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    • Abdominal Component Separation in Cases of Wound Dehiscence with Evisceration (Burst Abdomen)

    Hany M S Mikhail MD, FRCS, Hany A. Balamoun MD, FRCS
    Department of General Surgery, Faculty of Medicine, Cairo University, Egypt

    Background: Abdominal wound dehiscence is a mechanical failure of wound healing; The use of component separation in the cases of complex abdominal hernia is a well-established method for closure of large defect. Component separation was described as a novel method in the management of burst abdomen in a small series of case study. Aim: To assess the use of component separation as a new concept in cases of burst abdomen. Material and Method: Prospective cohort study that included patient presenting with burst abdomen in Cairo university hospitals in the period between 6/2014 to 3/2016. Results: The study included 51 patients. The closure was successful in all patients . the rate of complication was low , and included superficial skin flap necrosis (30%),. Wound infection (23.5%), and seroma (15.6%). Conclusion: This study showed that component separation is a valuable option that can be added to the armamentarium in the treatment of wound dehiscence (burst abdomen). Keywords: Component separation, burst abdomen, wound dehiscence.

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