Management of laparotomy wound dehiscence

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Many studies identify risk factors for dehiscence, but a paucity of data exist suggesting an optimal treatment strategy. This study examines repair of abdominal wound dehiscence, comparing closure and interposition of mesh. We conducted a retrospective review of 37 individuals who suffered a wound dehiscence after laparotomy. Outcomes of repairs with either primary closure or polyglactin mesh interposition were examined. Twenty-seven individuals underwent repair with primary closure. Twelve of these individuals suffered repeat wound dehiscence; 10 were treated with repeat fascial closure, 2 with polyglactin mesh interposition. Seven individuals initially underwent successful repair with polyglactin mesh interposition; all subsequently had their hernias repaired. Three patients had minor fascial separation managed nonoperatively. Primary closure is associated with a relatively high rate of recurrent wound dehiscence. Closure with polyglactin mesh interposition has a higher initial success rate, but necessitates additional surgeries for repair of the abdominal wall defect.

Original languageEnglish (US)
Pages (from-to)1224-1227
Number of pages4
JournalAmerican Surgeon
Volume73
Issue number12
StatePublished - Dec 1 2007

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Polyglactin 910
Laparotomy
Wounds and Injuries
Abdominal Wall
Hernia
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Abbott, Daniel E. ; Dumanian, Gregory Ara ; Halverson, Amy L. / Management of laparotomy wound dehiscence. In: American Surgeon. 2007 ; Vol. 73, No. 12. pp. 1224-1227.
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Management of laparotomy wound dehiscence. / Abbott, Daniel E.; Dumanian, Gregory Ara; Halverson, Amy L.

In: American Surgeon, Vol. 73, No. 12, 01.12.2007, p. 1224-1227.

Research output: Contribution to journalArticle

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