THE EFFICACY OF NEW SCORING SYSTEM TO PREDICT BURST ABDOMEN.

Dr Sreenidhi G M; Dr Vidyashri Hanmanthappa Biral; Dr Fransisco V Jose

Volume : IX, Issue : III, March - 2020

THE EFFICACY OF NEW SCORING SYSTEM TO PREDICT BURST ABDOMEN.

Dr Sreenidhi G M, Dr Vidyashri Hanmanthappa Biral, Dr Fransisco V Jose

Abstract :

INTRODUCTION: The frequency of burst abdomen in the international data ranged from 0.4% to 3.5%.1–3 and in India it is about 4.8–6.6% 4–5 . Wound dehiscence is the partial or complete disruption of an abdominal wound closure with or without the protrusion or evisceration of abdominal contents. Dehiscence of the wound occurs before the cutaneous healing. It is associated with the mortality of–19–45%6. Because of its high mortality, it is essential to use preventive steps in the peri–operative period. The major risk factors for burst abdomen are–Malnutrition, obesity, anemia, infection, cough, distention of abdomen, malignancy, diabetes mellitus and immunocompromised state. Frequency of burst abdomen is higher following emergency laparotomies (14.89%) than elective laparotomy (2.7%). Prophylactic reinforced tension suturing prevents burst abdomen. MATERIALS AND METHODS: The study conducted includes 144 patients who underwent laparotomy under emergency and elective basis. Pre–operative and post–operative examination was done and scoring was done for 13 indices. Patients were followed up for 11 days post–operatively and daily examination of the operated site was done. RESULT– In the study of 144 patients 122 were operated on emergency basis and 22 on elective basis. Out of total cases 84 patients had score of more than 10(high risk) and 60 patients with low risk. Out of the high risk cases 18 had burst abdomen.