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Pathophysiology and Prevention

A. Gerson Greenburg, MD, PhD; Richard P. Saik, MD; Gerald W. Peskin, MD

Arch Surg. 1979;114(2):143-146.

Abstract
• A review of 32 abdominal wound dehiscences in a five-year period shows an incidence of 0.51%. Important factors are preexisting pulmonary disease, "malnutrition," intraoperative contamination (often minimal), gastrointestinal distention, and aggressive tracheobronchial toilet in the postoperative period. Incision direction and type of closure have little influence on dehiscence rates. Wound dehiscence results in a substantial prolongation of hospital stay. Promptly recognized and treated, wound dehiscence is no longer a highly lethal complication.

(Arch Surg 114:143-146, 1979)

Author Affiliations
From the Departments of Surgery, Veterans Administration Hospital and the University of California, San Diego.

Footnotes
Accepted for publication July 12, 1978.

Reprint requests to Department of Surgery, Veterans Administration Hospital, 3350 La Jolla Village Dr, San Diego, CA 92161 (Dr Greenburg).

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