Dehiscence is a surgical complication, in this complication, the edges of the wound are no longer meet each other. Dehiscence is also known as wound separation.
The healthy and healing wound will have all the edges that meet neatly and are held closely together by the staples, sutures, and also the wound separation after stitches removed.
If you want to know the dehiscence definition and its treatment. Then keep reading this blog.
What Is Wound Dehiscence?
Wound dehiscence definition is told by the Mayo Clinic when the surgical incision reopens either externally or internally. The complications of the dehisced can occur after any surgery.
The wound dehiscence will more often happen in the first two weeks after the surgery when the wound is not healing and it is still fresh. Dehiscence is associated with surgical site infections.
The dehiscence definition, identify with the feeling of sudden pulling pain. The clean and healthy wound has a minimal space between the edges of the wounds. And the wound separation after stitches removed.
But if the stitches or the surgical glue have split apart staples, or there are any holes forming in the wound that means you have wound dehiscence. It is important to take care of and notice the healing progress of the wound.
Any opening of the wound can lead to infections. The opening can also lead to evisceration. Evaporation is a more severe condition that occurs when the wound reopens and the internal organs of the body come out of from the incision.
Evisceration happens rarely but it is a severe surgical complication then dehiscence. It occurs when the surgical incision opens and the abdominal organs then protrude or come out of the evisceration.
It is an emergency issue but it should be treated. The range of evisceration becomes less severe with the organ visible usually abdominal.
But it will extend outside of the incision to very severs, and the intestine may spill out of the evisceration.
Who To Treat Evisceration?
In all circumstances of evisceration, emergency medical care should be sought by activating the 911, EMS or they reported to the nearest emergency medical facility.
A doctor will cover the opening of the organs with the clean bandage or sheet material you have after wetting the wound thoroughly. If you cover the wound with a bandage, then you should have the supplies to cover the tissues with the sterile bandages.
But the bandage should be needed to be moist and prevent it from adhering to tissue. With the help of the sterile saline saturate the towel or bandage.
But if you don’t have it then use bottled or tap water. If you also don’t have a bandage, then you can also use a clean sheet or towel.
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Causes Of Dehiscence
There are many factors that cause dehiscence. The infections in the incision can increase the chances of the dehiscence. The infection’s delayed healing can extend the amount of time where the incision is vulnerable to the injury.
The infection also weakens the newly formed tissues as the body works to close the incision, and they fight infection instead of healing it.
Here are some causes of dehisced.
1. Obesity Or Malnutrition: Obesity slows the healing process because the fat cells have fewer blood vessels that transport the oxygen around the body. Malnutrition is also slowing the healing of wounds due to the lack of protein and vitamins that the recovery needs.
2. Smoking: Smoking will reduce the oxygenation in the tissue of the body which is necessary for quick healing.
3. Respiratory, cardiovascular disorders, and Peripheral vascular: these disorders and anemia, hypertension, and diabetes can affect the oxygenation of the body.
4. Age: The adults over 65 age are much more likely to have other conditions that will slow the wound of the healing process.
5. Infections: Infection of the wound will take longer time to heal, it will also make you more susceptible to dehiscence.
6. Surgeon experience: The person who has a surgeon inexperienced then they may have a longer operating time or sutures may not be applied properly. It will lead them to the wounds reopening.
7. Emergency surgery: Unexpected surgery or reopening the previously operates can lead to future complications such as an original wound or the reopening.
8. Starring from the sneezing, vomiting, and coughing: If the abdominal pressure is increasing unexpectedly then this force can reopen a wound.
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Symptoms Of The Dehisced
The healthy and clean wound separation after stitches removed, if it will not remove then it will cause the dehiscence. Some symptoms are:
- Open Wound
- Fever Broken Sutures
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How To Prevent Dehiscence?
While doing any activity that increases the abdominal pressure like sneezing, coughing, and bearing down for a bowel movement.
Then hold the pressure over the incision by using a hand or a pillow. These both things can prevent dehiscence and minimize the pain during the activity.
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2. Prevent The Constipation
Constipation is the most common problem that occurs after surgery. Straining during the bowel movements can out the unnecessary stress on the incision.
So prevent the constitution by adding the proper nutrition in your diet after the surgery, but if you already have constipation then ask your doctor for the meditation help and prevent dehiscence.
3. Prevent The Coughing And Sneezing
If you had a surgery and you are allergic or you have a cough and sneezing.
Then prevent coughing and sneezing because it will weaken the incision and slow the healing which can lead you to dehiscence.
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4. Properly Care Of Incision
Proper taking care of the incision will speed up healing and prevent infections.
But if you do not take proper care properly, then it will weaken the incision and increase the chances of dehiscence.
5. Avoid Lifting
Avoid lifting anything heavier than the 5 pounds for the 2 weeks after the surgery. Because lifting objects can place the stress in the incision that causes it to open.
How To Treat Dehiscence?
According to the University of Utah, The average abdominal healing time is roughly one to two months.
But if you see the wound is not healing or may it reopening or any sign of dehiscence, then immediately contact the surgeon or the doctor.
Also, give yourself bed rest and stop all the activity or lifting. Because dehiscence makes the condition worse and causes for reopening.
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