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2000, Number 5

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Cir Cir 2000; 68 (5)

Risk factors for wound dehiscence

Sánchez-Fernández P, Mier DJ, Castillo-González A, Blanco-Benavides R, Zárate-Castillo J

Language: Spanish
References: 18
Page: 198-203
PDF size: 90.08 Kb.


ABSTRACT

Objective: To identify surgical wound dehiscence risk factors. Methods: Use of file review with two groups: dehiscence and control group. Sex, age, previous diseases, type of surgery, surgical complications, nutritional status, and interval between the day of surgery and time of dehiscence. Statistical analysis was done. Results: From January 1987 to January 1997, 9,897 surgical procedures were done; seventy-two dehiscence events were presented. Forty-eight men and twenty-four women were included, and included 33 elective procedures and 39 urgent procedures. Colon was the most frequent organ that underwent surgery. Diabetes mellitus and chronic obstructive pulmonary disease were the most frequent previous diseases. Risk factors with statistical significance were wound infection, low albumin, pulmonary disease and cough. Time between surgical procedure and wound dehiscence was an average 2.7 days. Conclusions: Patients with risk factors for wound dehiscence must be identified and treated to avoid this complication.


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