Burst Abdomen - A Grave Postoperative Complication

Parmar, Girish; Gohil, Ajit; Hathila, V. P.
May 2009
Internet Journal of Surgery;2009, Vol. 20 Issue 1, p8
Academic Journal
Introduction: Burst abdomen represents one of the most frustrating and difficult post-operative complications experienced by surgeons who do a significant volume of surgery. Burst abdomen occurs because of various preoperative, operative and postoperative predisposing factors which can be prevented to some extend by having knowledge regarding them. Burst abdomen can be treated successfully to decrease morbidity and mortality due to it. Aims of Study: The purpose of this study was to review the patients who underwent laparotomy for various intraabdominal conditions and developed burst abdomen, to study various preoperative, operative and postoperative predisposing factors associated with development of burst abdomen, to know the rates of incidence, morbidity and mortality due to burst abdomen and also to study the management of burst abdomen. Patients and Method: Sixty cases of burst abdomen were studied who were admitted either as emergencies or planned indoor patients and underwent laparotomy for various intraabdominal pathologies. Various factors which have influence on the occurrence of burst abdomen were carefully studied. Management and outcome of the patients were also studied. Result: Burst abdomen occurs in the middle age group with a male to female ratio of 4.5:1 and with an incidence rate of 5.6%. High incidence of burst abdomen was noticed in patients with gastrointestinal perforation and in patients who had emergency laparotomy with vertical midline incision. Preoperative predisposing factors like cough, anemia, hypoproteinemia and postoperative factors like cough, wound infection, uremia, abdominal distention, bowel leakage, vomiting, electrolyte imbalance and ascites have significant influence on the incidence of burst abdomen. It can be treated either conservatively or by suturing with a mortality rate of 10%. Conclusion: Burst abdomen is a serious sequel of impaired wound healing. Many factors predispose to this grave complication. Knowledge of the more common mechanisms and how to avoid or overcome these hazards will help to reduce the incidence of this dangerous complication.


Related Articles

  • Pathogenesis and clinical and economic consequences of postoperative ileus. Senagore, Anthony J. // American Journal of Health-System Pharmacy;10/15/2007 Supplement, Vol. 64, pS3 

    Purpose. The pathogenesis, etiology, clinical manifestations, and clinical and economic consequences of postoperative ileus (POI) in patients undergoing major abdominal surgery; the estimated prevalence of POI; the potential cost savings from efforts to shorten hospital length of stay (LOS); and...

  • Abdominal Cerrahi GiriÅŸim Uygulanan Hastalarda Görülen Erken Dönem Sorunları ve Bu Sorunlara Yönelik HemÅŸirelik Uygulamaları. İZVEREN, Aynur Özkum; DAL, Ümran // Hacettepe University Faculty of Health Sciences Nursing Journal;2011, Vol. 18 Issue 2, p36 

    Objective: This research was done as a descriptive study to determine the early complications after abdominal surgery intervention and to determine the appropriate nursing practices related to these complications. Materials: The research sample consisted of 67 patients who had abdominal surgery...

  • Do Preexisting Abdominal Scars Threaten Wound Healing in Abdominoplasty? Shermak, Michele A.; Mallalieu, Jessie; Chang, David // ePlasty: Open Access Journal of Plastic Surgery;2010, Vol. 10, p101 

    Purpose: Abdominal scars may impair healing after abdominoplasty. We aimed to determine whether right subcostal or upper midline scars led to increased wound healing problems. Methods and Materials: Review of all patients who had abdominoplasty from March 1998 to February 2008 was performed....

  • Hyaluronate carboxymethylcellulose-based bioresorbable membrane (Seprafilm) reduces adhesion under the incision to make unplanned re-laparotomy safer. Hashimoto, Daisuke; Hirota, Masahiko; Yagi, Yasushi; Baba, Hideo // Surgery Today;Sep2012, Vol. 42 Issue 9, p863 

    Purpose: Hyaluronate carboxymethylcellulose-based bioresorbable membrane (HC membrane; Seprafilm) is used to prevent postoperative adhesion. We conducted this study to assess the effectiveness of the HC membrane in reducing the severity of adhesions in patients undergoing unplanned...

  • Surgical Wound Dehiscence. Hahler, Barbara // MEDSURG Nursing;Oct2006, Vol. 15 Issue 5, p296 

    Dehiscence is postoperative wound separation that involves all layers of the abdominal wall. It is associated with death, prolonged hospital stays, and incisional herniation (Khan, Naqvi, Irshad, & Chaudhary, 2004). Because medical-surgical nurses frequently care for postoperative patients,...

  • Reintervención quirúrgica abdominal en pacientes en cuidados intensivos. Mancini Bautista, Pierina; Peña-Sánchez, E. R.; Mendiola, Andrea; Sánchez, Hernán; García, Ana; Del Castillo, Mario; Luis Rojas Vilca, José // Revista Medica Herediana;oct-dic2012, Vol. 23 Issue 4, p271 

    No abstract available.

  • Postoperatif peritoneal yapışıklıkların oluÅŸumu ve klinik önemi. Başbuğ, Murat; Arıkanoğlu, Zülfü // Journal of Clinical & Experimental Investigations / Klinik ve De;2010, Vol. 1 Issue 2, p134 

    Abdominal adhesions following abdominopelvic surgical interventions are well-known causes of increased morbidity and mortality at early and late postoperative period. It is suggested that intraabdominal adhesions are thought to be developed secondary to peritoneal or bowel serosal surface...

  • Surgical therapy and empirical antibacterials are sufficient in most patients with complicated intra-abdominal infections. Capilla Montes, Cristina; Bonilla Porras, Macarena; Delgado Silveira, Eva; Ramallal Jimenez-del Llano, Maria // Drugs & Therapy Perspectives;Jul2006, Vol. 22 Issue 7, p8 

    Intra-abdominal infections are potentially fatal and are a common complication of abdominal surgery. They should be treated with surgical source control, including drainage, debridement and anatomical/functional restoration. There are several key questions that need to be addressed to...

  • Spezielle Gesichtspunkte postoperativer Komplikationen in der Viszeralchirurgie. H. Bartels // Der Chirurg;Sep2009, Vol. 80 Issue 9, p780 

    Zusammenfassung  Nach großen viszeralchirurgischen Eingriffen ist mit postoperativen Komplikationen in 10% der Fälle zu rechnen. Davon sind >80% „chirurgische“ Komplikationen, >70% septische Komplikationen und >60% Folgen einer Anastomoseninsuffizienz, die weiterhin die...


Read the Article


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

Try another library?
Sign out of this library

Other Topics