The following is an excerpt....
BASICS
Description
- Wound disruption/dehiscence is the postoperative separation of
one or more abdominal musculoaponeurotic layers.
- WI is the separation of suprafascial layers, including skin and
subcutaneous tissue.
- WI may result from infection or aseptic failure of suture or staples.
- WD involves separation of fascia and muscle and may be with or
without evisceration.
- WD usually occurs between postoperative days 5 and 10.
- WD with or without evisceration is a surgical emergency.
- Recent reviews quote a 25% average mortality rate.
- Most common cause of death is cardiorespiratory compromise (50%);
peritonitis is the second most common cause (15%).
Epidemiology
Incidence
- Up to 2.5% of patients undergoing clean contaminated surgeries,
and up to 20% undergoing intra-abdominal operations will develop surgical ...
You must be logged in to fully access this content.
Sign up for a 30-Day Free Trial
Sign up for a 30-Day FREE Trial now and receive access to all content.
Have a book code?
Submit your book code to create your
FREE standard account.