[The pathogenesis of postoperative abdominal wound dehiscence. Part I: Clinical investigations to determine patient groups at risk (author's transl)].
Between 1955 and 1974 a total of 27 404 patients were laparotomied at the University Surgical Clinic in Munich. Abdominal wound dehiscence occurred during the postoperative phase in 324 patients. In comparison with the clinical findings of undisturbed healing in the total number of patients, some predisposing factors could be established which were statistically confirmed for the first time: age over 60, males, malignant primary disease, long operation time, low preoperative hemoglobin concentration, high blood loss and bigger blood transfusions. With the help of these risk criteria, endangered patients can be detected pre-or intra-operatively.
D000009:Abdominal Muscles; D000367:Age Factors; D000368:Aged; D000740:Anemia / Q000150:complications; D005260:Female; D006454:Hemoglobins; D006470:Hemorrhage; D006801:Humans; D007414:Intestinal Neoplasms / Q000601:surgery; D007418:Intestinal Pseudo-Obstruction / Q000150:complications; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000150:complications; D012189:Retrospective Studies; D012306:Risk; D012737:Sex Factors; D013529:Surgical Wound Dehiscence / Q000175:diagnosis / Q000209:etiology*; D013997:Time Factors; D014945:Wound Healing
D006454:Hemoglobins
Zur Pathogenese der postoperativen Bauchwandruptur. Teil I: Klinische Untersuchungen zur Ermittlung gefährdeter Patientengruppen.