Surgical wound dehiscence following cutaneous excisions: A retrospective study and review of the literature

Background: Surgical wound dehiscence (SWD) is the third most common adverse event following dermatologic surgery. There have been no previous studies investigating risk factors for SWD following dermatologic surgery. There are no formal recommendations or standards of care to minimize or prevent SW...

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Main Authors: Jennifer Seyffert, Tanner Harding, Asmi Sanghvi, Nathan Bibliowicz, Martin Yungmann, Shawn Camner, Matthew Leavitt, James A Solomon
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Dermatology and Dermatologic Surgery
Subjects:
Online Access:http://www.jddsjournal.org/article.asp?issn=2352-2410;year=2020;volume=24;issue=2;spage=93;epage=98;aulast=Seyffert
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spelling doaj-c6915c5d84164c72ae9b31581f0dda5b2020-12-02T13:08:04ZengWolters Kluwer Medknow PublicationsJournal of Dermatology and Dermatologic Surgery2352-24102352-24292020-01-01242939810.4103/jdds.jdds_71_20Surgical wound dehiscence following cutaneous excisions: A retrospective study and review of the literatureJennifer SeyffertTanner HardingAsmi SanghviNathan BibliowiczMartin YungmannShawn CamnerMatthew LeavittJames A SolomonBackground: Surgical wound dehiscence (SWD) is the third most common adverse event following dermatologic surgery. There have been no previous studies investigating risk factors for SWD following dermatologic surgery. There are no formal recommendations or standards of care to minimize or prevent SWD following dermatologic surgery. Purpose: The purpose of this study was to identify risk factors associated with dermatologic SWD. Methods: Multicenter retrospective data mined from EMA electronic medical record were collected from 22,548 matched excisions and postoperative visits performed on patients ≥18 years between January 1, 2019, and September 27, 2019. Matched data analysis was performed using IBM SPSS Statistics 25 to elucidate factors associated with SWD. Results: The prevalence of SWD was calculated to be 0.55%. A wound reported as positive for presumed infection or postoperative bleeding had 14.48 and 20.15 times the odds, respectively, of also being positive for SWD. A wound located on distal extremities (arm, hand, and lower leg) had 1.86 times the odds of being positive for SWD. Increasing age was found to be statistically significant. Wounds on individuals 80 years of age or greater had 1.7064 times the odds of being positive for SWD. Data did not support a correlation between SWD and sex, SWD and diabetes, or SWD and provider type. Conclusion: Factors that contribute to SWD dehiscence include presence of presumed infection, presence of bleeding, age >80, and location on the distal extremity. Data did not support a correlation between SWD and sex, SWD and diabetes, or SWD and provider type. Dermatologic surgeon identification and reduction of risk factors contributing to this adverse event may prevent SWD.http://www.jddsjournal.org/article.asp?issn=2352-2410;year=2020;volume=24;issue=2;spage=93;epage=98;aulast=Seyffertadverse eventcutaneous surgerydehiscencedermatologic surgerypostoperative adverse eventpostoperative complicationsurgical complicationsurgical wound dehiscencewound healing
collection DOAJ
language English
format Article
sources DOAJ
author Jennifer Seyffert
Tanner Harding
Asmi Sanghvi
Nathan Bibliowicz
Martin Yungmann
Shawn Camner
Matthew Leavitt
James A Solomon
spellingShingle Jennifer Seyffert
Tanner Harding
Asmi Sanghvi
Nathan Bibliowicz
Martin Yungmann
Shawn Camner
Matthew Leavitt
James A Solomon
Surgical wound dehiscence following cutaneous excisions: A retrospective study and review of the literature
Journal of Dermatology and Dermatologic Surgery
adverse event
cutaneous surgery
dehiscence
dermatologic surgery
postoperative adverse event
postoperative complication
surgical complication
surgical wound dehiscence
wound healing
author_facet Jennifer Seyffert
Tanner Harding
Asmi Sanghvi
Nathan Bibliowicz
Martin Yungmann
Shawn Camner
Matthew Leavitt
James A Solomon
author_sort Jennifer Seyffert
title Surgical wound dehiscence following cutaneous excisions: A retrospective study and review of the literature
title_short Surgical wound dehiscence following cutaneous excisions: A retrospective study and review of the literature
title_full Surgical wound dehiscence following cutaneous excisions: A retrospective study and review of the literature
title_fullStr Surgical wound dehiscence following cutaneous excisions: A retrospective study and review of the literature
title_full_unstemmed Surgical wound dehiscence following cutaneous excisions: A retrospective study and review of the literature
title_sort surgical wound dehiscence following cutaneous excisions: a retrospective study and review of the literature
publisher Wolters Kluwer Medknow Publications
series Journal of Dermatology and Dermatologic Surgery
issn 2352-2410
2352-2429
publishDate 2020-01-01
description Background: Surgical wound dehiscence (SWD) is the third most common adverse event following dermatologic surgery. There have been no previous studies investigating risk factors for SWD following dermatologic surgery. There are no formal recommendations or standards of care to minimize or prevent SWD following dermatologic surgery. Purpose: The purpose of this study was to identify risk factors associated with dermatologic SWD. Methods: Multicenter retrospective data mined from EMA electronic medical record were collected from 22,548 matched excisions and postoperative visits performed on patients ≥18 years between January 1, 2019, and September 27, 2019. Matched data analysis was performed using IBM SPSS Statistics 25 to elucidate factors associated with SWD. Results: The prevalence of SWD was calculated to be 0.55%. A wound reported as positive for presumed infection or postoperative bleeding had 14.48 and 20.15 times the odds, respectively, of also being positive for SWD. A wound located on distal extremities (arm, hand, and lower leg) had 1.86 times the odds of being positive for SWD. Increasing age was found to be statistically significant. Wounds on individuals 80 years of age or greater had 1.7064 times the odds of being positive for SWD. Data did not support a correlation between SWD and sex, SWD and diabetes, or SWD and provider type. Conclusion: Factors that contribute to SWD dehiscence include presence of presumed infection, presence of bleeding, age >80, and location on the distal extremity. Data did not support a correlation between SWD and sex, SWD and diabetes, or SWD and provider type. Dermatologic surgeon identification and reduction of risk factors contributing to this adverse event may prevent SWD.
topic adverse event
cutaneous surgery
dehiscence
dermatologic surgery
postoperative adverse event
postoperative complication
surgical complication
surgical wound dehiscence
wound healing
url http://www.jddsjournal.org/article.asp?issn=2352-2410;year=2020;volume=24;issue=2;spage=93;epage=98;aulast=Seyffert
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