CLINICAL PROFILE AND MANAGEMENT OF PATIENTS WITH ABDOMINAL WOUND DEHISCENCE

Objective: To determine the clinical profile and management of patients with abdominal wound dehiscence. Patients And Methods: A total of fifty patients clinically presented as gaping of abdominal wound and discharge from the site recruited in this one year cross sectional study (2015-16) conducted at tertiary care hospital while the Each case was examined clinically and properly in systematic manner and an elaborative study of history based on chief complaints, significant risk factors, investigations, time and type of surgery performed and postoperative events and day of onset of wound dehiscence whereas the frequency / percentages (%) and means ±SD computed for study variables. Results: During six month study period total fifty patients having abdominal wound dehiscence were explored and study. The mean ± SD for age (yrs) of population was 55.41±8.72. The elective surgery was done in 18 (36%) and emergency surgery in 32 (64%), the hospital stay (days) [mean ±SD] was 24.85 ± 6.73 while the mortality was identified in 08 (16.0%). The procedures leading to abdominal wound dehiscence were perforation closure 28 (56%), resection and anastomosis 10 (20%), appendicectomy 04 (8.0%) and others 08 (16%). Conclusion: The incidence of abdominal wound dehiscence and burst abdomen is more common in patients with vertical incision than in those with transverse incision. Keywords: Wound, dehiscence, surgical interventio