Title: Predictors of Post-Laparotomy Abdominal Wound Dehiscence – A Study in 43 Cases
Authors: Dr Debananda Tudu, Dr Bana Bihari Mishra, Dr Sawna Sankar Murmu
DOI: https://dx.doi.org/10.18535/jmscr/v6i10.161
Abstract
Abdominal wound dehiscence is a one of the severe post-operative complication, incidence of which ranges from 0.4 to 3.5%1, and carries high morbidity and mortality. Clinical presentation of wound dehiscence tearing sensation by the patient to sudden high volume of pink colored fluid discharge, but it may occur without warning and evisceration make the diagnosis. A prospective study was carried out at VSS institute of Medical Science & research, Burla, Sambalpur, a tertiary referral centre and a teaching hospital in the Western Odisha from November 2014 to October, 2016. All patients undergone surgery with midline abdominal incision were provisional recruited for the study and out them 43 patients who developed wound dehiscence were taken up for the study after due clearance from the institutional ethical committee. They were evaluated for risk factors such as – age of the patient, sex of the patient, complete routine haematogical investigation including renal function and liver function tests. Elderly patients, patients with anemia, malnutrition, pulmonary disease, associated malignancy and patients undergoing emergency surgical procedures are risk factors for wound dehiscence. Knowing the predictors for wound dehiscence will help to inform the patient and patient relatives, appropriate measures to optimise patient so as to reduce the morbity and mortality.
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