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Wound Dehiscence:

Wound Dehiscence Dr. Neeraj Kumar Jain

Wound Dehiscence :

Wound Dehiscence Wound dehiscence is the parting of the layers of a surgical wound. Either the surface layers separate or the whole wound splits open.

Causes :

Causes Wound dehiscence varies depending on the kind of surgery . The following is a list of generalized causes: Infection at the wound Pressure on sutures Sutures too tight Injury to the wound area Weak tissue or muscle at the wound area Incorrect suture technique used to close operative area Poor closure technique at the time of surgery Use of high-dose or long-term corticosteroids

Risk Factors :

Risk Factors The following factors increase your chance of developing wound dehiscence. Overweight Increasing age Poor nutrition Diabetes Smoking Malignant growth Presence of prior scar or radiation at the incision site Non-compliance with post-operative instructions (such as early excessive exercise or lifting heavy objects) Surgical error Increased pressure within the abdomen due to: fluid accumulation ( ascites ); inflamed bowel; severe coughing, straining, or vomiting Long-term use of corticosteroid medications Other medical conditions, such as diabetes , kidney disease,cancer , immune problems, chemotherapy , radiation therapy

Symptoms :

Symptoms Pain Swelling Redness Fever Bleeding Broken sutures Open wound

Diagnosis :

Diagnosis Laboratory Tests Wound and tissue cultures to determine if there is an infection Blood tests to determine if there is an infection Imaging Studies X-ray to evaluate the extent of wound separation Ultrasound to evaluate for pus and pockets of fluid CT scan to evaluate for pus and pockets of fluid

Treatment :

Treatment Drug Therapy Antibiotic therapy Medical Treatment When appropriate, frequent changes in wound dressing to prevent infection When appropriate, wound exposure to air to accelerate healing and prevent infection, and allow growth of new tissue from below Surgical Intervention Surgical removal of contaminated, dead tissue Resuturing Placement of a temporary or permanent piece of mesh to bridge the gap in the wound

Prevention :

Prevention When appropriate, have antibiotic therapy prior to surgery. When appropriate, have antibiotic therapy after surgery. When using wound dressing, maintain light pressure on wound. Keep wound area clean.

Thanking you:

Thanking you

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