What Is A Dehisced Wound?

Wound dehiscence (dih-HISS-ints) is

a condition where a cut made during a surgical procedure separates or ruptures after it has been stitched back together

.

What causes wound dehiscence?

The causes of dehiscence are similar to the causes of poor wound healing and include

ischemia, infection, increased abdominal pressure, diabetes, malnutrition, smoking, and obesity

. [1] Superficial dehiscence is when the wound edges begin to separate and by increased bleeding or drainage at the site.

How do you treat a Dehisced wound?

1. Antibiotics if an infection is present or possible.
2. Changing wound dressing often to prevent infection.
3. Open would to air—will speed up healing, prevent infection, and allow growth of new tissue from below.
4. Negative pressure wound therapy—a dressing that is to a pump that can speed healing.

What does a Dehisced wound look like?

A dehisced wound can appear

fully open

– the tissue underneath is visible – or it can be partial, where just the top portion of the skin has torn open. The wound could be red around the wound margins, have drainage, or it could be bleeding or seeping, where only a thin trickle of blood is coming out.

What are the signs and symptoms of wound dehiscence?

You may notice the following when your wound starts to come apart: A feeling that the wound is ripping apart or giving way. Leaking pink or yellow fluid from the wound. Signs of infection at the wound site, such as

yellow or green pus, swelling, redness, or warmth

.

How long does it take wound dehiscence to heal?

How is dehiscence treated? The average time for an abdominal incision to fully heal is

roughly 1 to 2 months

. If you think your wound may be reopening, or if you notice any symptoms of dehiscence, contact your doctor or surgeon immediately.

What are five possible causes of wound dehiscence?

Wound dehiscence is caused by many things such as age,

diabetes, infection, obesity, smoking, and inadequate nutrition

. Activities like straining, lifting, laughing, coughing, and sneezing can create increased pressure to wounds, causing them to split.

Can a wound be restitched?

Body Cuts and Less Than 48 Hours.

If the wound is elsewhere on the body, call your doctor now.

The cut may need restitched

(or glued) if gaping open. This is sometimes done if suturing was less than 48 hours ago.

How common is wound dehiscence?

PSI-14 measures postoperative wound dehiscence and specifically how often a surgical wound in the abdominal or pelvic area fails to heal after abdominopelvic surgery. Wound dehiscence is estimated to

occur in 0.5–3.4% of abdominopelvic surgeries

, and carries a mortality of up to 40%.

What can cause a wound not to heal?

As you can see, it’s important to understand the five reasons why a wound won’t heal:

poor circulation, infection, edema, insufficient nutrition, and repetitive trauma to the wound

.

Is wound dehiscence an emergency?

Someone with wound dehiscence might have broken sutures, pain, bleeding, swelling, redness, fever, and a visibly open wound. If an abdominal wound dehiscence is not treated, it can lead to wound evisceration —

a medical emergency in which internal organs

stick out through the incision.

What helps a deep wound heal faster?

1. Antibacterial ointment. A person can treat a wound with several over-the-counter (OTC) antibacterial ointments, which can help prevent infections. …
2. Aloe vera. Aloe vera is a plant belonging to the cactus family. …
3. Honey. …
4. Turmeric paste. …
5. Garlic. …
6. Coconut oil.

What is meant by Dehisced?

intransitive verb. :

to split along a natural line

also : to discharge contents by so splitting seedpods dehiscing at maturity.

How do you assess wound dehiscence?

possible indicators of dehiscence may be: a

sudden pain around the wound area

; tachycardia; abnormal and/or excessive serous or sero-sanguineous discharge; opening of the wound; change in wound contour; viscera visible at the skin surface; abnormal serous or sero-sanguineous discharge.

What are the 4 stages of wound healing?

The complicated mechanism of wound healing occurs in four phases:

hemostasis, inflammation, proliferation, and remodeling

.

How do you tell if a wound is healing or infected?

1. Warmth. Often, right at the beginning of the healing process, your wound feels warm. …
2. Redness. Again, right after you’ve sustained your injury, the area may be swollen, sore, and red in color. …
3. Discharge. …
4. Pain. …
5. Fever. …
6. Scabs. …
7. Swelling. …
8. Tissue Growth.