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

Prevalence of Wound Dehiscence

  • Akhilesh G Sukhlecha Associate Professor, Department of Surgery, Gujarat Adani Institute of Medical Science, Bhuj, Kutch, Gujarat.
Keywords: Enteric perforation, Epidemiology, Obstruction, 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.

Published
2019-07-08