Acute wound failure in emergency and elective laparotomies | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2001]

Author(s):

1. Muhammad Hanif: Department of Surgery, Holy Family Hospital, Rawalpindi, Pakistan

2. Asim Ijaz: Department of Surgery, Holy Family Hospital, Rawalpindi, Pakistan.

3. Umar Farooq Niazi: Department of Surgery, Holy Family Hospital, Rawalpindi, Pakistan.

4. Irfan Akhtar: Department of Surgery, Holy Family Hospital, Rawalpindi, Pakistan.

5. Anees All Zaidi: Department of Surgery, Holy Family Hospital, Rawalpindi, Pakistan

6. Muhammad Mussadiq Khan: Department of Surgery, Holy Family Hospital, Rawalpindi, Pakistan.

Abstract:

A prospective study was conducted at surgical unit, Holy Family Hospital Rawalpindi from July 1997 to June 1998 to determine the rate of acute wound failure in patients undergoing laparotomies through midline incision and to identify the associated risk factors. Fifty consecutive patients who underwent emergency laparotomies and 50 consecutive patients who underwent elective laparotomies for different diseases were included in this study. The mean age of the patients included in this study was 34 years and the range was 10-78 years. Overall rate of acute wound failure was 6/100 in both the types with 5/50 in emergency and 1/50 elective laparotomies respectively. Three patients died due to burst abdomen (3 out of 6). Advanced age, low albumin, high urea and wound infection were associated with increase risk of wound failure. Anemia and Jaundice appear to have no impact on wound healing.

Page(s): 23-26

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 11, Issue: 1, Year: 2001

Keywords:

Laparotomy Surgical wound dehiscence Surgical wound infection

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