[Causes of rupture in laparotomy incisions]

The objective of the presented work was a quantitative analysis of causes of ruptures of laparotomic wounds with emphasis on risk factors, and thus a contribution to the prevention of the mentioned complication. Complete rupture of laparotomic wounds such as eventration are encountered most frequently in interaction of high intraabdominal pressure and weakness of the suture. Continuous loop stitch is the optimal closure of laparotomy. The authors evaluated in a retrospective study a group of 21 patients with eventration and found a coincidence of causes increasing the risk of rupture of the laparotomic wound. From the quantitative aspect serious causal factors include the length and urgency of primary surgery, infection of the wound, a combination of pathogenetic factors such as malignancy, diabetes, anaemia, obesity and hypoproteinaemia. The interaction of different causes increases the risk of wound rupture in all four stages of healing of the surgical wound.