Wound Dehiscence and Role of Delayed Primary Closure in Gynaecological Oncology

Wound Dehiscence and Role of Delayed Primary Closure in Gynaecological Oncology Aim To study the role of delayed primary closure of the abdomen in preventing wound dehiscence in women undergoing surgery for gynaecological malignancies. Materials and Methods Between 01 January 2017 and 30 June 2017, 22 patients underwent laparotomy at our institute. Primary closure of abdomen was done with a suction drain placed in subcutaneous space. Between 01 July 2017 and 31 December 2017, 23 patients underwent laparotomy and for those patients who had at least one of the following condi- tions—diabetes mellitus, obesity (subcutaneous fat [ 2.5 cm), infective foci (e.g. tuboovarian abscess), delayed primary closure of the abdomen was followed. The wound was closed after a week. Results There were six cases of wound dehiscence in the first group. The duration of hospital stay exceeded 1 month from the day of laparotomy in all the six patients. In the second group, seven patients underwent delayed primary closure. Closure was done after a week, with a suction drain in situ. The wound healed well in all patients. All seven patients were discharged within 15 days of laparotomy. Discussion Patients with malignancy can have poor healing due to a variety of reasons. It can be due to neoadjuvant chemotherapy, previous http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Indian Journal of Gynecologic Oncology Springer Journals

Wound Dehiscence and Role of Delayed Primary Closure in Gynaecological Oncology

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Publisher
Springer India
Copyright
Copyright © 2018 by Association of Gynecologic Oncologists of India
Subject
Medicine & Public Health; Oncology; Surgical Oncology
ISSN
2363-8397
eISSN
2363-8400
D.O.I.
10.1007/s40944-018-0195-8
Publisher site
See Article on Publisher Site

Abstract

Aim To study the role of delayed primary closure of the abdomen in preventing wound dehiscence in women undergoing surgery for gynaecological malignancies. Materials and Methods Between 01 January 2017 and 30 June 2017, 22 patients underwent laparotomy at our institute. Primary closure of abdomen was done with a suction drain placed in subcutaneous space. Between 01 July 2017 and 31 December 2017, 23 patients underwent laparotomy and for those patients who had at least one of the following condi- tions—diabetes mellitus, obesity (subcutaneous fat [ 2.5 cm), infective foci (e.g. tuboovarian abscess), delayed primary closure of the abdomen was followed. The wound was closed after a week. Results There were six cases of wound dehiscence in the first group. The duration of hospital stay exceeded 1 month from the day of laparotomy in all the six patients. In the second group, seven patients underwent delayed primary closure. Closure was done after a week, with a suction drain in situ. The wound healed well in all patients. All seven patients were discharged within 15 days of laparotomy. Discussion Patients with malignancy can have poor healing due to a variety of reasons. It can be due to neoadjuvant chemotherapy, previous

Journal

Indian Journal of Gynecologic OncologySpringer Journals

Published: Apr 6, 2018

References

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