Risk factors affecting the difference of surgery’s wound after emergency laparotomy in H. Adam Malik Hospital Medan-Indonesia

Adi Muradi Muhar , Faisal Lutfi, Liberti Sirait

Adi Muradi Muhar
Adam Malik Hospital, Medan, Indonesia. Email: mu[email protected]

Faisal Lutfi
Adam Malik Hospital, Medan, Indonesia

Liberti Sirait
Adam Malik Hospital, Medan, Indonesia
Online First: March 24, 2017 | Cite this Article
Muhar, A., Lutfi, F., Sirait, L. 2017. Risk factors affecting the difference of surgery’s wound after emergency laparotomy in H. Adam Malik Hospital Medan-Indonesia. Bali Medical Journal 6(1): 223-226. DOI:10.15562/bmj.v6i1.559

Background: Infections of surgery wound have big impacts on mortality, morbidity, including health care costs, patient discomfort and dissatisfaction of the surgery’s result. Several factors affecting the risk of wound dehiscence are Gender, advanced age (> 50 years), emergency surgery, nutritional deficiencies, duration of surgery and the amount of intraoperative bleeding. Methods: Prospective clinical trials conducted in the Emergency Room and Inpatient of H. Adam Malik Hospital in Medan between May to December 2016. The sample was selected by systematic random sampling. Data processed by descriptive and analytic with univariate, bivariate and multivariate analysis. Results: Patient with wound dehiscence obtained at age 42.35 + 5.8 older than the findings from a patient without wound dehiscence that occurred at age 29.93 + 11.05. The amount of bleeding of the Patient with wound dehiscence was 317.29 + 38.45 cc which more than the findings of patient without wound dehiscence as much as 89.58 + 39.74 cc. Age and obesity become, the more risk factors that play a role of wound dehiscence in patients with emergency laparotomy. Conclusion: There is a difference between risk factors (age, sex, duration of surgery, the amount of bleeding, obesity and applied of subcutaneous drainage) with the occurrence of wound dehiscence in bivariate. Only, Age, and obesity Contributing to the occurrence of wound dehiscence in multivariate.



Sjamsudidajat R, De Jong W. 2005. Luka Operasi. Dalam: Buku Ajar Ilmu Bedah Ed 2. Penerbit Buku Kedokteran EGC: Jakarta

Anonim. 2008. Penyembuhan Luka dan Dehisensi. Diakses dari: http://www.scribd.com/doc/56192741/DEHISENSI2

Spiliotis J. 2009. Wound dehiscence: is still a problem in the 21th century: A retrospective study. World J of Emerg Surg, 4:12. This article is available from: http://www.wjes.org/content/4/1/12

Makela J, Kiviniemi H, Juvonen T, et al. 2005. Factors influencing wound dehiscence after midline laparotomy. Amr J of surgery. 170 (4):387-390

Sivender A, et al. 2015. Clinical study on risk factors causing abdominal wound dehiscence and management. J of Dental and Med Sci; 14,(10 :18-23

Shimizu A, et al. 2015. Effect of Application od Subcutaneous suction drainage with subcuticular sutures for wound closure on the Incidence od Incisional SSI Following General Abdomninal Surgery:A RCT, Shinsu Med J; 63(2): 91-101

Sumi Y, Yamashita K, Kanemitsu K, Kanaji S, Yamamoto et al. Effects of Subcutaneous Closed Suction Drain for the Prevention of Incisional SSI in Patients with Colorectal Perforation.Surgical Science 2014;5:122-7.

Culver DH, Horan TC, Gaynes RP, et al. Surgical wound infection rates by wound class, operative procedure, and patient risk index. National Nosocomial Infections Surveillance System. American Journal of Medicine. 1991;91(3B):152S–7S.

Hirose Y. Clinical Study: Novel Closing Method Using Subcutaneous Continuous Drain for Preventing Surgical Site Infections in Radical Cystectomy, , Hindawi Publishing Corporation Urology 2014; 5 pages

Norman S, Williams, Bulstrode, Christopher JK, O’Connel, Ronan P. The Small and Large Intestine. In: Bailey & Love’s Short Parcatice of Surgery 26th Edition. Boca Raton: CRC Press. 2013. 1163-1169.

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