AI Article Synopsis

  • A review of 32 cases over five years showed that the incidence of abdominal wound dehiscence was 0.51%, with key factors including preexisting lung disease, malnutrition, and intraoperative contamination.
  • The direction of the incision and closure method have minimal impact on the rates of dehiscence.
  • While wound dehiscence can significantly extend hospital stays, early detection and treatment have reduced its lethality.

Article Abstract

A review of 32 abdominal wound dehiscences in a five-year period shows an incidence of 0.51%. Important factors are preexisting pulmonary disease, "malnutrition," intraoperative contamination (often minimal), gastrointestinal distention, and aggressive tracheobronchial toilet in the postoperative period. Incision direction and type of closure have little influence on dehiscence rates. Wound dehiscence results in a substantial prolongation of hospital stay. Promptly recognized and treated, wound dehiscence is no longer a highly lethal complication.

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Source
http://dx.doi.org/10.1001/archsurg.1979.01370260033004DOI Listing

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