality, it did not prevent repeated bursts. The whole case went to emergency surgery, and surgical site infection was obtained as an agent that aggravates the degree of disease. Selection of management and treatment is based on the patient's wound problems. Two cases required intensive and multidisciplinary care and used vacuum-assisted closure (VAC) and modified VAC. There were two patients (6.7%) who died from sepsis, while three other patients had well-closed wounds, and no complications have been found to date. Conclusion:One-third of abdominal burst patients in Dr Soetomo General Hospital had recurrence involving long-term multidisciplinary care and required facilities and an optimal environment. The dominant risk factors are obtained from the inferior conditions of the host, such as anemia, hypoalbuminemia, and autoimmune diseases.

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“…This research has never been carried out at the Central General Hospital Dr. Mohammad Hoesin Palembang. [6][7][8][9][10]…”

Section: Introductionmentioning

confidence: 99%

Competition Test Veteran Affairs Medical Centre (VAMC) Score and KIMS-14 for Predicting the Dehiscence of Abdoment Post Laparotomy Operating Wounds

Akmal

Manawan²,

Saleh³

2020

sjs

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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.

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A prospective study of risk factors for abdominal wound dehiscence

Cited by 11 publications

References 12 publications

Study of Risk Factors and Management of Abdominal Wound Dehiscence

Study of Risk Factors and Management of Abdominal Wound Dehiscence

Recurrent Abdominal Burst after Obstetric Surgical Procedure

Competition Test Veteran Affairs Medical Centre (VAMC) Score and KIMS-14 for Predicting the Dehiscence of Abdoment Post Laparotomy Operating Wounds

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