The deep inferior epigastric perforator (DIEP) flap is considered to be the gold standard for autologous breast reconstruction. This study evaluates the outcome of unilateral DIEP flap reconstructions, comparing university with a community hospital setting. A total of 77 unilateral DIEP flaps were performed at one university hospital and two community hospitals by the same two surgeons. Outcome...

BACKGROUND The aim of this study was to evaluate the risk factors of wound dehiscence and determine which of them can be reverted. METHODS We retrospectively analyzed 3500 laparotomies. Age over 75 years, diagnosis of cancer, chronic obstructive pulmonary disease, malnutrition, sepsis, obesity, anemia, diabetes, use of steroids, tobacco use and previous administration of chemotherapy or radio...

HYPOTHESIS In midline incisions closed with a single-layer running suture, the rate of wound complications is lower when a suture length to wound length ratio of at least 4 is accomplished with a short stitch length rather than with a long one. DESIGN Prospective randomized controlled trial. SETTING Surgical department. PATIENTS Patients operated on through a midline incision. INTERVENT...

BACKGROUND Sternal dehiscence is one of the most troublesome complications following cardiac surgery. Treatment failure and consequent lethal outcomes are very common. The aim of this study was to evaluate titanium plate fixation as a treatment for sternal dehiscence following major cardiac surgery. MATERIALS AND METHODS Between 2010 and 2012, 17 patients underwent sternal reconstruction usin...

PURPOSE To investigate the incidence, mechanisms, characteristics, and visual outcomes of traumatic wound dehiscence following keratoplasty. METHODS Medical records of 32 consecutive patients with traumatic globe rupture following keratoplasty who had been treated at our center from 2001 to 2009 were retrospectively reviewed. RESULTS The study population consisted of 32 eyes of 32 patients ...

Vaginal cuff dehiscence with small bowel evisceration is a serious but uncommon postoperative complication of total laparoscopic hysterectomies. The severity surgical site can range from small, partial to full-thickness wound dehiscence, manifesting acute abdominal pain, vaginal bleeding, or discharge, and often precipitated by sexual intercourse. While imaging, including pelvic ultrasound comp...

A prospective evaluation of Histoacryl tissue adhesive for the repair of simple scalp wounds is described. Fifty wounds were repaired using the adhesive and, on examination 5 days later, 49 wounds were fully healed, the remaining wound having only a small area of dehiscence. The advantage of this method of wound repair is discussed.

Two cases are described of late pseudoaneurysm of the ascending aorta caused by dehiscence of infected aortocoronary vein graft suture lines. Both cases were associated with early postoperative Staphylococcus aureus superficial wound infection. This complication should be suspected in patients developing protracted wound infections after operation, particularly when associated with rigors.

Secondary postpartum haemorrhage due to partial or complete dehiscence of uterine wound after caesarean section is unusual. Authors present here a patient with secondary postpartum haemorrhage following uterine dehiscence after caesarean delivery. Conservative management failed to control the bleeding, and she eventually needed hysterectomy. All women who have significant PPH following caesarea...

Wound dehiscence is the premature opening of a wound along surgical line. It is a surgical complication that results from poor wound healing that can increase significantly the risk of morbidity and mortality. Risk factors in general are age, diabetes, obesity, cancer, emergency surgery, pulmonary diseases, malnutrition, weight loss, anaemia, chemotherapy and radiotherapy. The objective of this...