True regarding wound dehiscence:
In wound dehiscence Closure is done with INTERRUPTED suture of non-absorbable material. Discharge is MINIMAL in amount. Wound DEHISCENCE (Burst Abdomen) Serrous or Serosanguinous discharge from the wound is the first sign of dehiscence Most commonly observed between 5th and 8th postoperative day (may occur at any time following wound closure) Wound dehiscence is paial or total disruption of any or all layers of the operative wound. Extrusion of abdominal viscera after rupture of all layers is know as evisceration . Management Wound dehiscence without evisceration: Prompt elective closure of the wound Wound dehiscence with evisceration: Wound is covered with moist towels Under GA, any exposed bowel or omentum is rinsed with RL containing antibiotics and then returned to abdomen Previous sutures are removed, wound is reclosed (Tension suturing )
If you suspect dehiscence, close with continuous suture of non-absorbable material
Dehiscence happens on 2nd post-operative day
The management of wound dehiscence depends on degree of evisceration and gangrenous bowel
There will sudden gush of fluid just before the dehiscence
DNB 2018