Incidence of wound dehiscence after colorectal cancer surgery: results from a national population-based register for colorectal cancer

Söderbäck, Harald; Gunnarsson, Ulf; Hellman, Per; Sandblom, Gabriel

doi:10.1007/s00384-019-03390-3

Cited by 17 publications

(8 citation statements)

References 24 publications

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“…When combining the groups, male gender, COPD, previous midline incision, and postoperative wound infection were risk factors for wound dehiscence, while high BMI, postoperative wound infection, and wound dehiscence were risk factors for incisional hernia. These findings are in accordance with findings from population-based studies on patients undergoing surgery for colorectal cancer [ 24 , 25 ]. Awareness of these risk factors when closing the abdomen is an important step in the prevention of midline incision complications.…”

Section: Discussionsupporting

confidence: 91%

Introduction of Small Stitch Small Bite technique: a retrospective long-term follow-up

Söderbäck

Masood

Leo

et al. 2022

Langenbecks Arch Surg

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Purpose Standardization of abdominal wall closure is suggested to improve quality and reduce the risk for late abdominal wall complications. The purpose of this study was to explore the impact of a structured introduction of guidelines for abdominal wall closure on the rates of incisional hernia and wound dehiscence. Methods All procedures performed via a midline incision in 2010–2011 and 2016–2017 at Capio St Göran’s Hospital were identified and assessed for complications and risk factors. Results Six hundred two procedures were registered in 2010–2011, and 518 in 2016–2017. Four years after the implementation of new guidelines, 93% of procedures were performed using the standardized technique. There was no significant difference in the incidence of incisional hernia or wound dehiscence between the groups. In multivariate Cox proportional hazard analysis, BMI > 25, wound dehiscence, and postoperative wound infection were found to be independent risk factors for incisional hernia (all p < 0.05). In multivariate logistic regression analysis, male gender and chronic obstructive pulmonary disease were risk factors for wound dehiscence (both p < 0.05). Conclusions The present study failed to show a significant improvement in rates of incisional hernia and wound dehiscence after the introduction of Small Stitch Small Bites. When introducing a new standardized technique for closing the abdomen, education and structural implementation of guidelines may have an impact in the long run. The risk factors identified should be taken into consideration when closing a midline incision to identify patients with high risk.

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Section: Discussionsupporting

confidence: 91%

Introduction of Small Stitch Small Bite technique: a retrospective long-term follow-up

Söderbäck

Masood

Leo

et al. 2022

Langenbecks Arch Surg

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“…30 The incidence of wound dehiscence after surgery was 3% which is close to the findings in a Swedish national population-based study who reported the incidence to be 2.2%. 31 We found that the patients who had a re-resection for wound dehiscence in our study were older (median 70 years) and had a body mass index classified as overweight (median BMI 29 kg/m 2 ) or obese (median BMI 34 kg/m 2 ). Both of these factors are known risk factors for developing wound dehiscence.…”

Section: Discussionmentioning

confidence: 62%

Simultaneous or staged resection of synchronous colorectal cancer liver metastases: a 13-year institutional follow-up

Larsson

Björnsson

Jung

et al. 2022

HPB

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Background: This study compared postoperative outcomes and survival rates of patients who underwent simultaneous or staged resection for synchronous colorectal cancer liver metastases. Methods: Between 2005 and 2018, 126 patients were registered prospectively at a university hospital in Sweden, 63 patients who underwent simultaneous resection were matched against 63 patients who underwent staged resection.Results: The length of hospital stay was shorter for the simultaneous resection group, at 11 vs 16 days, p = <0.001. Fewer patients experienced recurrence in the simultaneous resection group 39 vs 50 patients, p = 0.012. There were no significant differences in disease-free survival and overall survival between the groups. Age (hazard ratio [HR] 1.72; 95% CI 1.01-2.94; p = 0.049) and Clavien-Dindo score (HR 2.22; 95% CI 1.06-4.67; p = 0.035) had impact on survival. Conclusion: Colorectal cancer with synchronous liver metastases can be resected simultaneously, and enables a shorter treatment time without jeopardizing oncological outcomes.

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“…Indication of reclosure were evisceration of the abdominal organs, severe pain and high serous and purulent discharge from the wound. [ 18 ] This result showed that abdominal binder doesn’t help in the healing of wound after wound dehiscence and ultimately reclosure was needed.…”

Section: Discussionmentioning

confidence: 99%

Outcome of abdominal binder in midline abdominal wound Dehiscence in terms of pain, psychological satisfaction and need for reclosure

Ammar¹,

Naqi²,

Khattak

et al. 2021

Pak J Med Sci

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Objective: To assess the role of abdominal binder in patients with midline wound dehiscence after elective or emergency laparotomy in terms of pain, psychological satisfaction and need for reclosure. Methods: It was a comparative study done at EAST Surgical Ward of Mayo Hospital, Lahore from 1st January 2018 to 31st December 2019. One hundred and sixty-two (162) patients were included in this study with post-operative midline abdominal wound dehiscence and after informed consent by consecutive non probability sampling technique. Patients were divided into two groups by lottery method into eighty-one patients each. Group-A included patients where abdominal binder was applied and Group-B included patients without abdominal binder. In both groups pain score, psychological satisfaction and need for reclosure was assessed and compared. Results: Patients with abdominal binder shows significantly less pain (P value =0.000) and more psychological satisfaction (P value = 0.000) as compared to the patients where abdominal binder was not used. However, there was no difference in reducing the need for reclosure in patients who use abdominal binder (P value = 0.063). Conclusion: Although abdominal binder helps in reducing the pain and improving the psychological satisfaction in patients with midline abdominal wound dehiscence yet it doesn’t help in healing of wound and reclosure of the dehisced abdominal wound is needed. doi: https://doi.org/10.12669/pjms.37.4.3671 How to cite this:Ammar AS, Naqi SA, Khattak S, Noumani AR. Outcome of abdominal binder in midline abdominal wound Dehiscence in terms of pain, psychological satisfaction and need for reclosure. Pak J Med Sci. 2021;37(4):1118-1121. doi: https://doi.org/10.12669/pjms.37.4.3671 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Incidence of wound dehiscence after colorectal cancer surgery: results from a national population-based register for colorectal cancer

Cited by 17 publications

References 24 publications

Introduction of Small Stitch Small Bite technique: a retrospective long-term follow-up

Introduction of Small Stitch Small Bite technique: a retrospective long-term follow-up

Simultaneous or staged resection of synchronous colorectal cancer liver metastases: a 13-year institutional follow-up

Outcome of abdominal binder in midline abdominal wound Dehiscence in terms of pain, psychological satisfaction and need for reclosure

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