PROSPECTIVE STUDY OF BURST ABDOMEN AND VARIOUS DETERMINANTS

Abstract

Background: Wound dehiscence/burst abdomen is a serious postoperative complication with incidence of 10.0-30.0%, and is of great concern because of risk of evisceration, the need for immediate intervention, and the possibility of repeat dehiscence, higher risk in elderly age group and surgical wound infection. Despite progress made in peri-operative and postoperative care over the past few years, wound dehiscence after abdominal surgery continues to be a challenging complication, which considerably prolongs hospital stay(morbidity) and is associated with mortality rates of 10% to 44%. Wound dehiscence carries with it a list of multiple etiological factors that need evaluation and early intervention to decrease morbidity and mortality. To nd AIM: various aetiology/risk factors of burst abdomen in patients, admitted in surgical emergency department of LLR hospital, Kanpur T MATERIALS AND METHODS: his is a prospective study, in which 80 patients of burst abdomen aged more than 18years were studied, which underwent exploratory laparotomies in Department of General surgery, LLR & Associated Hospitals, G.S.V.M. Medical College from January 2021 to October 2022. Various etiological factors were observed like age, sex, post operative discharge, surgical site infection and patients undergoing emergency/elective exploratory laparotomy, aged more than 18 years and primarily operated in Department of General surgery, LLR & Associated Hospitals, G.S.V.M. Medical College and giving consent. CONCLUSION: Burst abdomen is a serious sequel of impaired wound healing and our ndings were as follows:- Mean age group of presentation was 47.25+ 8.95 years., male preponderance of 76.25% with respect to female of 23.575%, burst abdomen present in 80 cases of emergency laparotomy and none in elective cases, on the basis of discharge 75% cases were having sero sanguineous discharge, the organism most commonly isolated from stitch line was gram negative bacteria i.e. E coli (45%).