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February 1989

Abdominal Wound Dehiscence

Arch Surg. 1989;124(2):258-259. doi:10.1001/archsurg.1989.01410020132027

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Few complications in general surgery are as distressing for the patient or as embarrassing for the surgeon as an abdominal wound dehiscence. The responsibility for most of these mishaps rests with the surgeon, as dehiscence usually occurs before significant fascial healing has begun. The patient pays the price when meticulous technique is exercised during the intra-abdominal portion of the operation but forgotten when the abdominal wall is closed.

In this monograph, Poole discusses the various methods of wound closure, the process of wound healing, and the causes of wound failure.

The author begins with a brief introduction on wound healing. The detail of this preface is sufficient only to make a valid point: delayed or failed wound healing has very little to do with most dehiscences, and faulty surgical technique is usually the culprit.

Additional insights are then provided by a short review of the epidemiology of dehiscence. Despite innumerable

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