TITLE

Burst Abdomen - A Grave Postoperative Complication

AUTHOR(S)
Parmar, Girish; Gohil, Ajit; Hathila, V. P.
PUB. DATE
May 2009
SOURCE
Internet Journal of Surgery;2009, Vol. 20 Issue 1, p8
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
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.
ACCESSION #
47659795

 

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