Wound dehiscence: is still a problem in the 21th century: a retrospective study
| Autor: | Anastasios D Datsis, Georgios Zacharis, Konstantinos Giafis, Konstantinos Tsiveriotis, Archodoula Vaxevanidou, John Spiliotis, Spyros P. Kekelos, Athanasios Rogdakis |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Anemia business.industry Wound dehiscence medicine.medical_treatment Mortality rate lcsh:Surgery lcsh:Medical emergencies. Critical care. Intensive care. First aid Retrospective cohort study lcsh:RD1-811 lcsh:RC86-88.9 medicine.disease Surgery Sepsis Laparotomy Diabetes mellitus medicine Emergency Medicine Wound healing business Research Article |
| Zdroj: | World Journal of Emergency Surgery : WJES World Journal of Emergency Surgery, Vol 4, Iss 1, p 12 (2009) |
| ISSN: | 1749-7922 |
| Popis: | Background The aim of this study was to evaluate the risk factors of wound dehiscence and determine which of them can be reverted. Methods We retrospectively analyzed 3500 laparotomies. Age over 75 years, diagnosis of cancer, chronic obstructive pulmonary disease, malnutrition, sepsis, obesity, anemia, diabetes, use of steroids, tobacco use and previous administration of chemotherapy or radiotherapy were identified as risk factors Results Fifteen of these patients developed wound dehiscence. Emergency laparotomy was performed in 9 of these patients. Patients who had more than 7 risk factors died. Conclusion It is important for the surgeon to know that wound healing demands oxygen consumption, normoglycemia and absence of toxic or septic factors, which reduces collagen synthesis and oxidative killing mechanisms of neutrophils. Also the type of abdominal closure may plays an important role. The tension free closure is recommended and a continuous closure is preferable. Preoperative assessment so as to identify and remove, if possible, these risk factors is essential, in order to minimize the incidence of wound dehiscence, which has a high death rate. |
| Databáze: | OpenAIRE |
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