Dehiscence is a surgical complication in which the edges of a wound no longer meet. It's also known as wound separation. A wound that separates after surgery won't close neatly and will be weaker after healing. It is also at greater risk of becoming infected.
Wound dehiscence is a surgery complication where the incision, a cut made during a surgical procedure, reopens. It is sometimes called wound breakdown, wound disruption, or wound separation.
Dehiscence is a partial or total separation of previously approximated wound edges, due to a failure of proper wound healing. This scenario typically occurs 5 to 8 days following surgery when healing is still in the early stages.
The word dehiscence means splitting or bursting open. As such, the term wound dehiscence refers to the separation of a wound due to improper wound healing. This scenario usually occurs 5–8 days following surgery when healing is still in the early stages.
Dehiscence is secondary to technical failure of sutures, shear forces from tension, or fascial necrosis from infection and/or ischemia (2). Evisceration is the uncontrolled exteriorization of intraabdominal contents through the dehisced surgical wound outside of the abdominal cavity.
Wound dehiscence can be accidental or done intentionally. If a sutured wound becomes infected, for example, physicians may have to surgically reopen the wound to debride the wound of infected tissue; this is a form of dehiscence.
noun. Biology. the release of materials by the splitting open of an organ or tissue. Botany. the natural bursting open of capsules, fruits, anthers, etc., for the discharge of their contents.
And with wound healing, there are three types of wound closure techniques to consider to achieve this — primary intention, secondary intention, and tertiary intention.
The American College of Surgeons determines four classes of surgical wound types based on the wound's level of contamination: clean, clean-contaminated, contaminated and dirty-infected.
A laceration is a cut that tears the skin and may also involve damage to the underlying tissues. Unlike an abrasion, none of the skin is missing. Blunt trauma is the usual cause of laceration wounds. Deep or long lacerations may require stitches by a physician.
• Surgical wounds healing by secondary intention are open surgical wounds that are left to heal from the base up. They are often slow to heal and are prone to infection.
A cut (laceration) goes through it. A scratch or scrape (wide scratch) doesn't go through the skin. Cuts that gape open at rest or with movement need stitches to prevent scarring. Scrapes and scratches never need stitches, no matter how long they are.
What is Wound Dehiscence? Wound dehiscence happens when the two edges of a wound have failed to fit together properly. Instead, they have split apart, leaving an open wound that needs additional time and treatment to heal. While this occurs most often with surgical wounds, it can also happen with sutures.
Evisceration is a rare but severe surgical complication where the surgical incision opens (dehiscence) and the abdominal organs then protrude or come out of the incision (evisceration).
Burst abdomen (abdominal wound dehiscence) is a serious, difficult, and frustrating postoperative complication experienced by many surgeons worldwide associated with high morbidity and mortality up to 36%, with significant effect on health care cost, for both the patients and the hospitals [1].
The Centers for Disease Control and Prevention created a surgical wound classification system (SWC: I, clean; II, clean/contaminated; III, contaminated; and IV, dirty) to preemptively identify patients at risk of surgical site infection (SSI).
The five types of wounds are abrasion, avulsion, incision, laceration, and puncture.
Wounds can be closed primarily in the emergency department (ED) by the placement of sutures, surgical staples, skin closure tapes, and adhesives.
Open wound types include abrasions, excoriation, skin tears, avulsions, lacerations and punctures, according to our Skin and Wound Management course workbook. Traumatic open wounds involve a disruption in the integrity of the skin and underlying tissues caused by mechanical forces.
The three phases include inflammation, proliferation, and maturation.
If associated with superficial wound dehiscence, they can be treated by absorbent dressings such as alginate dressing. Fluid should be sent for culture and sensitivity, and antibiotics commenced empirically in the presence of systemic features of an infection, as mentioned previously.
The three principal types of dehiscent fruits are follicles, legumes, and capsules.