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Obstetrics & Gynecology 1975;46:530-534
© 1975 by The American College of Obstetricians and Gynecologists
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Abdominal Wound Disruption

MICHAEL S. BAGGISH, MD, FACOG and WING K. LEE, MD, MRCOG

From the Department of Obstetrics and Gynecology at Mount Sinai Hospital, Hartford, Connecticut

Abstract

Abdominal wound disruption occurred in 6 cases in a series of 2500 consecutive abdominal laparotomies. A prospective study of 900 laparotomies utilizing polyglycolic acid suture material and the Smead-Jones closure technic was carried out over a period of 1 year with a reduction in the incidence of wound disruption from 0.4 to 0.1%. Etiologic factors placing patients in a high-risk category for disruption are identified, and specific prophylactic measures are discussed. Prevention of catastrophic disruption is advocated because of its high mortality rate, averaging 20%.






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Copyright © 1975 by the American College of Obstetricians and Gynecologists.