Abdominal wound dehiscence

Am J Obstet Gynecol. 1977 Aug 1;128(7):803-7. doi: 10.1016/0002-9378(77)90724-4.


Abdominal wound dehiscence is a surgical complication with a high morbidity rate but which is associated with predictable and preventable factors. During a 10 year period (1966 to 1975) at the New York Lying-In Hospital, 70 cases were found on the obstetric-gynecologic service, and these cases were analyzed to see why dehiscence remains a problem. Those factors contributing to dehiscence include obesity, pre-existing pulmonary and cardiovascular problems, vertical incisions, the triad of ileus, vomiting, and coughing, and, to a lesser extent, hypoproteinemia, fluid and electrolyte imbalance, and wound infection. The incidence of abdominal wound dehiscence would be much lower if high-risk patients were identified, adequate pulmonary toilet was used, ileus was promptly treated with abdominal decompression, and strict attention was paid to electrolyte and protein balance in the pre- and post-operative period. The management of abdominal wound dehiscence is also discussed.

MeSH terms

  • Abdomen / surgery*
  • Adult
  • Aged
  • Castration
  • Cesarean Section
  • Fallopian Tubes / surgery
  • Female
  • Florida
  • Humans
  • Hysterectomy
  • Middle Aged
  • Obesity / complications
  • Pregnancy
  • Retrospective Studies
  • Surgical Wound Dehiscence* / epidemiology
  • Surgical Wound Dehiscence* / etiology
  • Surgical Wound Dehiscence* / mortality
  • Surgical Wound Dehiscence* / surgery
  • Surgical Wound Infection / etiology
  • Water-Electrolyte Balance