Wound dehiscence
Wound dehiscence is a surgical complication where a wound ruptures along a surgical incision. This can occur due to various factors such as poor surgical technique, infection, or excessive tension on the wound.
Causes[edit | edit source]
Wound dehiscence can be caused by a number of factors. These include:
- Infection: This is one of the most common causes of wound dehiscence. Infections can weaken the tissue around the wound, making it more likely to rupture.
- Poor surgical technique: If the surgeon does not properly close the wound, it can lead to dehiscence. This includes not using enough sutures, not placing them correctly, or not tying them tightly enough.
- Excessive tension: If there is too much tension on the wound, it can cause it to rupture. This can be caused by things like swelling, coughing, vomiting, or straining during bowel movements.
- Malnutrition: If the patient is not getting enough nutrients, it can weaken their tissue and make it more likely for the wound to rupture.
- Steroid use: Steroids can weaken the immune system and make it harder for the body to heal wounds.
Symptoms[edit | edit source]
The symptoms of wound dehiscence can vary depending on the severity of the rupture. They can include:
- Pain: This is often the first symptom of wound dehiscence. The pain can be severe and is usually located around the wound.
- Bleeding: If the wound ruptures, it can cause bleeding. This can range from a small amount of blood to a large amount that requires immediate medical attention.
- Visible organs: In severe cases, the organs underneath the wound can become visible. This is a medical emergency and requires immediate attention.
Treatment[edit | edit source]
The treatment for wound dehiscence depends on the severity of the rupture. It can include:
- Wound care: This involves cleaning the wound and applying dressings to protect it from infection.
- Surgery: In severe cases, surgery may be needed to repair the wound. This can involve using sutures or staples to close the wound.
- Antibiotics: If the wound is infected, antibiotics may be prescribed to help fight the infection.
Prevention[edit | edit source]
Preventing wound dehiscence involves taking steps to reduce the risk factors. This can include:
- Proper surgical technique: This involves using the correct number of sutures, placing them correctly, and tying them tightly enough.
- Nutrition: Ensuring the patient is getting enough nutrients can help strengthen their tissue and reduce the risk of wound dehiscence.
- Avoiding excessive tension: This can involve avoiding activities that put strain on the wound, such as lifting heavy objects or straining during bowel movements.
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