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Johan F Lange - One of the best experts on this subject based on the ideXlab platform.
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long term outcome study in patients with abdominal Wound Dehiscence a comparative study on quality of life body image and incisional hernia
Journal of Gastrointestinal Surgery, 2013Co-Authors: J Jeekel, Gabrielle H Van Ramshorst, Hasan H Eker, Jan A Van Der Voet, Johan F LangeAbstract:Long-term quality of life and body image of patients with abdominal Wound Dehiscence were assessed. Thirty-seven patients with abdominal Wound Dehiscence from a prospectively followed cohort of 967 patients (2007–2009) were reviewed. Patients completed the Short Form 36 quality of life questionnaire and Body Image Questionnaire and participated in semi-structured telephone interviews. For each patient, four controls were matched by age and gender. Analyses were adjusted for age, gender, comorbidity, and follow-up length. Of the 37 patients with abdominal Wound Dehiscence, 23 were alive after a mean follow-up of 40 months (range 33–49 months). Nineteen patients developed incisional hernias (83 %). Patients with abdominal Wound Dehiscence reported significantly lower scores for physical and mental component summaries (p = 0.038, p = 0.013), general health (p = 0.003), mental health (p = 0.011), social functioning (p = 0.002), and change (p = 0.034). No differences were found for physical functioning (p = 0.072), role physical (p = 0.361), bodily pain (p = 0.133), vitality (p = 0.150), and role emotional (p = 0.138). Patients with abdominal Wound Dehiscence reported lower body image scores (median 16.5 vs. 18, p = 0.087), cosmetic scores (median 13 vs. 16, p = 0.047), and total body image scores (median 30 vs. 34, p = 0.042). At long-term follow-up, patients with abdominal Wound Dehiscence demonstrated a high incidence of incisional hernia, low body image, and low quality of life.
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abdominal Wound Dehiscence in adults development and validation of a risk model
World Journal of Surgery, 2010Co-Authors: Gabrielle H Van Ramshorst, J Jeekel, Wim C J Hop, Jeroen Nieuwenhuizen, Pauline Arends, Johan Boom, Johan F LangeAbstract:Background Several studies have been performed to identify risk factors for abdominal Wound Dehiscence. No risk model had yet been developed for the general surgical population. The objective of the present study was to identify independent risk factors for abdominal Wound Dehiscence and to develop a risk model to recognize high-risk patients. Identification of high-risk patients offers opportunities for intervention strategies.
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risk factors for abdominal Wound Dehiscence in children a case control study
World Journal of Surgery, 2009Co-Authors: Gabrielle H Van Ramshorst, Nathalie E Salu, Nikolaas M A Bax, Wim C J Hop, Ernst Van Heurn, Daniel C Aronson, Johan F LangeAbstract:Background In the limited literature concerning abdominal Wound Dehiscence after laparotomy in children, reported incidences range between 0.2–1.2% with associated mortality rates of 8–45%. The goal of this retrospective case-control study was to identify major risk factors for abdominal Wound Dehiscence in the pediatric population.
Woodford S. Van Meter - One of the best experts on this subject based on the ideXlab platform.
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Spontaneous Wound Dehiscence after removal of single continuous penetrating keratoplasty suture
Ophthalmology, 2002Co-Authors: Edward S. Abou-jaoude, Moya Brooks, Douglas G. Katz, Woodford S. Van MeterAbstract:Abstract Purpose To determine the incidence and complications of spontaneous Wound Dehiscence after removal of a single continuous penetrating keratoplasty (PK) suture. Design Retrospective consecutive, noncomparative interventional case series. Methods Retrospective review of 324 consecutive continuous suture PKs performed between 1992 and 1999. Results Sixty-nine (21.3%) of 324 PKs reviewed had the continuous suture removed. The average interval for suture removal after PK was 24.5 ± 15 months (range, 2.8–63.3 months). Five of the 69 eyes (7.2%) developed spontaneous Wound Dehiscence without direct eye trauma. In the five eyes that developed Wound Dehiscence, the continuous suture was removed at 24.6 ± 10.3 months (range, 14–42 months). Dehiscence occurred at 11.6 ± 6.5 (range, 3–18) days after suture removal. Significant history associated with Wound Dehiscence included coughing, yawning, falling without trauma to the eye, and spontaneous Wound separation. The reasons for suture removal were astigmatism in four of five (80%) patients and a broken suture in one of the five patients. In four of five (80%) patients, the location of Wound Dehiscence correlated with the steep axis of corneal keratometry before suture removal. Surgical intervention preserved the presuture removal best-corrected visual acuity in four of the five eyes. No eyes with an intact suture spontaneously dehisced. Conclusions The rate of spontaneous Wound Dehiscence after removal of a continuous suture in our series was 7.2%. All spontaneous Dehiscences occurred within 2 weeks after suture removal. Older patients, who had PK for corneal edema with postoperative astigmatism and have been using corticosteroids drops for prolonged periods of time, are at higher risk of Wound Dehiscence. Patients should be monitored closely during the first 2 weeks after removal of a continuous suture for signs of Wound separation, especially when suture removal is performed for astigmatism. Patients should be cautioned about the risk and symptoms of Wound Dehiscence before suture removal to facilitate early recognition and intervention for preservation of best visual potential.
