Talk:Wound dehiscence

Article created

Article created as a start to provide a minimum of a definition for others reading linked articles. However, I'm just someone who has a lot of contact with medical professionals, but I'm not one myself - I think the article requires input from someone who knows a bit more than I do about causes, morbidity, treatment, outcomes, etc. -- ShaneNZ (talk) 01:43, 4 June 2008 (UTC)

We need a wiki-surgeon for this. JFW | T@lk 08:58, 15 June 2008 (UTC)

Terminology

I don't know if this is used outside Europe, but in Holland this was referred to by the glorious German term Platzbauch (burst tummy). JFW | T@lk 08:58, 15 June 2008 (UTC)

Copyright problem removed

Prior content in this article duplicated one or more previously published sources. The material was copied from: [1] and the subsequent pages in that series. It clearly predates our use, since it was posted on that website at OCTOBER 30, 2010 and not placed on Wikipedia until 21 November 2010.

Even if we verify permission to use that content (it is not compatibly licensed, but restricts non-commercial reuse), we cannot unless we can verify that it is copyright free. For example, this text published at page 2 of the series

Appearance of a pink, watery discharge through the wound a week or so after operation. This is blood-tinged peritoneal exudate escaping through the deeper layers of the wound, and its appearance is strong evidence of imminent complete dehiscence. Recognition of the significance of this discharge should make it possible to resuture the abdominal wound before the frightening and potentially dangerous complication of complete rupture is allowed to occur.

This was previously published in the British Medical Journal in 1966 [2]:

An important diagnostic pointer which should be taught to the nursing and house staff is the appearance of a pink, watery discharge through the wound a week or so after operation. This is blood-tinged peritoneal exudate escaping through the deeper layers of the wound, and its appearance is strong evidence of imminent complete dehiscence. Recognition of the significance of this discharge should make it possible to resuture the abdominal wound before the frightening and potentially dangerous complication of complete rupture is allowed to occur.

Other content was closely paraphrased from a 1982 report in the same journal. For example:

Drains are inserted through a separate stab away from the incision and a colostomy or ileostomy is always fashioned through a separate incision

The 1982 report says:

Drains, when used, are inserted through a stab wound away from the incision, and a colostomy or ileostomy, when performed, is always fashioned through a separate incision.

There may be more.

The article has been returned to an earlier state. We cannot use the material from this blog unless it is duly released under a compatible license and we can verify that it does not itself contain unlicensed content. (For more information, please see "using copyrighted works from others" if you are not the copyright holder of this material, or "donating copyrighted materials" if you are.) For legal reasons, we cannot accept copyrighted text or images borrowed from other web sites or published material; such additions will be deleted. Contributors may use copyrighted publications as a source of information, but not as a source of sentences or phrases. Accordingly, the material may be rewritten, but only if it does not infringe on the copyright of the original or plagiarize from that source. Please see our guideline on non-free text for how to properly implement limited quotations of copyrighted text. Wikipedia takes copyright violations very seriously, and persistent violators will be blocked from editing. While we appreciate contributions, we must require all contributors to understand and comply with these policies. Thank you. Moonriddengirl ^(talk) 16:23, 20 December 2010 (UTC)

Neutrality Issue

The text sounds as if it were written by somebody who works for the company that makes the wound vac. I say this because it states that the packing method "takes many weeks to heal the wound" while the wound vac is 2-4 weeks. 2-4 weeks is also many weeks, and it says that the machine does not completely heal the wound, it only works well when the wound is large. It is true that wound packing is done daily, and that the wound vac is often changed M-W-F, however there are also issues with the wound vac that require more frequent observation. To be neutral, both the procedure for packing should be described, as should the positives and negatives of using the wound vac device.

The wound packing must be done every day by a physician assistant, registered nurse, or licensed practical or vocational nurse in some states. This method takes many weeks to heal the wound. On the other hand, the wound vac only has to be changed three times a week, typically on a Monday-Wednesday-Friday schedule. Depending on wound size, the vac method can be used for a series of 2–4 weeks, or until the wound is shallow enough that a sponge wouldn't fit into the wound. From that point on, the wound packing method would be again instituted for the following weeks until the wound is fully healed.

Histreebuff (talk) 17:11, 6 April 2011 (UTC)Histreebuff

Removed problem templates

The issues in the "requires more info" template seems to have corrected itself over the three years that have passed. Also, I rewrote the advert-like style of the treatment section today, though please do re-tag it with any appropriate template if I have missed something. It still lacks sources though, but I don't know if the sources already included also cover the treatment section. I just happen to have undergone both types of treatment lately, and happen to have a passion for the human body, biology and health care. W n C? 15:02, 24 June 2011 (UTC)

Hm...I just gutted then re-wrote it. One thing that was missing was a source justifying negative pressure wound therapy; if there is a source to be cited then great but if not I would be inclined to leave it out. The company who makes NPWT equipment has been pretty thorough in promoting it on wikipedia. WLU (t) (c) Wikipedia's rules:^simple/_complex 18:04, 24 June 2011 (UTC)