eISSN: 2077-9135 / ISSN: 1681-5491
Register
Login
Medical Channel Journal
2011, Volume 17, Issue 2 : 50-52
Research Article
Wound dehiscence: Still a challenge for surgeons
 ,
 ,
 ,
1
Bhittai General Hospital, Hyderabad, India
2
Taluka Hospital Matiari, Hyderabad, India
3
Muhammad Medical College, Mirpurkhas, Pakistan
4
Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
Abstract

Background: A variety of procedures are performed in both General Surgery and Gynecological and Obstetrical settings among which exploratory laparotomy is a common one. A number of indications are there for exploratory laparotomy in both specialties; however complications remain the same and wound dehiscence is one of most devastating. Wound dehiscence which can be complete or partial is a challenge for surgeons. The aim of this study was to find out the frequency of wound dehiscence in patient who underwent exploratory laparotomy both settings. Methodology: This multicenter prospective comparative study was conducted from Jan 2009 to December 2009. Hundred patients of both genders admitted and operated in emergency and elective surgical ward of Bhittai General Hospital, Hyderabad and Department of Gynecology & Obstetrics, Muhammad Medical College, Mirpurkhas were included in this study after obtaining informed consent. Sampling technique used was non-probability convenience sampling. Fifty patients were randomized into two groups A & B each. Patients with abdominal traumatic wound were randomized into group A. Fifty patients operated for elective general surgery and OBG were included in Group B. Results: A total of 100 patients were included in this and randomized into two equal groups of 50 patients each. Out of 100 patients 12 patients (12%) had wound dehiscence. A total of 4 patients (4%) had widespread wound dehiscence whereas 8 patients (8%) had incomplete wound dehiscence. In this study 3 patients (6%) patients were having burst abdomen in Group-A out of which 2 (4%) were male and 1 (2%) was female. Whereas 5 patients (10%) had burst abdomen in Group-B out of which 3 (6%) were male and 2 (4%) were female. Conclusion: Many origins of wound dehiscence are avoidable. By optimizing systemic parameters of patient especially with regarding to effective and judicial control of infection and nutritional status, frequency of wound dehiscence can be controlled.

Keywords
License
Copyright (c) Medical Channel Journal
Creative Commons Attribution License Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
All papers should be submitted electronically. All submitted manuscripts must be original work that is not under submission at another journal or under consideration for publication in another form, such as a monograph or chapter of a book. Authors of submitted papers are obligated not to submit their paper for publication elsewhere until an editorial decision is rendered on their submission. Further, authors of accepted papers are prohibited from publishing the results in other publications that appear before the paper is published in the Journal unless they receive approval for doing so from the Editor-In-Chief.
Med. Channel J. open access articles are licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. This license lets the audience to give appropriate credit, provide a link to the license, and indicate if changes were made and if they remix, transform, or build upon the material, they must distribute contributions under the same license as the original.
Recommended Articles
A qualitative study: Regarding awareness about pre-marital healthcare and counseling among undergraduate students of karachi
18-22
Efficacy of fnacin breast lump evaluation - a revisit at tertiary care hospital
85-87
Role of harmonic scalpel in laparoscopic cholecystectomy
81-84
Pattern of snake bite at chandka medical college hospital Larkana
24-27
Medical Channel Journal
support@medicalchanneljournal.pk
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives (CC BY-NC-ND) license. Open Access Publication.
Copyright © ©Medical Channel Journal. All rights reserved.