Abstract

GARCIA-MONTERO, Adrián et al. Multidisciplinary approach of an abdominal dehiscence infected: cost-consequence evaluation of dressing and measurements used. Gerokomos [online]. 2018, vol.29, n.3, pp.148-152. ISSN 1134-928X.

The dehiscence of the surgical wound is the postoperative separation of the incision. It implies an increase in the days of hospitalization and postsurgical recovery. They are more frequent in the abdominal area, with a high risk of eventration / evisceration. We present the case of a 60-year-old man with overweight who presents a surgical wound with a dehiscence grade 3a of 10 × 5 × 1,5 cm. He was derived to social work to improve the provision of self-care. The objective is to show the benefit of a multidisciplinary approach to the case and evaluate the cost of health, the complexities of the evolution, the workload produced, the dressings used and their applicability. The results show the good evolution of the wound, with hypergranulation as the only complication arising during the process. The different phases of the care plan carried out are described, detailing the materials used and the resolution of the complications.

Keywords : Surgical wound dehiscence; surgical wound infection; abdominal wound closure techniques; negative pressure wound therapy; wound healing; postoperative care.

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