Abstract:
Objective To discuss the therapeutic experience of Surgical Incision Dehiscence in 18 elderly patients with colorectal tumor.
Methods A Retrospective study was made on 18 cases treated in the 309th Hospital of PLA between January 2015 and December 2017. The body mass index (BMI) value, the basis diseases and the time of surgical incision dehiscence, the scope of the split and the treatment measures were observed.
Results Of the 18 patients, 16 (88.9%) had diabetes; 14 (77.8%) had chronic or chronic obstructive pulmonary disease (COPD); 11 (61.1%) was associated with hypoproteinemia. 17 patients (94.44%) had multiple factors. Only 1 case (5.56%) were caused by single factor. 6 cases were treated with debridement and tension reduction suture because of large incision dehiscence. The remaining 12 cases were treated by conservative treatment. All patients were cured and discharged.
Conclusion Obesity, blood sugar, nutritional status and lung diseases are the main factors which lead to surgical incision dehiscence in elderly patients. Once the surgical incision dehiscence happened, conservative treatment is safe and effective unless there is intestinal tube exposure.
Key words:
Surgical incision dehiscence,
Colorectal tumor,
Elderly
Dan An, Yuwei Wang, Jianmiao He. Clinical analysis of surgical incision dehiscence in 18 elderly patients with colorectal tumor[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2018, 12(05): 353-355.