Michael G Falcon - One of the best experts on this subject based on the ideXlab platform.
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spontaneous Wound Dehiscence after removal of single continuous penetrating keratoplasty suture conservative management
Cornea, 2006Co-Authors: Marta Ugarte, Michael G FalconAbstract:PURPOSE: To describe a case of spontaneous Wound Dehiscence (WD) following removal of single continuous penetrating keratoplasty (PKP) suture, who was treated conservatively with a bandage contact lens. METHODS: A 36 year-old man who had penetrating keratoplasty for keratoconus 15 months earlier and removal of the single continues suture the previous week underwent ocular examination. He was treated with topical dexamethasone 0.3%, chloramphenicol 0.5% and cyclopentolate 1% 3 times a day and had a bandage contact lens (BCL) inserted. RESULTS: On presentation, he was complaining of reduced vision, tearing and pain following an attack of rhinitis-induced sneezing. His visual acuity (VA) in the affected eye was counting fingers, the anterior chamber was formed, the intraocular pressure (IOP) was low and there was a 2-clock-hour WD with a positive Seidel test but no iris incarceration. Two months later, his corrected VA was 6/5, his IOP was normal and the graft-host junction was good with no uplift. CONCLUSIONS: A 2-clock-hour WD after single continuous PKP suture removal may be conservatively treated with a BCL.
Gabrielle H Van Ramshorst - One of the best experts on this subject based on the ideXlab platform.
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long term outcome study in patients with abdominal Wound Dehiscence a comparative study on quality of life body image and incisional hernia
Journal of Gastrointestinal Surgery, 2013Co-Authors: J Jeekel, Gabrielle H Van Ramshorst, Hasan H Eker, Jan A Van Der Voet, Johan F LangeAbstract:Long-term quality of life and body image of patients with abdominal Wound Dehiscence were assessed. Thirty-seven patients with abdominal Wound Dehiscence from a prospectively followed cohort of 967 patients (2007–2009) were reviewed. Patients completed the Short Form 36 quality of life questionnaire and Body Image Questionnaire and participated in semi-structured telephone interviews. For each patient, four controls were matched by age and gender. Analyses were adjusted for age, gender, comorbidity, and follow-up length. Of the 37 patients with abdominal Wound Dehiscence, 23 were alive after a mean follow-up of 40 months (range 33–49 months). Nineteen patients developed incisional hernias (83 %). Patients with abdominal Wound Dehiscence reported significantly lower scores for physical and mental component summaries (p = 0.038, p = 0.013), general health (p = 0.003), mental health (p = 0.011), social functioning (p = 0.002), and change (p = 0.034). No differences were found for physical functioning (p = 0.072), role physical (p = 0.361), bodily pain (p = 0.133), vitality (p = 0.150), and role emotional (p = 0.138). Patients with abdominal Wound Dehiscence reported lower body image scores (median 16.5 vs. 18, p = 0.087), cosmetic scores (median 13 vs. 16, p = 0.047), and total body image scores (median 30 vs. 34, p = 0.042). At long-term follow-up, patients with abdominal Wound Dehiscence demonstrated a high incidence of incisional hernia, low body image, and low quality of life.
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abdominal Wound Dehiscence in adults development and validation of a risk model
World Journal of Surgery, 2010Co-Authors: Gabrielle H Van Ramshorst, J Jeekel, Wim C J Hop, Jeroen Nieuwenhuizen, Pauline Arends, Johan Boom, Johan F LangeAbstract:Background Several studies have been performed to identify risk factors for abdominal Wound Dehiscence. No risk model had yet been developed for the general surgical population. The objective of the present study was to identify independent risk factors for abdominal Wound Dehiscence and to develop a risk model to recognize high-risk patients. Identification of high-risk patients offers opportunities for intervention strategies.
