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Abdominal wound dehiscence and evisceration: contributing factors and improved mortality
The American Surgeon
|September 1, 1980
Summary
This study found exogenous obesity is linked to abdominal wound dehiscence after surgery. However, the mortality rate for these complications was lower than previously reported, with evisceration and dehiscence having similar outcomes.
Area of Science:
- Surgical outcomes
- Abdominal surgery complications
Background:
- Abdominal wound dehiscence and evisceration are severe surgical complications.
- Previous reports indicate high mortality rates associated with these conditions.
Purpose of the Study:
- To analyze the incidence and outcomes of abdominal wound dehiscence and/or evisceration.
- To identify risk factors and compare mortality rates for these complications.
Main Methods:
- Retrospective review of 18,120 abdominal procedures.
- Identification of 70 patients with abdominal wound dehiscence and/or evisceration.
Main Results:
- A 5.5% mortality rate was observed, which is lower than previously reported.
- Exogenous obesity was the predominant factor associated with wound dehiscence.
- Mortality rates for evisceration and dehiscence alone were similar.
Conclusions:
- Abdominal wound dehiscence and evisceration can occur with a lower-than-expected mortality rate.
- Exogenous obesity is a significant risk factor for abdominal wound dehiscence.
- Further research into managing these complications is warranted.