Prevalence of Wound Dehiscence in Patients Attending Tertiary Care Institute of Gujarat- A Cross Sectional Study

Prevalence of Wound Dehiscence

Abstract

Background: Wound dehiscence is a very serious postoperative complication which is associated with very high morbidity and mortality rates. The aims and objectives of the study were: To find out epidemiology of wound dehiscence and to evaluate various predictors leading to wound dehiscence. Subjects and Methods: The study was conducted in the Department of Surgery, Gujarat Adani Institute of Medical Science, Bhuj, Kutch, Gujarat and included all the patients operated for abdominal pathologies by any incision. A detailed history was taken from all the patients or their relatives where patient was not able to give history or was a minor. Thorough general, systemic and local examination was performed in all the patients included in the study. Results: The age of patients varied from 2 days to 82 years, which included a total of 58 patients. The mean age standard deviation was found 49.14 16.40 years. Most patients were in the age group of 61 70 years. The study consisted of 42 males and 17 females. Enteric perforation: 13 patients had enteric perforation as diagnosis. Duodenal perforation: 11 had duodenal perforation as basic pathology. Obstruction was found to be present in 09 of burst abdomens. Conclusion: Prior stabilization with adequate hydration and correcting the electrolyte imbalance if any is must before proceeding for emergency laparotomies, Co-morbidities should be addressed as much they can be before proceeding for surgery. Proper sterilization should be ensured in emergency theatres too.