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Post Laparotomy Wound Dehiscence in a Rural Hospital Set Up

Milind H. Iddalagi, Assistant Professor, Department of Surgery, MVJ Medical College & Research Hospital, Hoskote, Karnataka 562114 , Arunabha Sinha1 , Milind H. Iddalagi2 , Sudarsan3

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New Indian Journal of Surgery 9(6):p 706-711, Nov-Dec 2018. | DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9618.2

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Abstract

  A partial or complete disruption of an abdominal wound closure is noted in wound dehiscence. It can be with or without protrusion and evisceration of abdominal contents. Cutaneous wound healing is hampered because of wound dehiscence. Weakness in musculoaponeurotic layer causes abnormal protrusion of viscus which is referred to as incisional hernia. High index of morbidity and moratlity occurs when there is disruption of surgical wound following laparotomy. This also indirectly increases the financial burden of the patient. Objectives and

Aim: To identify the clinical presentations in post laparotomy sequlae and wound dehiscence and risks associated with the same. To identify the associated diseases. This study to be carried out in elective and emergency operation. Materials and Methods/Source of Data: A study of clinical presentations in post laparotomy sequale was conducted at Department of General Surgery, MVJ Medical College and Research Hospital, situated in rural area, on patients admitted in Department of General Surgery between August 2016 and August 2018, undergoing routine and emergency laparotomies. Conclusion: Significant Risk Factors for the Development of Post-Operative Abdominal Wound Dehiscence: Patient factors like elderly age, gender predominance among males, anaemia, nutritional factors, obesity, patients who have underwent emergency procedure. Wound infection and wound dehiscence were noted in midline incisions, improper suture technique and improper aseptic precautions. These can be prevented by   maintaining proper nutritional status and strict asepsis and strict aseptic surgical techniques.

Keywords: Post Laparotomy; Wound Dehiscence  

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9618.2

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