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Wound dehiscence

MedGen UID:
82622
•Concept ID:
C0259768
•
Pathologic Function
Synonyms: Burst wound; Wound Dehiscence; Wound opened up; Wound reopened - observation; Wound rupture
SNOMED CT: Wound dehiscence (410723003); Wound dehiscence (225553008); Wound reopened - observation (225553008); Burst wound (225553008); Wound opened up (225553008); Wound rupture (225553008)

Definition

Splitting of the sutured margins of a surgical wound. Risk factors include diabetes mellitus, obesity, and advanced age. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVWound dehiscence

Professional guidelines

PubMed

Breast Surgery: Management of Postoperative Complications Following Operations for Breast Cancer.
Al-Hilli Z, Wilkerson A
Surg Clin North Am 2021 Oct;101(5):845-863. Epub 2021 Aug 7 doi: 10.1016/j.suc.2021.06.014. PMID: 34537147
Deep Sternal Wound Infection: Diagnosis, Treatment and Prevention.
Phoon PHY, Hwang NC
J Cardiothorac Vasc Anesth 2020 Jun;34(6):1602-1613. Epub 2019 Sep 18 doi: 10.1053/j.jvca.2019.09.019. PMID: 31623967
Post-operative wound management.
Yao K, Bae L, Yew WP
Aust Fam Physician 2013 Dec;42(12):867-70. PMID: 24324988

Recent clinical studies

Etiology

Abdominal wound dehiscence and incisional hernia prevention in midline laparotomy: a systematic review and network meta-analysis.
Lozada Hernández EE, Hernández Bonilla JP, Hinojosa Ugarte D, Magdaleno García M, Mayagoitía González JC, Zúñiga Vázquez LA, Obregón Moreno E, Jiménez Herevia AE, Cethorth Fonseca RK, Ramírez Guerrero P
Langenbecks Arch Surg 2023 Jul 7;408(1):268. doi: 10.1007/s00423-023-02954-w. PMID: 37418033
Reducing Cesarean Delivery Surgical Site Complications.
Villers MS
Obstet Gynecol Clin North Am 2020 Sep;47(3):429-437. Epub 2020 Jun 6 doi: 10.1016/j.ogc.2020.04.006. PMID: 32762928
The Surgical Suture.
Byrne M, Aly A
Aesthet Surg J 2019 Mar 14;39(Suppl_2):S67-S72. doi: 10.1093/asj/sjz036. PMID: 30869751
Surgical wound dehiscence: a conceptual framework for patient assessment.
Sandy-Hodgetts K, Carville K, Leslie GD
J Wound Care 2018 Mar 2;27(3):119-126. doi: 10.12968/jowc.2018.27.3.119. PMID: 29509107
Mucocutaneous separation.
Boyd-Carson W, Thompson MJ, Trainor B, Boyd K
Nurs Stand 2004 Jan 7-13;18(17):41-3. PMID: 14735622

Diagnosis

Management of post-surgical wounds in general practice.
Sinha S
Aust J Gen Pract 2019 Sep;48(9):596-599. doi: 10.31128/AJGP-04-19-4921. PMID: 31476832
Wound healing in acutely injured fascia.
Lau FH, Pomahac B
Wound Repair Regen 2014 May;22 Suppl 1:14-7. doi: 10.1111/wrr.12165. PMID: 24813359
Prevention and management of hysterectomy complications.
Hodges KR, Davis BR, Swaim LS
Clin Obstet Gynecol 2014 Mar;57(1):43-57. doi: 10.1097/GRF.0000000000000004. PMID: 24488052
Complications of hysterectomy.
Clarke-Pearson DL, Geller EJ
Obstet Gynecol 2013 Mar;121(3):654-673. doi: 10.1097/AOG.0b013e3182841594. PMID: 23635631
Vacuum assisted closure in coloproctology.
Bemelman WA
Tech Coloproctol 2009 Dec;13(4):261-3. Epub 2009 Nov 12 doi: 10.1007/s10151-009-0543-x. PMID: 19907919Free PMC Article

Therapy

Negative pressure wound therapy for surgical wounds healing by primary closure.
Norman G, Shi C, Goh EL, Murphy EM, Reid A, Chiverton L, Stankiewicz M, Dumville JC
Cochrane Database Syst Rev 2022 Apr 26;4(4):CD009261. doi: 10.1002/14651858.CD009261.pub7. PMID: 35471497Free PMC Article
Identifying predictors of ventral hernia recurrence: systematic review and meta-analysis.
Parker SG, Mallett S, Quinn L, Wood CPJ, Boulton RW, Jamshaid S, Erotocritou M, Gowda S, Collier W, Plumb AAO, Windsor ACJ, Archer L, Halligan S
BJS Open 2021 Mar 5;5(2) doi: 10.1093/bjsopen/zraa071. PMID: 33839749Free PMC Article
Surgical techniques for the removal of mandibular wisdom teeth.
Bailey E, Kashbour W, Shah N, Worthington HV, Renton TF, Coulthard P
Cochrane Database Syst Rev 2020 Jul 26;7(7):CD004345. doi: 10.1002/14651858.CD004345.pub3. PMID: 32712962Free PMC Article
Negative pressure wound therapy for surgical wounds healing by primary closure.
Webster J, Liu Z, Norman G, Dumville JC, Chiverton L, Scuffham P, Stankiewicz M, Chaboyer WP
Cochrane Database Syst Rev 2019 Mar 26;3(3):CD009261. doi: 10.1002/14651858.CD009261.pub4. PMID: 30912582Free PMC Article
Patient morbidity and root coverage outcome after subepithelial connective tissue and de-epithelialized grafts: a comparative randomized-controlled clinical trial.
Zucchelli G, Mele M, Stefanini M, Mazzotti C, Marzadori M, Montebugnoli L, de Sanctis M
J Clin Periodontol 2010 Aug 1;37(8):728-38. Epub 2010 Jun 24 doi: 10.1111/j.1600-051X.2010.01550.x. PMID: 20590963

