Ann Surg Case Rep | Volume 1, Issue 2 | Research Article | Open Access
Milorad Paunović
University of Belgrade, Clinical Center of Serbia, Belgrade, Serbia
*Correspondance to: Milorad Paunović
Fulltext PDFComplications related to postoperative wound healing occur with varying frequency depending on the underlying disease, the patient's condition and surgeon's technical skills. In emergency operations, the percentage of complications is higher. The aim of this study was to identify and evaluate the risks factors for occurrence of postoperative complications: infection and wound dehiscence. Research is organized by type of retrospective-prospective studies between January 2017 and September 2018 at the Clinic for General Surgery in Nis where 630 patients was operated. Of the total number, there were 461 (73.2%) elective and 169 (26.8%) emergency operations. In elective surgery operations: smoking, comorbidity, blood loss, and type of operation were independent risk factors. Multivariate subgroup analysis of the association between smoking and complications disclosed that smoking was independently associated with surgical site infections, as well wound dehiscence. In emergency surgery: male gender, peritonitis, operation, and multiple operations were independent risks factors. Postoperative blood loss is proved in all cases to be a significant risk factor. Risk factors known to affect the process of tissue and wound healing, like smoking, diabetes, cardiovascular disease, lung disease, male gender, contamination of the surgical site, blood loss, and the operation itself, were independent risk factors of wound and tissue complications, with the morbidity and mortality still very high. Those were the reasons to identify and clarify the risk factors, since recognized before and during the surgery, they are possible to prevent and eliminate.
Paunović M. Risk Factors Related to the Patient for Postoperative Wound Complications in Common Elective and Emergency Abdominal Operations. Ann Surg Case Rep. 2018; 1(2): 1009.