Surgical wound dehiscence is a medical term used to describe the condition in which a surgical incision or wound fails to heal properly, resulting in a separation or opening of the surgical site. This occurs when the layers of tissue and muscle that were previously stitched or closed during surgery come undone, causing the wound to reopen and expose the underlying structures of the body.
Surgical wound dehiscence can occur due to various reasons, including excessive strain or tension on the incision site, poor surgical technique, inadequate closure of the wound, infection, or underlying medical conditions that impair the body's natural healing process. It is more commonly observed in individuals with compromised immune systems, obesity, diabetes, or those who have undergone extensive surgical procedures.
The signs and symptoms of surgical wound dehiscence include separation of the wound edges, increased pain and discomfort, swelling, redness, discharge or pus from the wound, and in severe cases, the protrusion of tissues or organs through the opening. This condition is considered a serious surgical complication that may increase the risk of infection, delay healing, and require additional medical intervention to correct.
Treatment typically involves immediate medical attention to clean and re-close the wound, often involving suturing or the use of medical adhesives. Antibiotics may also be prescribed to prevent or treat infection. In some cases, more extensive surgical intervention may be required, such as the removal of infected tissue or reconstructive surgery. Proper wound care and follow-up appointments are crucial to promote complete healing and prevent further complications.