Prognosis

Four-Flap Mammaplasty.
Orak F, Baghaki S
Aesthetic Plast Surg 2021 Aug;45(4):1458-1465. Epub 2021 May 26 doi: 10.1007/s00266-021-02326-z. PMID: 34041557
Salvaging the Exposed Cochlear Implant.
Seo BF, Park SW, Han HH, Moon SH, Oh DY, Rhie JW
J Craniofac Surg 2015 Nov;26(8):e749-52. doi: 10.1097/SCS.0000000000002259. PMID: 26594996
Preventing and managing surgical wound dehiscence.
Doughty DB
Adv Skin Wound Care 2005 Jul-Aug;18(6):319-22. doi: 10.1097/00129334-200507000-00012. PMID: 16096397
Preventing and managing surgical wound dehiscence.
Doughty DB
Home Healthc Nurse 2004 Jun;22(6):364-7. doi: 10.1097/00004045-200406000-00003. PMID: 15184776
Acute wound failure.
Carlson MA
Surg Clin North Am 1997 Jun;77(3):607-36. doi: 10.1016/s0039-6109(05)70571-5. PMID: 9194883

Clinical prediction guides

Abdominal wound dehiscence and incisional hernia prevention in midline laparotomy: a systematic review and network meta-analysis.
Lozada Hernández EE, Hernández Bonilla JP, Hinojosa Ugarte D, Magdaleno García M, Mayagoitía González JC, Zúñiga Vázquez LA, Obregón Moreno E, Jiménez Herevia AE, Cethorth Fonseca RK, Ramírez Guerrero P
Langenbecks Arch Surg 2023 Jul 7;408(1):268. doi: 10.1007/s00423-023-02954-w. PMID: 37418033
The Surgical Suture.
Byrne M, Aly A
Aesthet Surg J 2019 Mar 14;39(Suppl_2):S67-S72. doi: 10.1093/asj/sjz036. PMID: 30869751
Incidence and Predictors of Lower Limb Split-Skin Graft Failure and Primary Closure Dehiscence in Day-Case Surgical Patients.
Stankiewicz M, Coyer F, Webster J, Osborne S
Dermatol Surg 2015 Jul;41(7):775-83. doi: 10.1097/DSS.0000000000000391. PMID: 26102181
The significance of a uterine rupture in subsequent births.
Eshkoli T, Weintraub AY, Baron J, Sheiner E
Arch Gynecol Obstet 2015 Oct;292(4):799-803. Epub 2015 Apr 12 doi: 10.1007/s00404-015-3715-0. PMID: 25864097
Abdominal wound dehiscence.
Helmkamp BF
Am J Obstet Gynecol 1977 Aug 1;128(7):803-7. doi: 10.1016/0002-9378(77)90724-4. PMID: 879248

Recent systematic reviews

Abdominal wound dehiscence and incisional hernia prevention in midline laparotomy: a systematic review and network meta-analysis.
Lozada Hernández EE, Hernández Bonilla JP, Hinojosa Ugarte D, Magdaleno García M, Mayagoitía González JC, Zúñiga Vázquez LA, Obregón Moreno E, Jiménez Herevia AE, Cethorth Fonseca RK, Ramírez Guerrero P
Langenbecks Arch Surg 2023 Jul 7;408(1):268. doi: 10.1007/s00423-023-02954-w. PMID: 37418033
Negative pressure wound therapy for surgical wounds healing by primary closure.
Norman G, Shi C, Goh EL, Murphy EM, Reid A, Chiverton L, Stankiewicz M, Dumville JC
Cochrane Database Syst Rev 2022 Apr 26;4(4):CD009261. doi: 10.1002/14651858.CD009261.pub7. PMID: 35471497Free PMC Article
Robotic-arm assisted total knee arthroplasty is associated with improved accuracy and patient reported outcomes: a systematic review and meta-analysis.
Zhang J, Ndou WS, Ng N, Gaston P, Simpson PM, Macpherson GJ, Patton JT, Clement ND
Knee Surg Sports Traumatol Arthrosc 2022 Aug;30(8):2677-2695. Epub 2021 Feb 6 doi: 10.1007/s00167-021-06464-4. PMID: 33547914Free PMC Article
Identifying predictors of ventral hernia recurrence: systematic review and meta-analysis.
Parker SG, Mallett S, Quinn L, Wood CPJ, Boulton RW, Jamshaid S, Erotocritou M, Gowda S, Collier W, Plumb AAO, Windsor ACJ, Archer L, Halligan S
BJS Open 2021 Mar 5;5(2) doi: 10.1093/bjsopen/zraa071. PMID: 33839749Free PMC Article
Surgical techniques for the removal of mandibular wisdom teeth.
Bailey E, Kashbour W, Shah N, Worthington HV, Renton TF, Coulthard P
Cochrane Database Syst Rev 2020 Jul 26;7(7):CD004345. doi: 10.1002/14651858.CD004345.pub3. PMID: 32712962Free PMC Article

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