Your SlideShare is downloading. ×
Burst abdomen
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Burst abdomen

2,325

Published on

Seminar on burst abdomen.

Seminar on burst abdomen.

Published in: Health & Medicine, Business
1 Comment
2 Likes
Statistics
Notes
No Downloads
Views
Total Views
2,325
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
82
Comments
1
Likes
2
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. By Sanjay GeorgeBURST ABDOMEN
  • 2. INTRODUCTION• It is the disruption of an abdominal wound,occurring usually between the 6th and 8th daysafter an operation.• Usually sutures opposing the deep layers, i.e..Peritoneum and rectus sheath tear throughcausing burst abdomen.
  • 3. CLINICAL FEATURES• A sudden feeling of giving away from the wound – onthe 6th to 8th postoperative day often precipitated bybouts of severe cough.• Pinkish serosanguinous discharge from the wound.• Often omentum or coils of intestine are forced out ofthe wound.• Pain and shock is often present.• Clinically burst abdomen can be diagnosed without fail.
  • 4. FACTORS RELATED TO BURST ABDOMEN• Choice of suture materials used.• Method of closure : Continuous sutures more likely todisrupt than interrupted sutures.• Midline and vertical wounds are more likely to disrupt thantransverse.• Surgical wounds of peritonitis, acute abdomen, majorsurgeries like pancreatic, hepatic, gastric, surgeries formalignancies have a high incidence of disruption.• Severe cough, vomiting and distension in early post-operative period.• Poor general condition of patient – Anemia, jaundice,hypoproteinemia, obesity, uremia and diabetes mellitus.
  • 5. TREATMENT• Nasogastric aspiration• IV fluids• Emergency surgery
  • 6. SURGERY• Each protruding coil of intestine is gently washed withsaline solution and returned to the abdominal cavity.• Protruding greater omentum treated similarly and spreadover the intestine.• Having cleansed the abdominal wall all layers areapproximated by through and through sutures ofmonofilament nylon, which may be passed throughthrough a soft rubber or plastic tube collar.• The abdominal wall may be supported by strips ofadhesive plaster encircling the anterior two thirds of thecircumference of the trunk.• Antibiotic therapy is started.• Wound usually heals well without second dehiscence.Late problem, maybe development of incisional hernia.

×