Wound Dehiscence Part 3

This part will concentrate on the best practices for giving incision and closure of the abdominal wall.


Mathematical Model of Closure:

Another Similar Mathematical Model:

Incision Type and Recommendations:

•  No advantage or disadvantage of a transverse over a vertical abdominal incision or of a paramedian over a median incision could be shown in a study.
• When reviewing all data, the transverse incision seems to cause less wound dehiscence than the midline and paramedian incisions, but numbers are too small to speak of an actual trend
• Unilateral transverse incision should be the preferred incision for small unilateral operations
• Lateral paramedian incision should be used for most major elective laparotomies
• Midline incision limited to emergency surgery in which unlimited access to the entire abdominal cavity is necessary or useful.

Risk Score for abdominal wound dehiscence:


On the basis of risk factors a risk score for abdominal wound dehiscence has been proposed in 2009. This score can be entered into a formula to calculate the probability of developing abdominal wound dehiscence for individual patients

Download all 4 posts as a single file: Wound Deshiscence from Surgical Perspective