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Wound Dehiscence: Pathophysiology and Prevention

Wound Dehiscence: Pathophysiology and Prevention 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. (Arch Surg 114:143-146, 1979) References 1. Marsh RL: Factors involving wound dehiscence: Study of 1,000 cases . JAMA 155:1197-1200, 1954.Crossref 2. Miles RM: The etiology and prevention of abdominal wound disruption: An analysis of 177 cases . Am Surg 30:566-573, 1964. 3. Halasz NA: Dehiscence of laparotomy wounds . Am J Surg 116:210-214, 1968.Crossref 4. Higgins GA Jr, Antkowiak JG, Esterkyn SH: A clinical and laboratory study of abdominal wound closure and dehiscence . Arch Surg 98:421-427, 1969.Crossref 5. Keill RH: Abdominal wound dehiscence . Arch Surg 106:573-577, 1973.Crossref 6. Goligher JC, Irvin TT, Johnston D, et al: A controlled clinical trial of three methods of closure of laparotomy wounds . Br J Surg 62:823-892, 1975.Crossref 7. Reitamo J, Möller C: Abdominal wound dehiscence . Acta Chir Scand 138:170-175, 1972. 8. Alexander HC, Prudden JF: The causes of abdominal wound disruption . Surg Gynecol Obstet 124:1223-1229, 1966. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Wound Dehiscence: Pathophysiology and Prevention

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References (9)

Publisher
American Medical Association
Copyright
Copyright © 1979 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1979.01370260033004
Publisher site
See Article on Publisher Site

Abstract

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. (Arch Surg 114:143-146, 1979) References 1. Marsh RL: Factors involving wound dehiscence: Study of 1,000 cases . JAMA 155:1197-1200, 1954.Crossref 2. Miles RM: The etiology and prevention of abdominal wound disruption: An analysis of 177 cases . Am Surg 30:566-573, 1964. 3. Halasz NA: Dehiscence of laparotomy wounds . Am J Surg 116:210-214, 1968.Crossref 4. Higgins GA Jr, Antkowiak JG, Esterkyn SH: A clinical and laboratory study of abdominal wound closure and dehiscence . Arch Surg 98:421-427, 1969.Crossref 5. Keill RH: Abdominal wound dehiscence . Arch Surg 106:573-577, 1973.Crossref 6. Goligher JC, Irvin TT, Johnston D, et al: A controlled clinical trial of three methods of closure of laparotomy wounds . Br J Surg 62:823-892, 1975.Crossref 7. Reitamo J, Möller C: Abdominal wound dehiscence . Acta Chir Scand 138:170-175, 1972. 8. Alexander HC, Prudden JF: The causes of abdominal wound disruption . Surg Gynecol Obstet 124:1223-1229, 1966.

Journal

Archives of SurgeryAmerican Medical Association

Published: Feb 1, 1979

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