Is wound dehiscence a complication?
Is wound dehiscence a complication?
Wound dehiscence is a surgery complication where the incision, a cut made during a surgical procedure, reopens. It is sometimes called wound breakdown, wound disruption, or wound separation.
What is a patient at risk for with abdominal dehiscence?
The most frequent risk factors in our series were age greater than 65 years, hemodynamic instability, increased intra-abdominal pressure, emergency surgery, infection of the wound or abdominal wall, hypoproteinemia and anemia.
Which client is at highest risk for wound dehiscence?
Patients with a medical history of stroke or who have chronic obstructive pulmonary disease (COPD), diabetes, or cancer also have higher rates of dehiscence. Some patient behaviors can also increase the risk of dehiscence. Smoking, for example, is a risk factor.
What can cause wound dehiscence?
The causes of dehiscence are similar to the causes of poor wound healing and include ischemia, infection, increased abdominal pressure, diabetes, malnutrition, smoking, and obesity. [1] Superficial dehiscence is when the wound edges begin to separate and by increased bleeding or drainage at the site.
What is wound dehiscence?
Wound dehiscence (dih-HISS-ints) is a condition where a cut made during a surgical procedure separates or ruptures after it has been stitched back together.
Is dehiscence of abdominal surgical wounds an emergency?
Takeaways: 1 Dehiscence of abdominal surgical wounds is a medical emergency and requires immediate action to reduce further… 2 Knowing who is at risk and the early signs of dehiscence can help you take measures quickly. 3 Prevention of dehiscence by minimizing closure disruption and enhancing wound healing is key. More
What is surgical wound dehiscence (SWD)?
Surgical wound dehiscence (SWD) is the separation of the margins of a closed surgical incision that has been made in skin, with or without exposure or protrusion of underlying tissue, organs or implants.
What is the mortality and morbidity of abdominal dehiscence?
Abdominal wound dehiscence (burst abdomen, fascial dehiscence) is a severe postoperative complication, with mortality rates reported as high as 45% [1–3]. The incidence, as described in the literature, ranges from 0.4% to 3.5% [4–17].
What causes abdominal sutures to dehiscence?
In most cases, tearing of sutures through the fascia was reported to be the cause of the dehiscence (29%). Other reported causes were infection (9%), broken suture (8%), fascial necrosis (6%), and loose knots (4%). However, in 44% of all patients no explanation was recorded for abdominal wound dehiscence.
