Prevention and treatment of dehiscence of abdominal incision

Objective: To probe the cause and prevention therapy of dehiscence of abdominal incision after operation. Method: To analyse various pathogenic factors of 14 cases with dehiscence of abdominal incision , and to find rational preventive measure. In all 14 cases, 9 cases with entire dehiscence were treated with sutura primosecundaria; 2 cases with partial dehiscence were protected with abdominal strap and treated with dressing change on abdominal incision; 2 cases with partial dehiscence were protected with abdominal strap; 1 case with partial dehiscence was treated with sutura primosecundaria. Results: The dehiscence of abdominal incision was indirect relation with malnutrition, tissue malunion,unfit manipulation in operation, increase of abdominal pressure and bad protection of incision,etc. in all 10 cases with sutura primosecundaria, 9 cases healing of incision; 1 case sutura primosecundaria in 10 days after operation, healing by treating with abdominalstrap and dressing change for 4 months; 2 cases with entire dehiscence abandoned sutura; 1 case was healing after 80 day's treatment by protective dressing change on incision; 1 case died at general exhaustion with abandoning treatment for senility and exacerbation. Conclusion: The incision inclined to dehiscence, nutrition may be enforenced and complication may be prevented and treated during operation; In suturing incision, hypertonia or atonia should be prescient; After operation, the incision should be effective protective and nursing. Once the dehiscence of abdominal incision, sutura primosecundaria should be timely operated as long as condition is permitted, avoiding incisional hernia and postponed healing of incision.