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risk factors for abdominal Wound Dehiscence in children a case control study
World Journal of Surgery, 2009Co-Authors: Gabrielle H Van Ramshorst, Nathalie E Salu, Nikolaas M A Bax, Wim C J Hop, Ernst Van Heurn, Daniel C Aronson, Johan F LangeAbstract:Background In the limited literature concerning abdominal Wound Dehiscence after laparotomy in children, reported incidences range between 0.2–1.2% with associated mortality rates of 8–45%. The goal of this retrospective case-control study was to identify major risk factors for abdominal Wound Dehiscence in the pediatric population.
H.p, Chandra Isabella - One of the best experts on this subject based on the ideXlab platform.
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Faktor-Faktor yang Berhubungan dengan Kejadian Wound Dehiscence pada Pasien Post Laparatomi
Universitas Padjadjaran, 2017Co-Authors: Ningrum, Tita Puspita, Mediani, Henny Suzana, H.p, Chandra IsabellaAbstract:Wound Dehiscence sering terjadi setelah pembedahan mayor abdomen menimbulkan tingkat morbiditas dan mortalitas yang tinggi. Wound Dehiscence dapat menimbulkan stress, eviserasi, reoperasi, gangguan citra tubuh, meningkatnya lama rawat dan biaya rawat, menurunkan kualitas hidup pasien serta kematian sehingga perlu menangani faktor yang mempengaruhi kejadian Wound Dehiscence. Tujuan dari penelitian ini adalah untuk menganalisis faktor-faktor yang berhubungan dengan kejadian Wound Dehiscence pada pasien dewasa post laparatomi di RSUP Dr Hasan Sadikin Bandung. Metode penelitian menggunakan analitik korelasi dengan pendekatan cross sectional. Sampel yang digunakan berjumlah 40 orang yang diambil dengan menggunakan consecutive sampling. Pengumpulan data dengan cara wawancara, observasi dan studi dokumentasi. Analisis univariat menggunakan distribusi frekuensi dan analisis bivariat menggunakan uji Chi Square. Hasil penelitian menunjukkan kejadian Wound Dehiscence terjadi ketika perawatan di rumah (35%). Hasil analisis bivariat menunjukkan adanya hubungan yang signifikan antara infeksi luka (p=0,0001), operasi emergensi (p = 0,020), hipoalbumin (p=0,037), anemia (p = 0,028), status nutrisi (0,010), dan adanya penyakit penyerta (p = 0,008) dengan kejadian Wound Dehiscence, serta tidak ada hubungan yang signifikan antara faktor usia (p = 0,581) dan jenis kelamin (p= 0,604) dengan kejadian Wound Dehiscence. Penting bagi perawat untuk mengidentifikasi potensial faktor risiko Wound Dehiscence pada pasien yang dilakukan operasi laparatomi dan segera melakukan intervensi yang diperlukan untuk mencegah terjadinya komplikasi Wound Dehiscence, diantaranya dengan melakukan discharge planning terkait perawatan luka dan pentingnya asupan protein yang adekuat supaya bisa dikenali ditahab mana terjadinya Wound Dehiscence.Kata kunci: Pasien, post laparatomi, Wound Dehiscence. Factors correlating of Wound Dehiscence in Patients after Laparatomi at Dr Hasan Sadikin General Hospital BandungAbsractWound Dehiscence is often occurred after major abdominal surgery which impacts on morbidity and mortality rates and significantly contributes to prolonged hospital stays, implicit and explicit costs, associate with psychosocial stressor on patients, evisceration re-surgical operation, and may affect to quality of life patients. It is therefore necessary to identify factors affecting Wound Dehiscence. The aims of the study was to analyze factors correlating of post-operative Wound Dehiscence in adult patients at Dr Hasan Sadikin general hospital. Correlational analytic with cross sectional approach was used in this study. 40 patients were selected to be participated in this study by using consecutive sampling. Observations, interviews and study documents were conducted in data collection process. Univariate and Bivariate analysis with Chi Square were performed to analyze the data. Results of the study identified than Wound Dehiscence were occurred during patients at home (35%). Result of analysis bivariate showed that there was a significance correlation between Wound infection (p=0, 0001), surgical emergency (p = 0,020), hypo albumin (p=0,037), anemia (p = 0,028), nutrition status (0,010), and other illness (p = 0,008) with Wound Dehiscence. Whereas, there was no correlation significantly between age factor (p = 0,581) and gender (p= 0,604) with Wound Dehiscence. It is important for nurses to identify potential risk factors of Wound Dehiscence in patients after post-operative laparotomy and prevent complication of Wound Dehiscence by doing discharge planning especially in term of Wound care and the need of taking protein consumption adequately to avoid Wound Dehiscence.Key words: Adult patients, post-laparatomi, Wound Dehiscence
