Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
7
|
| pubmed:dateCreated |
1998-7-23
|
| pubmed:abstractText |
Concurrent infection is a risk factor for abdominal wound dehiscence. We reviewed our experience with fascial dehiscence to determine the incidence and to identify prognostic factors for associated intra-abdominal infection. Over a 7-year period, 107 patients with abdominal wound dehiscence were identified. Seventeen were managed nonoperatively, and 90 underwent exploratory laparotomy, 43 of whom had no intra-abdominal pathology and 47 of whom had intra-abdominal infections. Demographic factors, comorbid diseases, and potential indicators of systemic infection did not distinguish patients with intra-abdominal infection from those without. Patients with an intra-abdominal infection were more likely to have undergone an emergency operation (74% vs 48%; P < 0.02), an operation on the colon (55% vs 25%; P < 0.005), or an operation with a higher wound classification (P < 0.02). Mortality was higher in patients with intra-abdominal infection than in those without (44% vs 20%; P < 0.02). Wound dehiscence after emergent operations, and operations with a higher wound classification, especially those involving the colon, should raise concern for intra-abdominal infection. Thorough abdominal exploration should be performed at the time of dehiscence repair. Before nonoperative management is chosen, intra-abdominal infection should be excluded.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Jul
|
| pubmed:issn |
0003-1348
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
64
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
660-5
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:9655278-Abdominal Abscess,
pubmed-meshheading:9655278-Abdominal Muscles,
pubmed-meshheading:9655278-Comorbidity,
pubmed-meshheading:9655278-Emergency Treatment,
pubmed-meshheading:9655278-Female,
pubmed-meshheading:9655278-Humans,
pubmed-meshheading:9655278-Incidence,
pubmed-meshheading:9655278-Male,
pubmed-meshheading:9655278-Middle Aged,
pubmed-meshheading:9655278-Retrospective Studies,
pubmed-meshheading:9655278-Risk Factors,
pubmed-meshheading:9655278-Surgical Wound Dehiscence,
pubmed-meshheading:9655278-Surgical Wound Infection
|
| pubmed:year |
1998
|
| pubmed:articleTitle |
The association of intra-abdominal infection and abdominal wound dehiscence.
|
| pubmed:affiliation |
Department of Surgery, Case Western Reserve University, Cleveland Veterans Affairs Medical Center, Ohio 44106, USA.
|
| pubmed:publicationType |
Journal Article
|