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KMID : 1144920180140020074
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Journal of Wound Management and Research
2018 Volume.14 No. 2 p.74 ~ p.79
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Causes of Surgical Wound Dehiscence: A Multicenter Study
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Chun Jeong-Jin
Yoon Seok-Min
Song Woo-Jin
Jeong Hyun-Gyo
Choi Chang-Yong
Wee Syeo-Young
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Abstract
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Surgical wound dehiscence is a postoperative complication involving breakdown of surgical incision site. Despite the increased knowledge of wound healing mechanism before and after surgery, wound dehiscence may increase the length of hospital stay, increase patient inconvenience and rates of re-operation. The purpose of this study was to analyze the causes of wound dehiscence in patients undergoing reoperation at 4 hospitals of Soonchunhyang Medical Center. The number of patients in each hospital and those operated previously were compared. In addition, other characteristics of patients were compared in patients who underwent reoperation. In 22 out of 1,026 patients consulted at the Seoul hospital, 32 cases out of 1,295 at Bucheon hospital, 14 cases out of 1,687 at Cheonan hospital and 15 cases out of 374 at Gumi hospital, wound revision was performed for wound dehiscence. Patients at the Department of Obstetrics and Gynecology were the most common and included 33 patients (39.8%). The most common intervention before wound revision was Cesarean section in 14 patients (19.3%). In this study, we retrospectively reviewed patients who underwent wound revision due to wound dehiscence and analyzed the underlying causes of the postoperative complication.
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KEYWORD
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Surgical wound dehiscence, Postoperative complications, Reoperation
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