A PROSPECTIVE AND COMPARATIVE STUDY ON ABDOMINAL WOUND DEHISCENCE AND ITS MANAGEMENT IN A TERTIARY CARE CENTRE

Dr Binod Kumar; Dr Roshani Prasad; Dr Sushil Kumar; Dr Kumari Rashmi

Volume : VIII, Issue : XII, December - 2019

A PROSPECTIVE AND COMPARATIVE STUDY ON ABDOMINAL WOUND DEHISCENCE AND ITS MANAGEMENT IN A TERTIARY CARE CENTRE

Dr Binod Kumar, Dr Roshani Prasad, Dr Sushil Kumar, Dr Kumari Rashmi

Abstract :

OBJECTIVES: To find out the effective way of management of abdominal wound dehiscence after emergency laprotomy. MATERIAL AND METHODS: This study was carried out in Department of Surgery, PMCH, Patna from June 2017 to May 2018. A total of 65 patients undergoing emergency laprotomy through a midline incision were included in the study. They were followed by wound examination from second post operative day onwards to see normal or otherwise healing and findings were recorded. The cases of wound dehiscence were divided into two groups i.e. group A, managed with thorough abdominal wound dressings only and group B, managed with thorough abdominal dressing and later on by tension suturing. RESULTS: 10 patients (15.3%) develop wound dehiscence. Out of 10, 6 patients were from Group A who were managed by regular abdominal wound dressing while the rest by deep tension suture. The outcome of deep tension suture was associated with less morbidity, less number of further surgeries and low mortality. CONCLUSION: Thorough abdominal wash with copiuos amount of normal saline followed by regular dressing and then deep tension suturing is still an effective way of management of patient with wound dehiscence.