Wound dehiscence in infants and children

Campbell, David P.; Swenson, Orvar

doi:10.1016/0022-3468(72)90485-x

Cited by 16 publications

(11 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Dehiscence was associated with a high mortality rate in Campbell's series, where 19.2% of these children died [7]. In our series, 34.5% of patients associated with abdominal evisceration died, while the mortality rate was 50% in neonates in our series.…”

Section: Discussioncontrasting

confidence: 50%

“…Abdominal evisceration rate for children is varied, and has been reported from 0.4 to 6.7% in the literature [1,2,7,10]. This rate was found to be 0.8% in our series.…”

Section: Discussioncontrasting

confidence: 41%

“…Paramedian or transverse incisions seem less prone to infection or disruption because of a well-vascularized intervening muscle layer [2]. Campbell and Swenson [7] reported an incidence between 0.2 and 3.3%, depending on the type of incision used; they noted that transverse incisions were very unlikely to break down and recommended these types of incisions where possible. In our series, median incision was significantly more prone to evisceration compared to transverse incision.…”

Section: Discussionmentioning

confidence: 98%

“…Risk factors for wound complications varied and include many of the known potential causes of wound disruption such as age, local wound factors, technical aspects, immune deficiency, emergency operation, primary surgical procedure, systemic infection, abdominal distention, and nutritional status [1,2,7]. It has long been known that general postoperative morbidity rate is high in newborn due to many reasons [11].…”

Section: Discussionmentioning

confidence: 98%

“…Most reviews of this complication are in the adult medical literature; the incidence has been reported to be between 0.2 and 10% of adult laparotomies [3][4][5], fortunately this incidence has been noted to be relatively low in the pediatric population [2,6]. The long hospitalization and high mortality rate [7] associated with abdominal evisceration necessitate more researches to determine risk factors for abdominal evisceration to decrease the likelihood of this complication. The purpose of the present study was to determine possible risk factors, morbidity and mortality associated with abdominal evisceration in children.…”

Section: Introductionmentioning

confidence: 94%

See 4 more Smart Citations

Postoperative abdominal evisceration in children: possible risk factors

et al. 2006

View full text Add to dashboard Cite

Postoperative abdominal evisceration may lead to high morbidity and mortality. The purpose of the present study was to determine possible risk factors, morbidity and mortality associated with abdominal evisceration in children. A total of 3,591 children underwent abdominal exploration in our clinic between 1983 and 2005. In this study, we retrospectively reviewed 29 patients who developed abdominal evisceration after abdominal exploration. The incidence for abdominal evisceration was found to be 0.8%. The mean age was 16 months (range 1 day-13 years), while 48.2% of the patients were younger than 1 month. The incidence of abdominal evisceration was significantly higher in patients younger than 1 month (2.5%) compared to older ones (0.4%) (P < 0.0001). The mean time interval between primary abdominal exploration and development of abdominal evisceration was 7 days (2-21 days). The risk for development of evisceration was significantly higher in patients who underwent colonic or small bowel surgery compared to those underwent laparotomy alone (P < 0.0001, P < 0.01, respectively). Absorbable suture was used in 15 patients for closure of abdominal fascia, while a silk suture material was used in 14 patients (P > 0.05). The age-weight percentile was lower than 3% in 41.3% of patients. At the follow-up period, 19 patients recovered completely whereas 10 (34.5%) died. As a result, the age (neonates), primary surgery (colo-rectal), type of incision (median), and emergency surgery were significant risk factors for development of abdominal evisceration in children.

show abstract

Section: Discussioncontrasting

confidence: 50%

“…Abdominal evisceration rate for children is varied, and has been reported from 0.4 to 6.7% in the literature [1,2,7,10]. This rate was found to be 0.8% in our series.…”

Section: Discussioncontrasting

confidence: 41%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 94%

See 3 more Smart Citations

Postoperative abdominal evisceration in children: possible risk factors

et al. 2006

View full text Add to dashboard Cite

show abstract

Layered versus mass closure of abdominal wounds in infants and children

Kiely

Spitz

1985

British Journal of Surgery

View full text Add to dashboard Cite

A prospective trial of layered versus mass closure of laparotomy wounds was performed on 507 infants and children over a 33 month period. All wounds were sutured using polyglycolic acid sutures. There were four wound failures including one disruption in the layered closure group and one wound failure in the mass closure group. The incisional hernias healed spontaneously. Either method of closure yields good results and non-absorbable sutures are unnecessary.

show abstract

Abdominal Wound Dehiscence

Geldere

2001

Abdominal Wall Hernias

View full text Add to dashboard Cite

Wound dehiscence in infants and children

Cited by 16 publications

References 11 publications

Postoperative abdominal evisceration in children: possible risk factors

Postoperative abdominal evisceration in children: possible risk factors

Layered versus mass closure of abdominal wounds in infants and children

Abdominal Wound Dehiscence

Contact Info

Product

Resources

About