Wound dehiscence definition of wound dehiscence by Medical dictionary separation of the layers of a surgical wound it may be partial or only superficial, or complete with separation of all layers and total disruption. Complete dehiscence of an abdominal wound usually leads to. Patient Care. Patients most at risk for wound dehiscence are those who are obese, malnourished, or dehydrated or have abdominal distention, a malignancy, or multiple trauma to the abdomen. Infected wounds are also prone to dehiscence. Those patients who smoke or have a chronic cough are also at risk. Careful monitoring of patients with a predisposition to delayed healing is essential for prevention or mitigation of wound separation, especially between the fifth and twelfth postoperative days, when dehiscence most often occurs. In about half the cases of dehiscence there is a noticeable increase in serosanguineous drainage on the wound dressing before separation of the outer layers becomes apparent. Patients also may report the feeling that something has given way in the wound. If evisceration has not occurred, the wound may be splinted with reinforced dressings, sterile towels, or a binder. This could prevent further separation and allow time to notify the surgeon. The patient should be instructed to lie quietly and, if it is an abdominal wound, to try to avoid increasing intra abdominal pressure by coughing or straining in any way. Should splinting an abdominal wound fail to prevent further separation and a spilling of the viscera through the opening, emergency surgery is imperative. Until the patient goes to surgery, the protruding intestines should be covered to prevent drying. Some authorities recommend that only dry sterile towels be used while others prefer covering the entire wound with a sterile towel moistened with povidone iodine Betadine. Csr Harmony Bluetooth Software Stack Skype. Warming the solution to body temperature can help avoid shock to the intestines, but is not necessary if there is not time to do this. Excisional+Debridement.jpg' alt='Soft Tissue Debridement Definition' title='Soft Tissue Debridement Definition' />Classification. The 1999 classification system for periodontal diseases and conditions listed seven major categories of periodontal diseases, of which 26 are. Dehiscence dehisens 1. Paleobiology A Synthesis Pdf. Over many years, the terms sepsis and septicemia have referred to several illdefined clinical conditions present in a patient with bacteremia. Definitions. Extracorporeal ShockWave Therapy for Musculoskeletal Indications and Soft Tissue Injuries.