{"doi":"10.36106/gjra/4900524","title":"A CLINICAL STUDY OF ABDOMINAL WOUND DEHISCENCE","abstract":"<jats:p>INTRODUCTION:-AWD (abdominal wound dehiscence) is a word that is widely used to describe the\nseparation of different layers of an abdominal wound before it has healed completely. Acute laparotomy\nwound failure and burst abdomen are two more words that are used interchangeably. Wound dehiscence happens when a\nwound does not develop the necessary strength to withstand the demands exerted on it. Dehiscence happens when sutures are\ndisrupted by external pressures, absorbable sutures dissolve too quickly, or tight sutures rip through tissues due to excessive\nstrain. AWD has been a long-standing problem for which no surgical unit has offered a complete solution (i.e. none of the\nsurgical units worldwide has reported 0 percent failure rate). However, numerous institutes around the world have been\nsuccessful in achieving and maintaining failure rates considerably below 1%. These gures, on the other hand, do not deter\nresearchers from continuing their efforts to solve the problem. In the last ten years, there have been a slew of publications\nattempting to explain how to solve this problem. The goal of this study is to assess the prevalence of abdominal wound\ndehiscence in relation to various risk factors, co-morbidities, and treatment options. The study aimed at nding out theAIM:-\nprevalence of abdominal wound dehiscence with respect to demographic factors, nature of preceding surgery and different\nrisk factors and also to study the effective management of abdominal wound dehiscence. An Observational studyMETHODS:-\non 60 patients comprising all patients admitted to Silchar medical College and Hospital a tertiary care center in Assam within\nthe study period of 1st January 2021 to 31st July 2021 with diagnosed abdominal wound Dehiscence after undergoing surgical\ninterventions. :-The majority of the patients in this study were between the ages of 41 and 50. Majority were male.RESULTS\n81.67% were operated as emergency surgery. 66.67% have undergone procedures which are classied as contaminated. (80%)\nwere operated with mid line incision. 58% patients with peritonitis due to hollow viscus perforation. 58.33% had\nhypoalbuminemia. Malnutrition, DM, HT, pulmonary diseases, anemia etc. are important risk factors for wound dehiscence.\nCONCLUSION:-Because of the poor blood supply at Linea Alba, individuals who had a midline laparotomy had a higher risk of\nwound dehiscence than those who had a paramedian laparotomy. Wound dehiscence is more likely in people with a BMI\ngreater than 25, compared to those with a BMI less than 25. In this study wound dehiscence is mainly associated with\ncomplications like hypoproteinemia and pulmonary complications and anaemia.</jats:p>","journal":"GLOBAL JOURNAL FOR RESEARCH ANALYSIS","year":2022,"id":686796,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1794250,"name":"Ratnadeep Paul","orcid":null,"position":1,"is_corresponding":false},{"id":1794251,"name":"Pallav Saikia","orcid":null,"position":2,"is_corresponding":false},{"id":1794249,"name":"Mrinal Talukdar","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"A CLINICAL STUDY OF ABDOMINAL WOUND DEHISCENCE","abstract":"<jats:p>INTRODUCTION:-AWD (abdominal wound dehiscence) is a word that is widely used to describe the\nseparation of different layers of an abdominal wound before it has healed completely. Acute laparotomy\nwound failure and burst abdomen are two more words that are used interchangeably. Wound dehiscence happens when a\nwound does not develop the necessary strength to withstand the demands exerted on it. Dehiscence happens when sutures are\ndisrupted by external pressures, absorbable sutures dissolve too quickly, or tight sutures rip through tissues due to excessive\nstrain. AWD has been a long-standing problem for which no surgical unit has offered a complete solution (i.e. none of the\nsurgical units worldwide has reported 0 percent failure rate). However, numerous institutes around the world have been\nsuccessful in achieving and maintaining failure rates considerably below 1%. These gures, on the other hand, do not deter\nresearchers from continuing their efforts to solve the problem. In the last ten years, there have been a slew of publications\nattempting to explain how to solve this problem. The goal of this study is to assess the prevalence of abdominal wound\ndehiscence in relation to various risk factors, co-morbidities, and treatment options. The study aimed at nding out theAIM:-\nprevalence of abdominal wound dehiscence with respect to demographic factors, nature of preceding surgery and different\nrisk factors and also to study the effective management of abdominal wound dehiscence. An Observational studyMETHODS:-\non 60 patients comprising all patients admitted to Silchar medical College and Hospital a tertiary care center in Assam within\nthe study period of 1st January 2021 to 31st July 2021 with diagnosed abdominal wound Dehiscence after undergoing surgical\ninterventions. :-The majority of the patients in this study were between the ages of 41 and 50. Majority were male.RESULTS\n81.67% were operated as emergency surgery. 66.67% have undergone procedures which are classied as contaminated. (80%)\nwere operated with mid line incision. 58% patients with peritonitis due to hollow viscus perforation. 58.33% had\nhypoalbuminemia. Malnutrition, DM, HT, pulmonary diseases, anemia etc. are important risk factors for wound dehiscence.\nCONCLUSION:-Because of the poor blood supply at Linea Alba, individuals who had a midline laparotomy had a higher risk of\nwound dehiscence than those who had a paramedian laparotomy. Wound dehiscence is more likely in people with a BMI\ngreater than 25, compared to those with a BMI less than 25. In this study wound dehiscence is mainly associated with\ncomplications like hypoproteinemia and pulmonary complications and anaemia.</jats:p>","is_dataset_classified":null,"base_score":0.0,"endowment":0.0,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"26207759","pmcid":null,"openalex_id":"https://openalex.org/W4290072637","authors":[],"funders":[],"total_grants":0,"fwci":0.0,"citation_percentile":0.16784843,"influential_citations":0,"citation_trend":[],"oa_status":"gold","license":null,"oa_locations":[{"url":"https://doi.org/10.36106/gjra/4900524","host_type":"journal"},{"url":"https://doi.org/10.36106/gjra/4900524","host_type":"publisher"}],"fields_of_study":["Hernia repair and management","Abdominal Surgery and Complications","Surgical site infection prevention"],"mesh_terms":[],"keywords":["Medicine","Wound dehiscence","Dehiscence","Abdominal wound","Laparotomy","Surgery","Abdomen","Observational study","Abdominal surgery","General surgery","Internal medicine"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Zero hunger"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-18T20:30:08.069928Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}