[Postoperative complete abdominal dehiscence: risk factors and clinical correlations]
O Mazilu1, D Grigoraş, S Cnejevici
1Clinica de Chirurgie de Urgenţă, Spitalul Clinic Municipal Timişoara. mazilu_o@yahoo.com
Unlabelled:
The purpose of this study is to review our clinical experience with abdominal wound dehiscence in the Surgical Department of City Hospital Timisoara.
Patients And Methods:
19.116 abdominal procedures were performed between January 1992 - March 2009 in our Department and 29 complete dehiscences were identified (0,15%). Significant risk factors in our analysis were intraabdominal infection, wound infection, emergency surgery, malignancies, digestive fistulae, hiperabdominal pressure, sex and age over 65 years. Less significant factors were the abdominal type of incision, the method of wound closure and heart or respiratory diseases.
Conclusions:
postoperative complete dehiscence is a constant presence in a surgical department; despite its low frequency, wound dehiscence is associate with a hight mortality and morbidity rate, and increase the costs and hospitalisation periode. Risk factors evaluation and their associations represente an important role in the therapeutic management of the surgical patient.
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