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Abdominal Closure and Burst Abdomen: Poor Wound Healing Can Ruin Everything

  • Anirudha Rohit Podder
  • Jyothi G Seshadri
Chapter

Abstract

Since most gynecological surgeries are done either laparoscopically or through a transverse incision, gynecologists are relatively fortunate; they do not have to face the problem of poor wound healing often. Wound infection, wound gape, and burst abdomen also known as complete wound dehiscence, can ruin the results of a very well done surgery and destroy the morale of both the patient and the gynecologist. Every operating gynecologist can expect to encounter a few difficult cases which will require a vertical incision. Transverse incisions can also gape and develop complete dehiscence. Laparoscopic port site incisions can also gape and develop hernia later. Though patient’s age and nutritional status, presence of associated medical conditions, and hospital hygiene play an important role, scrubbing and closure technique are the most important factors which play a role in wound healing. To get the best results, one must use drains in all at-risk patients to avoid fluid collection and must control postoperative cough, straining, and vomiting. One must also consider the use of delayed primary closure of wounds which are dirty and contaminated.

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Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Anirudha Rohit Podder
    • 1
  • Jyothi G Seshadri
    • 2
  1. 1.Consultant Gynaec-OncologistMahavir Cancer SansthanPatnaIndia
  2. 2.Department of Obstetrics and GynecologyRamaiah Medical CollegeBangaloreIndia

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