Disruption of wound following an abdominal operation, although infrequent, is a serious complication. The most dramatic complication subsequent to laparatomy is complete disruption of the wound involving all layers of abdominal wall with or without evisceration.
The high mortality rate and the heavy cost in time and money to surviving patients are distressing.
Continued emphasis on the causes of failure of wound healing is warranted, in an effort to lower the incidence and mortality rate.
This study was based on the 76 cases of postoperative abdominal wound disruption which were encountered in. the Department of Surgery, Catholic Medical Center during the period of 1966 through 1975.
76 cases of wound disruption had occurred among 6100 cases of abdominal lapaiatomies during the same period.
Cases included in this study of disruption of the wound involve all layers of the abdominal wall.
The authors have analyzed the cases with the respect of age, sex, primary-disease, type of operation, type of incision, laboratory data, the time of disruption and preoperative or postoperative factors which may influenced the wound disruption. The results were as follow: .
1. The overall incidence of abdominal wound disruption was 1.25%
2. The highest incidence of all age groups was in 8th decade. 3. The same incidence in both sexes.
4. The highest incidence of all primary diseases was in hepatobiliary system, and the lowest incidence was in appendicitis.
5. Preponderence in malignant disease than benign disease.
6. The commonest incision in wound disruption was upper ´abdominal incisions and longit-udinal incisions.
7: Wound disruption had most frequently developed between the 4th and 16th postoperative day, the highest incidence on the 10th postoperative day.
8. Showed that hypoproteinemia and anemia has a role in postoperative wound disruption.
9. In conclusion, the various preoperative and postoperative predisposing factors were found, and the most of the wound disruption was affected by more than two influencing factors.
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