Abdominal Wound Dehiscence

Abstract

Wound dehiscence as a result of infected, necrotic fascia and abdominal distention is not only difficult to close but may set the stage for other complications or death. Based on the experience of others when treating military wounds, Marlex mesh was used in three patients for repair in the infected wound dehiscence. It accomplished the following functions: (1) coverage of the viscera; (2) exteriorization of the necrotic wound margins, permitting effective drainage; (3) lessening of intra-abdominal pressure, insuring less stasis in the inferior vena cava and the veins of the lower extremities; and (4) increase in abdominal capacity to accommodate the distended intestines and permit freer descent of the diaphragm. Eventual staged wound closure was secured in all patients.