A PROSPECTIVE STUDY ON SURGICAL WOUND DEHISCENCE -PREVENTION AND MANAGEMENT

Abstract

Background: Wound dehiscence is dened as a partial or total disruption of the abdominal wound closure, with or without abdominal contents protrusion. It's one of surgeons' most dreaded consequences, and it's considered a serious postoperative complication with mortality rates as high as 45 percent. In the literature, the incidence ranges from 0.4 percent to 3.5 percent. The goal of this study was to determine the prevalence of abdominal wound dehiscence in relation to various risk variables, as well as to investigate effective management of abdominal wound dehiscence. Methods: Patients with abdominal wound dehiscence after surgery were included. In light of the substantial risk factors, the types of surgery conducted, including surgical incisions made, and the type of disease involved, an extensive clinical history was obtained. This prospective study comprised a total of 60 patients. Appropriate software was used to analyse the data. Results: Male patients had higher incidence for abdominal wound dehiscence in fth decade. Patients presenting with peritonitis secondary to hollow viscus perforation are more prone to abdominal wound dehiscence. Class 3 surgery i.e., contaminated surgeries in emergency nature has higher risk for wound dehiscence. Conclusions: Co-morbidities such as diabetes, malnutrition, anaemia, and COPD all contribute to the slow healing of wounds. Simple routine laboratory tests may aid in the identication of predisposing factors and their correction. The majority of patients can be treated conservatively with secondary suturing rather than undergoing re-exploration and surgery.