0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

PREVENTION AND TREATMENT OF WOUND DEHISCENCE

FRANKLIN E. WALTON, M.D.
Arch Surg. 1948;57(2):217-226. doi:10.1001/archsurg.1948.01240020222004.
Text Size: A A A
Published online

SEVERAL years ago Norris1 stated, "the elimination of postoperative wound dehiscence is entirely within the jurisdiction of the operating surgeon," yet the occurrence of this surgical catastrophe remains uncomfortably constant. To say that this major complication of abdominal surgical treatment is shocking to the surgeon and the patient alike is a decided understatement.

The term "dehiscence," from the verb, "dehiscere," to gape, is graphic and descriptive. As used throughout this paper, it applies to that condition in which any portion of the contents of the peritoneal cavity is extruded from that cavity and presents itself in the operative wound. Within the past decade several excellent statistical studies2 of wound disruption, with purposeful discussions concerning corrective measures, have been made and are available in the literature.

INCIDENCE AND MORTALITY  The incidence of this surgical complication and its mortality rate have been rather uniform for the past fifteen years, as

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();