wound dehiesensce

4.  1 to 3% of all abdominal operations.
 Develops 7 to 10 days Post-op.
 Anytime after Surgery, D1 to D20
 It’s a morbid complication.
 Mortality rate -16%
 Male to Female ratio: 2:1
 Age - < 45 yrs – 1.3%
 > 45 yrs – 5.4%

13. Bleeding
Swelling
Redness
Pain
Unexplained fever
Unexplained tachycardia
 Unusual wound pain
 Broken sutures
 The wound opening
spontaneously
 Pus and /or frothy drainage
 Paralytic ileus

19. • If patient is unstable and there hasbeenno
evisceration
• Involves either gauzepacking of the woundor
covering it with asterile occlusivedressing

20. • Abdominal binder may be used to support
disrupted abdominal wound

26. Preoperative
• Correct the precipitating
• Prophylactic antibiotics
Per-operative
• Choice of suture –non-absorbable suture for wound
closure
• Tension free closure
• Good surgical technique and principles