TITLE

Management of Laparotomy Wound Dehiscence

AUTHOR(S)
Abbott, Daniel E.; Dumanian, Gregory A.; Halverson, Amy L.
PUB. DATE
December 2007
SOURCE
American Surgeon;Dec2007, Vol. 73 Issue 12, p1224
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Many studies identify risk factors for dehiscence, but a paucity of data exist suggesting an optimal treatment strategy. This study examines repair of abdominal wound dehiscence, comparing closure and interposition of mesh. We conducted a retrospective review of 37 individuals who suffered a wound dehiscence after laparotomy. Outcomes of repairs with either primary closure or polyglactin mesh interposition were examined. Twenty-seven individuals underwent repair with primary closure. Twelve of these individuals suffered repeat wound dehiscence; 10 were treated with repeat fascial closure, 2 with polyglactin mesh interposition. Seven individuals initially underwent successful repair with polyglactin mesh interposition; all subsequently had their hernias repaired. Three patients had minor fascial separation managed nonoperatively. Primary closure is associated with a relatively high rate of recurrent wound dehiscence. Closure with polyglactin mesh interposition has a higher initial success rate, but necessitates additional surgeries for repair of the abdominal wall defect.
ACCESSION #
28026236

 

Related Articles

  • V.A.C.® Abdominal Dressing System. Labler, Ludwig; Zwingmann, Jörn; Mayer, Dieter; Stocker, Reto; Trentz, Otmar; Keel, Marius // European Journal of Trauma;Oct2005, Vol. 31 Issue 5, p488 

    Background and Purpose: The study reports experience with the recently commercially available V.A.C.® Abdominal Dressing System, a system designed for a temporary closure of an open abdomen situation under negative pressure. The method allows a late primary fascial closure after laparotomy in...

  • Crohn's Disease and Wound Healing. WALLACE, SOPHIE // Journal of Stomal Therapy Australia;Jun2014, Vol. 34 Issue 2, p18 

    No abstract available.

  • Management of a complex abdominal wound: a case study. Tay Ai Choo; Ong Choo Eng // Wound Practice & Research;Sep2011, Vol. 19 Issue 3, p118 

    The management of complex abdominal dehiscence can be most challenging, especially when the challenge is compounded by a need to manage high fistulae output. This case study outlines the innovative management of a complex abdominal wound in a 56-year-old Chinese female. The patient had multiple...

  • SPONTANEOUS COLOSTOMY: APPLICATION OF NEGATIVE PRESSURE THERAPY (NPWT).  // World Council of Enterostomal Therapists Journal;Oct-Dec2011, Vol. 31 Issue 4, p22 

    An abstract of the article "Spontaneous Colostomy: Application of Negative Pressure Therapy (NPWT)," by Emilia Mateo and Immaculada Davin is presented.

  • Latrogenic splenic injury: Prevention and treatment. Sharma, Dhananjaya // Indian Journal of Surgery;May/Jun2004, Vol. 66 Issue 3, p146 

    Offers information on iatrogenic splenic injury, a complication associated with abdominal surgery. Anatomy of the spleen; Types of splenic injury; Risk factors for iatrogenic splenic trauma; Ways to prevent iatrogenic splenic injury.

  • Mesh repair for postoperative wound dehiscence in the presence of infection: is absorbable mesh safer than non-absorbable mesh? van't Riet, M.; de Vos Steenwijk, P. J.; Bonjer, H. J.; Steyerberg, E. W.; Jeekel, J. // Hernia;Oct2007, Vol. 11 Issue 5, p409 

    In patients with postoperative wound dehiscence in the presence of infection, extensive visceral oedema often necessitates mechanical containment of bowel. Prosthetic mesh is often used for this purpose. The aim of the present study was to assess the safety of the use of non-absorbable and...

  • Trauma abdominal «cerrado» en niños. Experiencia en 24 niños. Fuentes-Rivas, Adolfo // Revista Mexicana de Pediatria;sep/oct2011, Vol. 78 Issue 5, p192 

    The surgical findings in 24 children with abdominal trauma are presented the average age of the injured patients was 9 years, six were women and 18 men, most of them were injuries by common cause was motor vehicles accidents in 12, 8 of them had splenic injuries followed by liver injury in 6....

  • HOW TO SUCCEED WITH WET-TO-DRY DRESSINGS. Chang, Lana Fourshee; Chang, Lana Foushee // RN;Jan79, Vol. 42 Issue 1, p63 

    Presents guidelines for nurses on applying wet-to-dry dressings. Function of wet-to-dry dressings to debride the wound; Step-by-step guide to proper procedure; Selection of the right type of solution used to soak the dressing. INSET: WET-TO-DRY DRESSINGS: Step-by-Step guide to proper....

  • Secondary wound dressings: an evaluation of Alldress. Gray, David G.; White, Richard; Russell, Fiona; Cooper, Pam J. // British Journal of Nursing;9/26/2002, Vol. 11 Issue 17, p1157 

    Describes the management of cases where Alldress was used as secondary wound dressing. Clinical and cost implications; Comparison with alternative dressings; Level of clinical performance required to administer the dressing.

Share

Read the Article

Courtesy of AIRBUS FRANCE S.A.S.

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics