![]() ![]() ![]() Nadir A, Kaptanoglu M, Sahin E, Sarzep H. Recovery from surgery can test your patience, but following all the recommendations of your healthcare provider will help you to fully heal sooner and avoid long-term complications. Most wound dehiscence is minor, with a small area of the wound opening or gaping slightly. If the area is small, you can typically manage it by following your surgeon's instructions.Įvisceration is far rarer, but it's more serious when it happens and cannot be ignored. You can lower your risk by eating well and avoiding certain types of physical activities. Poor nutrition, obesity, and infections can increase the risk of complications related to healing. Get to an emergency room immediately if this happens. If the wound separates significantly, your internal organs and tissue could push out of the incision. You can avoid this problem by taking it easy, eating properly, and following guidelines for wound care. When the surgical cut fails to close or reopens, it's called a dehiscence wound. Again, the strain can cause the wound to open.Īfter surgery, incisions may not heal properly. Avoid lifting: If your healthcare provider says you're not allowed to lift anything heavier than 5 pounds for two weeks after surgery, take the advice seriously.Repetitive coughing and sneezing can weaken your incision, which can slow healing and (in some cases) lead to wound dehiscence. Prevent coughing and sneezing: If your allergies are acting up or you have a cough, be proactive about keeping sneezing and coughing to a minimum.Care for your incision: Proper incision care will not only speed healing, but it helps prevent infection, which can weaken the incision and increase the chances of dehiscence.Prevent constipation with proper nutrition after surgery, or if you're already constipated, ask your surgeon for medication to help. Straining to have a bowel movement can open the incision. Prevent constipation: Constipation is common after abdominal surgery, which is when dehiscence is most likely to occur.This can both prevent wound dehiscence and minimize pain during activity. Practice bracing: When doing any activity that puts stress on the wound (sneezing, coughing, vomiting, laughing, bearing down for a bowel movement) apply pressure over your incision using your hands or a pillow.Regardless of the method used to close the wound, it's important to take steps to reduce the chances of dehiscence or evisceration. They allow the skin to come together more easily and heal better with less scarring. The multiple cuts are perpendicular to the wound line. Known as a "pie-crust" incision, this method makes a number of small cuts in the surrounding skin similar to the holes in a pie crust. In high-risk situations or special circumstances, surgeons may use an advanced technique to close a wound. Also, in these cases, sutures or other material used to close a wound must be stronger to support the additional weight of the fatty tissue. Obesity: The inflammation period of healing may last significantly longer in people with obesity.An infection delays healing and weakens newly formed tissue, making it more likely that your wound won't close. Infection: Bacteria in the incision increases the chances of dehiscence.Malnourishment: Proper nutrition is necessary to support healing and ensure new skin is strong enough to withstand normal stress.Your risk of wound dehiscence increases if you have certain types of medical conditions. While the type of suture material- sutures, staples, or surgical glue-and surgical technique may cause separation, those factors are less important than a person's pre-existing health issues. The type of closing procedure used, which may not have been effective for the incision.Certain types of sutures that may dissolve too soon and lead the incision to open.Post-surgery stress on the wound, which can include something as ordinary as a cough or sneeze.When the edges of a wound separate, it's usually because of problems with sutures or staples that are supposed to hold the skin together. ![]()
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