European Journal of Cardiovascular Medicine

Objectives: The percentage of patients with difficult and prolonged healing of the wound is still high, while immediate complications such as wound dehiscence occur in up to 3 % of all treated patients in abdominal surgery. The aim of the study was to analyze the risk factors and comorbidities in the group of patients undergoing laparotomy and associated with early postoperative wound dehiscence. Methods: The prospective study included all patients treated surgically undergoing laparotomy at the Department of General Surgery,JA Group of Hospitals and GR Medical College, Gwalior (MP) Results: The results showed a statistical proportion of male patients102 (85%) compared to females18 (15%). The largest number of respondents were in the age group 21 to 40yrs. Surgical wound infection was evident in(103)85.3% of patients, hypoproteinemia was found in(86)71.76% of patients, anemia in(99)82.5%, peritonitis in 36% and diabetes in (34)28.33% of respondents. Of the total respondents with surgical wound dehiscence, 78 (65%) had comorbidities present. By analyzing the prevalence of comorbidity and risk factors recorded in relation to comorbidity, it was noted that hypertension is most often associated with hypoproteinemia (X2 =4.399; p=0.036), wound infection (X2 =4.112; p=0.043. The frequency of the anemia, peritonitis, and diabetes in the sample was not different in relation to the comorbidity conditions (p >0.05) Conclusions: The risk factors occurrence of surgical wound dehiscence in our study were identified as hypoproteinemia, tuberculosis, anemia, and active infection. The highest incidence of dehiscence was in patients operated on in medical emergencies and in patients with malignant disease.