Abdominal Wound Dehiscence: A Review of Risk Factors, Prevention and Management in Obstetrics and Gynecology Practice

Authors

  • Gezta Nasafir Hermawan Department of Obstetrics and Gynecology, Faculty of Medicine, Pelita Harapan University, Siloam Hospitals Lippo Village
  • Jacobus Jeno Wibisono Department of Obstetrics and Gynecology, Faculty of Medicine, Pelita Harapan University, Siloam Hospitals Lippo Village
  • Lidya F Nembo Department of Obstetrics and Gynecology, Ende District General Hospital, East Nusa Tenggara

DOI:

https://doi.org/10.19166/med.v8i3.3767

Keywords:

Abdominal Wound Dehiscence, Clinical Review, Risk Predictors, Management

Abstract

Abdominal wound dehiscence (AWD) is considered as a severe postoperative complication in which there is a partial or complete disruption of an abdominal wound closure with or without protrusion and evisceration. The incidence and mortality rate varies in different health centers. Risk factors are classified into three groups, which includes: pre-operative, intra-operative, and post-operative. The management of Burst Abdomen or Wound Dehiscence is diverse from conservative treatment to surgical treatment.

References

  1. Kapoor K, Hassan M. A clinical study of abdominal wound dehiscence with emphasis on surgical management in Bangalore medical college and research institute, Karnataka, India; 2016. https://doi.org/10.18203/2349-2902.isj20164078
  2. Mahmoud N, Kulaylat MD, Dayton MT. Surgical complications. Sabiston text book of surgery 19th edn; 2012:283-284. https://doi.org/10.1016/B978-1-4377-1560-6.00013-5
  3. Ningrum TP, Mediani HS, Isabella C. Factors correlating of wound dehiscence in patients after laparatomy at Dr Hasan Sadikin General Hospital Bandung. 2017;5(2);172-83.
  4. Vardhini KV, Kishan D. Incidence and risk factors influencing morbidity and mortality in cases of burst abdomen after emergency and elective midline laparotomies. International Surgery Journal. 2018;5(11):3471. https://doi.org/10.18203/2349-2902.isj20184611
  5. Muhar AM, Lutfi F, Sirait L. Risk factors affecting the difference of surgery's wound after emergency laparotomy in H. Adam Malik Hospital Medan-Indonesia. Bali Medical Journal. 2017;6(1):223-6. https://doi.org/10.15562/bmj.v6i1.559
  6. Naeem M, Khattak IA, Samad A, Waheed R. Burst abdomen: A common surgical problem. Journal of Medical Sciences (Peshawar). 2017;25(2):213-7.
  7. NK, Shekhar S. Study of burst abdomen: it's causes and management. International Surgery Journal. 2018;5(3):1035.
    https://doi.org/10.18203/2349-2902.isj20180826
  8. de Beaux AC. Abdominal wall closure. British Journal of Surgery. 2019;106(3):163-4.
    https://doi.org/10.1002/bjs.11081
  9. Saad AR. Risk Factors of Abdominal Wound Dehiscence: Evaluation and Outcome. Al-Nahrain College of Medicine. 2019.
  10. Burger J, Riet M, Jeekel J. Abdominal Incisions: Techniques and Postoperative Complications. Scandinavian Journal of Surgery. 2002;91:315-32.
    https://doi.org/10.1177/145749690209100401
  11. Kingsbury B, Rathore S, Chelliah H, Londhe V, Benjamin SJ, Mathews J. Risk factors for peripartum wound dehiscence. Journal of Clinical and Diagnostic Research. 2018;12(11):11-4. https://doi.org/10.7860/JCDR/2018/37763.12232
  12. Podder AR, Jyothi GS. Burst Abdomen: A Preventable Complication in Gynecological Oncology. Indian Journal of Gynecologic Oncology. 2016;14(4):1-9.
    https://doi.org/10.1007/s40944-016-0087-8
  13. Bartlett D, Kingsnorth A. Abdominal Surgery: Abdominal wound dehiscence and incisional hernia. 27th ed. Elsevier; 2009. https://doi.org/10.1016/j.mpsur.2009.05.001
  14. Falola RA, Tilt A, Carroll AM, Kim MJ, Bowles-Johnson G, Attinger CE, et al. Management of Abdominal Wound Dehiscence Following Cesarean Section: The Case for Debridement and Immediate Primary Re-Closure. ClinSurg. 2018; 3: 1881.

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Published

2021-06-02

Issue

Vol. 10 No. 2 (2021): February : 2021

Section

Articles

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