Comparison of Demographic and Clinical Features of Patients with and without Post-Operative wound Dehiscence Complication at Alzahra Hospital of Rasht, Gillan

Document Type : Original Article

Authors

Associate Professor of Obstetric and Gynecology Surgery, Reproductive Health Research Center, Gillan University of Medical Sciences, Rasht, Gillan, Iran

Abstract
Introduction & Objective: Wound dehiscence (WD) is a serious complication in abdominal surgeries, which increases mortality and morbidity rates. WD is a multi factorial problem. The aim of this study is exploring the known risk factors of WD complication between cases and control group. Materials & Methods: In this case-control study, 132 cases undergoing surgery’s were investigated during ten years in Alzahra hospital of Rasht city. 44 patients with and 88 paients without WD complication were entered in study. Factors such as age, history of cancer, anemia, diabetes mellitus (DM), sepsis, chemotherapy and radiotherapy, steroid therapy and other factors like surgeon type, incision type, type of surgery and its duration were recorded and compared in two groups. Results: Among cases that were studied, 44 were diagnosed with the WD complication and 88 people were selected as control group, and we compared risk factors among these people. Among reocorded data, history of having anemia, DM, emergency operation, increased surgical time and low experience of surgeon was identified as risk factor based on statistical analysis (P < 0.05). Conclusions: Controlling and correction of identified risk factors (such as DM or anemia), which can be modifie result in decreasing the incidence of WD post operatively

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