Affiliation:
1. Vilnius University, Center of Abdominal Surgery
2. Vilnius University, Faculty of Medicine
Abstract
Background. Wound dehiscence is a life-threatening
complication with the mortality rate up to 25 %. The
objective of this study is to identify the risk factors
for wound dehiscence after midline laparotomy in
adult population.
Methods. The case control study of patients, operated
from January 2012 to May 2016, was performed.
Patients, who underwent repeated laparotomy for
wound dehiscence, were the cases group. Each case
was matched by 3 control group patients undergoing
similar primary operation. Following characteristics
were observed: demographic, past medical and social
history, concomitant diseases, intraoperative details,
postoperative outcomes and were compared between
the groups. Difference was significant, if p value was
less than 0.05.
Results. 100 patients were included in the study.
There were 25 (25 %) patients of the cases group and
75 (75 %) patient of the control group. The majority
of the patients were males (69 %). The mean age was
66.7 ± 10.8 years. Three risk factors were identified in
the univariate analysis: male gender (88.0 %), wound
infection (56 %) and cardiovascular diseases (88 %)
for wound dehiscence with the mortality rate of 20 %.
Conclusions. Wound dehiscence is a serious complication
with a high mortality rate. The identification
of preoperative and early postoperative risk factors
may allow preventing and reduce the rate of wound
dehiscence.
Publisher
Association of Lithuanian Serials (Publications)