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Faktor-Faktor yang Berhubungan dengan Kejadian Wound Dehiscence pada Pasien Post Laparatomi
Padjadjaran University, 2017Co-Authors: Ningrum T. P., Mediani H. S., H.p, Chandra IsabellaAbstract:Wound Dehiscence sering terjadi setelah pembedahan mayor abdomen menimbulkan tingkat morbiditas dan mortalitas yang tinggi. Wound Dehiscence dapat menimbulkan stress, eviserasi, reoperasi, gangguan citra tubuh, meningkatnya lama rawat dan biaya rawat, menurunkan kualitas hidup pasien serta kematian sehingga perlu menangani faktor yang mempengaruhi kejadian Wound Dehiscence. Tujuan dari penelitian ini adalah untuk menganalisis faktor-faktor yang berhubungan dengan kejadian Wound Dehiscence pada pasien dewasa post laparatomi di RSUP Dr Hasan Sadikin Bandung. Metode penelitian menggunakan analitik korelasi dengan pendekatan cross sectional. Sampel yang digunakan berjumlah 40 orang yang diambil dengan menggunakan consecutive sampling. Pengumpulan data dengan cara wawancara, observasi dan studi dokumentasi. Analisis univariat menggunakan distribusi frekuensi dan analisis bivariat menggunakan uji Chi Square. Hasil penelitian menunjukkan kejadian Wound Dehiscence terjadi ketika perawatan di rumah (35%). Hasil analisis bivariat menunjukkan adanya hubungan yang signifikan antara infeksi luka (p=0,0001), operasi emergensi (p = 0,020), hipoalbumin (p=0,037), anemia (p = 0,028), status nutrisi (0,010), dan adanya penyakit penyerta (p = 0,008) dengan kejadian Wound Dehiscence, serta tidak ada hubungan yang signifikan antara faktor usia (p = 0,581) dan jenis kelamin (p= 0,604) dengan kejadian Wound Dehiscence. Penting bagi perawat untuk mengidentifikasi potensial faktor risiko Wound Dehiscence pada pasien yang dilakukan operasi laparatomi dan segera melakukan intervensi yang diperlukan untuk mencegah terjadinya komplikasi Wound Dehiscence, diantaranya dengan melakukan discharge planning terkait perawatan luka dan pentingnya asupan protein yang adekuat supaya bisa dikenali ditahab mana terjadinya Wound Dehiscence.Kata kunci: Pasien, post laparatomi, Wound Dehiscence. Factors correlating of Wound Dehiscence in Patients after Laparatomi at Dr Hasan Sadikin General Hospital BandungAbsractWound Dehiscence is often occurred after major abdominal surgery which impacts on morbidity and mortality rates and significantly contributes to prolonged hospital stays, implicit and explicit costs, associate with psychosocial stressor on patients, evisceration re-surgical operation, and may affect to quality of life patients. It is therefore necessary to identify factors affecting Wound Dehiscence. The aims of the study was to analyze factors correlating of post-operative Wound Dehiscence in adult patients at Dr Hasan Sadikin general hospital. Correlational analytic with cross sectional approach was used in this study. 40 patients were selected to be participated in this study by using consecutive sampling. Observations, interviews and study documents were conducted in data collection process. Univariate and Bivariate analysis with Chi Square were performed to analyze the data. Results of the study identified than Wound Dehiscence were occurred during patients at home (35%). Result of analysis bivariate showed that there was a significance correlation between Wound infection (p=0, 0001), surgical emergency (p = 0,020), hypo albumin (p=0,037), anemia (p = 0,028), nutrition status (0,010), and other illness (p = 0,008) with Wound Dehiscence. Whereas, there was no correlation significantly between age factor (p = 0,581) and gender (p= 0,604) with Wound Dehiscence. It is important for nurses to identify potential risk factors of Wound Dehiscence in patients after post-operative laparotomy and prevent complication of Wound Dehiscence by doing discharge planning especially in term of Wound care and the need of taking protein consumption adequately to avoid Wound Dehiscence
