In spite of extensive laboratory and clinical studies have been devoted to clarify the pathogenesis of wound dehiscence, this serious complications still persists and make various problems to both surgeons and patients.
Many laboratory studies have emphasized that poor wound healing and final wound dehiscence may be secondary to malnutrition, anemia, hypoproteinemia and/or vitamin deficiency, and clinical studies have suggested that local wound factors (liematoma, infection, foreign bodies, poor surgical technique, suture materials, and type of incision) and systemic factors(malnutrition,hypoproteinemia, anemia, vitamin deficiency; coughing from pulmonary disease, abdominal distention, debilitating diseases, steroid and,. advanced age) may play a role in wound dehiscence.
The´ purpose of this paper is to review our experience of the patients with a abdominal wound dehiscence who were admitted and treated in Yonsei Medical Center during the period between 1967 and 1974, and to evaluated its possible causes and clinical patterns in Korea and to suggest proper management. There have been 47 complete wound disruptions in that period.
The following results were obtained:
1. The incidence of abdominal wound dehiscence was 1.17%.
2. Preponderence in males (male to female 3.7 to 1) and age between 50 and 60 3. The most common primary disease was cancer
4. The common operations caused wound dehiscence were gastroduodenal, small and large intestine and exploratory laparotomy.
5. Wound dehiscence most commonly occured on postoperative 8 th day.
6. The commonest incision in wound dehiscence was upper abdominal incision mainly
right upper paramedian one, but the comparison between vertical and transverse incision
was impossible in this series due to exclusive use of vertical incision. 7. Its common complication was wound infection.
8, The mortality rate was 23.5%.
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