Year: 2024 | Month: December | Volume: 11 | Issue: 12 | Pages: 522-527
DOI: https://doi.org/10.52403/ijrr.20241257
Association of Intra-Abdominal Pressure with Wound Dehiscence in Patients Undergoing Emergency Exploratory Laparotomy by Midline Incision
Prateek Lohchab1, Milind Alokjee2, Saravanan S3, Devadatta Poddar4
1Senior Resident, Department of General Surgery, Indira Gandhi Hospital, New Delhi
2Senior Resident, Dept. of General Surgery, ABVIMS & Dr RML Hospital, New Delhi, India
3Post Graduate Trainee, Dept. of General Surgery, ABVIMS & Dr RML Hospital, New Delhi,
4Professor, Department of Surgery, ABVIMS and Dr. RML Hospital, New Delhi
Corresponding Author: Devadatta Poddar
ABSTRACT
Aim: To study the association between raised intra-abdominal pressure and abdominal wound dehiscence in patients undergoing emergency exploratory laparotomy by midline incision.
Method: Fifty patients were taken up for emergency midline exploratory laparotomy and followed up for wound dehiscence and their association with raised intra abdominal pressure.
Results: The variables significantly associated with dehiscence were raised IAP, obesity and overweight. Anemia as factor for dehiscence was non significant.
Conclusion: Raised intra abdominal pressure has a significant effect on overall patient outcome leading to wound dehiscence and obesity and overweight status contribute to this by raising the intra abdominal pressure.
Keywords: Intra Abdominal Pressure, Wound Dehiscence, Exploratory Laparotomy, Midline
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