Disrupted abdominal laparotomy wounds in gynaecologic oncology patients: Benefits of active surgical re-closure

Y. Peled, H. Krissi, G. Sabah, H. Levavi, R. Eitan*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To assess the outcome of active management of disrupted wounds through surgical approximation and re-closure. Method: A prospective, non-comparative study, on all consecutive patients with disrupted laparotomy wounds treated at a tertiary medical centre, from November 2009 to December 2011. Data on patient demographics, diagnosis, type of abdominal incision, initial closure technique, infections and results of secondary re-closure were collected from the medical files. All patients underwent bedside closure with an en bloc mass suture mattress technique, performed by two attending gynaecologic oncologists. Results: Of 197 patients who underwent abdominal laparotomy during the study period, 31 (16%) had a disrupted wound. Following surgical re-closure, 26 wounds (84%) were completely healed or needed only minor additional care by follow up on day 10. Five wounds (16%) failed primary management and required re-suturing; all subsequently healed. There were no long-term complications. Conclusion: Active surgical re-closure of disrupted abdominal laparotomy wounds is safe and effective in patients after treatment surgically for Müllerian malignancies. Declaration of interest: There were no external sources of funding for this study. The authors have no conflicts of interest to declare.

Original languageEnglish
Pages (from-to)40-42
Number of pages3
JournalJournal of wound care
Volume22
Issue number1
DOIs
StatePublished - Jan 2013

Keywords

  • Gynaecology cancer
  • Surgical closure
  • Wound disruption

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