Emergency

Question 1

What is fascial dehisence?

Answer 1

When the abdominal wall pressure overcomes the tissue or suture strength or knot integrity leading to a breach in fascial continuity.

Question 2

What are the risks for fascial dehisence?

Answer 2

Patient factors:
- obese
- ascites
- male
- post operative cough
- smoker
- age
- malnutrition
- heavy lifting

Disease factors:
- infection
- emergency surgery

Technical factors:
- poor suturing execution
- the longer the incision the higher the risk
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