Management Wound Dehiscance with Heavy Exudate: A Literature Review
Abstract
Wound dehiscenceis a serious postoperative complication that can lead to increased morbidity, extended hospitalization, and higher healthcare costs. This research aims to synthesize the current evidence on the management strategies for deshiscence wounds with heavy exudate. Literature review through several stages is making questions, identification, eligibility, selection of article inclusion, and screening. The Selection Process is listed in the framework of the review literature. Research used PICO, articles published from 2019 to 2024 in English, and searches came from online database are “Pubmed”, “ProQuest”, Science Direct”. Six high-quality articles showed different results adjusted to the system and the conditions of where the research was conducted. The results of the reviewed article focus on wound dehiscence with heavy exudate presents significant challenges in clinical wound management. The optimal approach involves a combination of appropriate exudate management and infection controls. Studies included in this review highlighted the importance of individualized treatment plans for patients with dehiscence and heavy exudate.
References
Adderley, U. J. (2010). Managing wound exudate and promoting healing. British Journal of Community Nursing, 15(3 SUPPL.), 15–20. https://doi.org/10.12968/bjcn.2010.15.sup1.46907
Ahmad, F., Nosheen, A., Azam, F., Mushtaq, B., Ahmad, S., Rasheed, A., … Shahwan, M. (2024). Hydroentangled waste cotton non-woven based alginate hydrogel wound dressing for high wound exudates. Heliyon, 10(18). https://doi.org/10.1016/j.heliyon.2024.e37952
Brown, A. (2022). Managing dehisced wounds. Journal of Community Nursing, 36(5), 50–56.
Dina Jarjis, R., Thomas Crewe, B., & Henrik Matzen, S. (2016). Post-bariatric abdominoplasty resulting in wound infection and dehiscence - Conservative treatment with medical grade honey: A case report and review of literature. International Journal of Surgery Case Reports, 20, 1–3. https://doi.org/10.1016/j.ijscr.2015.12.051
Hermawan, G. N., Wibisono, J. J., & Nembo, L. F. (2021). Abdominal Wound Dehiscence: A Review of Risk Factors, Prevention and Management in Obstetrics and Gynecology Practice. Medicinus, 8(3), 102. https://doi.org/10.19166/med.v8i3.3767
Jang, J. Y., Shim, H., Lee, Y. J., Lee, S. H., & Lee, J. G. (2013). Application of negative pressure wound therapy in patients with wound dehiscence after abdominal open surgery: A single center experience. Journal of the Korean Surgical Society, 85(4), 180–184. https://doi.org/10.4174/jkss.2013.85.4.180
McElroy, E. F. (2019). Use of negative pressure wound therapy with instillation and a reticulated open cell foam dressing with through holes in the acute care setting. International Wound Journal, 16(3), 781–787. https://doi.org/10.1111/iwj.13097
Miguel, S. P., D’Angelo, C., Ribeiro, M. P., Ferreira, S., & Coutinho, P. (2023). An antibacterial and bioactive sponge incorporating Codium sp.-mediated biosynthesized silver nanoparticles for the management of high exudate wounds. Algal Research, 72(July 2022). https://doi.org/10.1016/j.algal.2023.103129
Quiroz López, C. A. (2023). Risk Factors and Management of Wound Dehiscence in Abdominal Surgery. International Journal of Medical Science and Clinical Research Studies, 03(11), 2609–2611. https://doi.org/10.47191/ijmscrs/v3-i11-12
Wojcik, M., Kazimierczak, P., Benko, A., Palka, K., Vivcharenko, V., & Przekora, A. (2021). Superabsorbent curdlan-based foam dressings with typical hydrocolloids properties for highly exuding wound management. Materials Science and Engineering: C, 124, 112068. https://doi.org/https://doi.org/10.1016/j.msec.2021.112068



