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Updated: May 14, 2026
09:41
Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
Published on: May 10, 2024
Post-thoracotomy wound separation (DEHISCENCE): a disturbing complication.
Aydin Nadir1, Melih Kaptanoglu, Ekber Sahin
1Cumhuriyet University, School of Medicine Sivas, Department of Thoracic Surgery, Sivas/Turkey. anadir@ttmail.com
Clinics (Sao Paulo, Brazil)
|February 20, 2013
Summary
Surgical site dehiscence after thoracotomy is a significant complication. An en bloc approximation technique with debridement offers a successful treatment for incisional dehiscence, achieving a 91.7% closure rate.
Area of Science:
- Thoracic Surgery
- Surgical Complications
- Wound Healing
Background:
- Dehiscence of thoracotomy incisions is a concerning complication impacting surgical outcomes.
- Prompt and effective management is crucial for patient recovery and surgeon confidence.
Purpose of the Study:
- To describe the treatment of thoracotomy incision dehiscence.
- To evaluate the efficacy of a specific surgical technique for managing this complication.
Main Methods:
- A retrospective study of 24 patients with thoracotomy incision dehiscence (2005-2010).
- Evaluation of patient demographics, thoracotomy indications, and surgical approaches.
- Description of an en bloc approximation technique with debridement for re-closure.
Main Results:
- Empyema and vertebral surgery were common indications for thoracotomy.
- Bacterial growth was present in 54% of wound cultures.
- The en bloc approximation technique achieved successful closure in 91.7% of patients.
Conclusions:
- Thoracotomy incision dehiscence is a significant complication requiring effective management.
- The en bloc approximation technique with debridement is a successful method for treating thoracotomy incision dehiscence.
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