Uticaj primenjene hirurške tehnike i vrste šavnog materijala na nastanak dehiscencije laparatomije

Abstract

Dehiscentio after laparotomy is a postoperative complication that occurs in up to 3% of patients. The choice of surgical materials, surgical techniques of sewing, and a choice of incision and assessment of tension on the wound edges are variables that depend on the subjective choice of surgeon, based on his experience (years of surgical experience), knowledge and ability. The study will include 826 patients for general and vascular surgery clinic in Nis. The tested patients was divided in two groups: experimental (a group of patients in whom there was a complication- dehiscentio after laparotomy) and the control group (patients in whom dehiscentio after laparotomy did not occur). Surgeons who operate patients with dehiscence laparotomy were significantly younger (they had surgical experience smaller from 20 years) than surgeons who operate patients without dehiscence laparotomy (they had surgical experience longer from 20 years). There is a statistically highly significant correlation between laparotomy dehiscence and continuous closure. There was a statistically significant association between dehiscence laparotomy and nylon like a suture materials. Patients with greater number of risk factors are predisposed for development of postoperative wound complications, therefore it is important to identify them early and treat those patients with care. Good preoperative preparation reduce postoperative wound complications.