Medline ® Abstract for Reference 23
of 'Complications of abdominal surgical incisions'
Complete dehiscence of the abdominal wound and incriminating factors.
Pavlidis TE, Galatianos IN, Papaziogas BT, Lazaridis CN, Atmatzidis KS, Makris JG, Papaziogas TB
Eur J Surg. 2001;167(5):351.
OBJECTIVE: To find out the causes of abdominal wound dehiscence.
DESIGN: Retrospective study.
SETTING: University hospital, Greece.
SUBJECTS: Abdominal wound dehiscence occurred in 89 cases out of 19,206 major abdominal operations including 4671 emergencies during the past 15 years (0.5%).
INTERVENTIONS: In the study group 14 local and systemic risk factors were analysed and compared with those in a control group of 89 patients who had similar procedures without dehiscence.
MAIN OUTCOME MEASURES: Statistical analysis using the chi square test.
RESULTS: Significant factors (p<0.05) included age over 65 years, emergency operation, cancer, haemodynamic instability, intra-abdominal sepsis, wound infection, hypoalbuminaemia, ascites, obesity, and steroids. Risk factors that were not significant included sex, anaemia, diabetes mellitus and pulmonary disease. Overall morbidity and mortality were 30% and 16%, respectively. The mortality and the possibility of dehiscence seem to correlate directly with the number of risk factors.
CONCLUSION: Patients with these risk factors require more attention and special care to minimise the risk of its occurrence.
Second Surgical Department of Medical Faculty of the Aristoteles University of Thessaloniki, G Gennimatas Hospital, Greece.