Surgical Wound Dehiscence Treatment: A Case Report

Abstract

Introduction: Surgical Wound Dehiscence (SWD) rates for caesarean section is approximately 1,9% - 7,6%. In this article we focused on our management of cesarean section SWD.

Method: Case report.

Case illustration: A 39 years-old woman, P4, presented with reddish pus came out from open surgical wound post caesarean section day-4. Laboratory findings: hypoalbuminemia, leukocytosis and Staphylococcus aureus from culture of the wound base. Before resuturing operation, wound was dressed with the hydrogel impregnated modern antimicrobial wound dressings and pad, changed every 12 hours. After 3 days, wound was dressed with the hydrogel impregnated modern antimicrobial wound dressings gel and pad, changed every 3 days and planned for necrotomy. Before resuturing operation, wound looked dry with base of granulation tissues.

Conclusion: Dressings regimens should be individualized to achieve the needs of each wound. Modern antimicrobial wound dressing can be a good therapy option for surgical wound dehiscence after caesarean section.