STUDY OF PREDICTORS FOR POST LAPAROTOMY WOUND DEHISCENCE.

Introduction: Dehiscence occurs when wound margins that were previously closed come apart either partially or completely, which is often caused by inadequate wound healing. The same factors that can contribute to poor wound healing, including ischemia, infection, elevated abdominal pressure, diabetes, malnutrition, smoking, and obesity, can also increase the risk of dehiscence. Aim: To assess the significance of predictors associated with post laparotomy abdominal wound dehiscence. Material and Methods: A total of 40 patients who were hospitalized for wound dehiscence after laparotomy were screened for inclusion and exclusion criteria eligible patients were enrolled in the study after obtaining informed signed written consent to participate in the same. Demographic profiling was done for the patients. Intra-operative assessment was done for Duration of surgery, types of sutures used, types of surgery. Post Operative findings were accessed at Day 1, Day 3, Day 5, Day 7, Day 14, Day 21 and Day 30 post-operatively. Results: The Five Most Common Causes of Wound Dehiscence as estimated by Bayes Formula showed that the most common cause was found to be dirty wound (28.30% chances) followed by contaminated wound (22.93% chances), distension (8.93% chances), raised urea/creatinine (7.50% chances) and S.Aureus organism (6.40% chances). Conclusion: Dirty wound and contaminated wound are found to be two most important predictors of wound dehiscence followed by abdominal distension, raised urea/creatinine and S. Aureus organism contaminating the wound. [ABSTRACT FROM AUTHOR]