Abdominal wound dehiscence and incisional hernia prevention in midline laparotomy: a systematic review and network meta-analysis

Hernández, Edgard Efrén Lozada; Bonilla, Juan Pablo Hernández; Ugarte, Diego Hinojosa; García, Miguel Magdaleno; González, Juan Carlos Mayagoitia; Vázquez, Luis Abraham Zúñiga; Moreno, Enrique Obregón; Herevia, Aldo Edyair Jiménez; Fonseca, Roland Kevin Cethorth; Guerrero, P Ramirez

doi:10.1007/s00423-023-02954-w

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“…Abdomino-pelvic surgery complications like this can result in prolonged hospital stays, higher healthcare costs, and higher mortality rates [ 3 ]. Additionally, there is evidence linking abdominal wound dehiscence to poor quality of life, incisional hernia incidence, and bad body image [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

A Prospective Study on the Outcome After Mass Closure of Post-laparotomy Wound Dehiscence in a Tertiary Care Hospital, Tamil Nadu, India

Murugavel,

Vajiravelu Thirunavukkarasu,

Gnana Chellaiyan

et al. 2024

Cureus

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The ideal abdominal wound closure provides strength and a barrier to infection. The major cause of morbidity following any laparotomy is abdominal wound dehiscence. For prompt patient recovery and outcome factors influencing wound healing following mass closure of post-laparotomy, wound dehiscence patients are evaluated in this present study. The aim of the study was to evaluate the outcome and various complications following mass closure of post-laparotomy wound dehiscence. Materials and methodsA prospective study was conducted among 50 patients admitted to the Department of General Surgery, Tamil Nadu, India, with wound dehiscence following emergency and elective laparotomy surgeries managed with mass closure during the study period from 2021 to 2022. The chi-square test and Fischer's exact test were done. ResultsMass closure of post-laparotomy wound dehiscence was more common among males (74%, n=37) and less common in the age group 20-30 years (12%, n=6). Prolonged bleeding time and clotting time post-surgery were associated with the type of surgery with a significant p-value of 0.007 and 0.001, respectively, by Fischer's exact test. The presence of urine albumin was also associated with the type of surgery with a significant p-value of 0.02. Surgical site infection (postoperative complication) was associated with the type of surgery and operating time with a significant p-value of 0.004 and 0.03, respectively. ConclusionAbdominal wound dehiscence is a serious and challenging postoperative complication that necessitates immediate intervention. Strict postoperative care places emphasis on reducing the risk of wound infection and other factors related to wound dehiscence.

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Section: Introductionmentioning

confidence: 99%