A PROSPECTIVE STUDY OF PREDICTORS FOR POST LAPAROTOMY ABDOMINAL WOUND DEHISCENCE

Abstract

Introduction: Wound dehiscence or burst abdomen is a very serious post-operative complication which is associated with high morbidity and mortality rates. Despite the advances made in asepsis, antimicrobial drugs, sterilization and operative techniques- post-operative wound dehiscence continues to be a major threat. Aims And Objectives: 1. To nd the incidence of abdominal wound dehiscence following laparotomy in a tertiary care centre of Eastern India. 2. To evaluate the factors implicated and their contribution in abdominal wound dehiscence Methodology: This prospective single centre observational study was conducted at a tertiary care hospital on 100consenting patients undergoing both elective and emergency laparotomy..All the cases were followed up on postoperative days 1, 4, 7 and 10 or till discharge and further follow up was continued every 2 weeks till 4 weeks . Patients with wound dehiscence were evaluated by the investigators for the enlisted parameters which were ,age sex; BMI; comorbidities like anemia. hypoproteinemia; hypertension.jaundice,increased urea creatinine ,habit of smoking;presence of clean or contaminated wound and various other factors like time of surgery,use of steroids,ASA physical status and so on. Results: We found that wound dehiscence was signicantly more in male patients;patients with increased BMI,presence of anemia, hypoproteinemia, increased serum urea creatinine level. It was more in contaminated wound and patients with higher ASA physical status.But time taken for surgery type of surgery has no inuence on wound dehiscence in this study. Conclusion: Post laprotomy wound dehiscence depends on multiple factors.