Determining risk factors for surgical wound dehiscence: a literature review

Postoperative wound healing plays a significant role in facilitating a patient's recovery and rehabilitation. Surgical wound dehiscence (SWD) impacts on mortality and morbidity rates and significantly contributes to prolonged hospital stays and associated psychosocial stressors on individuals a...

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Main Authors: Sandy-Hodgetts, Kylie, Carville, Keryln, Leslie, Gavin
Format: Journal Article
Published: Wiley-Blackwell Publishing Ltd 2013
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/13570
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author Sandy-Hodgetts, Kylie
Carville, Keryln
Leslie, Gavin
author_facet Sandy-Hodgetts, Kylie
Carville, Keryln
Leslie, Gavin
author_sort Sandy-Hodgetts, Kylie
building Curtin Institutional Repository
collection Online Access
description Postoperative wound healing plays a significant role in facilitating a patient's recovery and rehabilitation. Surgical wound dehiscence (SWD) impacts on mortality and morbidity rates and significantly contributes to prolonged hospital stays and associated psychosocial stressors on individuals and their families. A narrative review of SWD was undertaken on English-only studies between 1945 and 2012 using three electronic databases Ovid CINHAL, Ovid Medline and Pubmed. The aim of this review was to identify predisposing factors for SWD and assessment tools to assist in the identification of at-risk patients. Key findings from the included 15 papers out of a search of 1045 revealed the most common risk factors associated with SWD including obesity and wound infection, particularly in the case of abdominal surgery. There is limited reporting of variables associated with SWD across other surgical domains and a lack of risk assessment tools. Furthermore, there was a lack of clarity in the definition of SWD in the literature. This review provides an overview of the available research and provides a basis for more rigorous analysis of factors that contribute to SWD.
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spelling curtin-20.500.11937-135702017-09-13T15:02:43Z Determining risk factors for surgical wound dehiscence: a literature review Sandy-Hodgetts, Kylie Carville, Keryln Leslie, Gavin surgical wound dehiscence surgical site infection surgical wound breakdown Postoperative wound healing plays a significant role in facilitating a patient's recovery and rehabilitation. Surgical wound dehiscence (SWD) impacts on mortality and morbidity rates and significantly contributes to prolonged hospital stays and associated psychosocial stressors on individuals and their families. A narrative review of SWD was undertaken on English-only studies between 1945 and 2012 using three electronic databases Ovid CINHAL, Ovid Medline and Pubmed. The aim of this review was to identify predisposing factors for SWD and assessment tools to assist in the identification of at-risk patients. Key findings from the included 15 papers out of a search of 1045 revealed the most common risk factors associated with SWD including obesity and wound infection, particularly in the case of abdominal surgery. There is limited reporting of variables associated with SWD across other surgical domains and a lack of risk assessment tools. Furthermore, there was a lack of clarity in the definition of SWD in the literature. This review provides an overview of the available research and provides a basis for more rigorous analysis of factors that contribute to SWD. 2013 Journal Article http://hdl.handle.net/20.500.11937/13570 10.1111/iwj.12088 Wiley-Blackwell Publishing Ltd restricted
spellingShingle surgical wound dehiscence
surgical site infection
surgical wound breakdown
Sandy-Hodgetts, Kylie
Carville, Keryln
Leslie, Gavin
Determining risk factors for surgical wound dehiscence: a literature review
title Determining risk factors for surgical wound dehiscence: a literature review
title_full Determining risk factors for surgical wound dehiscence: a literature review
title_fullStr Determining risk factors for surgical wound dehiscence: a literature review
title_full_unstemmed Determining risk factors for surgical wound dehiscence: a literature review
title_short Determining risk factors for surgical wound dehiscence: a literature review
title_sort determining risk factors for surgical wound dehiscence: a literature review
topic surgical wound dehiscence
surgical site infection
surgical wound breakdown
url http://hdl.handle.net/20.500.11937/13570