Clinical profile of patients with abdominal wound dehiscence

Abstract

Once dehiscence is diagnosed, treatment depends on the extent of fascial separation and the presence of evisceration or significant intra-abdominal contamination. A small dehiscence in proximal in aspect of upper midline incision can be managed conservatively by packing the wound with saline-moistened gauze and using an abdominal binder. A total of 60 cases were included in the study. A comprehensive study of these cases with keeping in record the date of admission, presenting complaints and general condition, risk factors, bold investigations, clinical diagnosis, the need for surgery and the types of surgery, followed by wound care, course in ward and day of dehiscence. Co-morbid conditions like anaemia, hypertension, diabetes mellitus, etc. were treated where possible. In the present study, out of 60 cases, 52 cases (87%) were operated as emergency surgery and 8 cases (13%) as elective surgery. In this study, from a total of 60 cases, 44 cases (73%) were operated with mid line incision and d10 cases (17%) were operated with paramedian incision.