BACKGROUND: Abdominal aponeurotic dehiscence post surgical procedures corresponds to 9%-49% morbid-mortality rates, presenting an incidence approximately to 0,5% - 3%. AIM: To identify the most prevalent risk factors and formulate an epidemiological archetype of patients susceptible to the respective complication. METHODS: From March until August of 2005, fifteen hospitalized patients for emergency treatment or elective procedures, presenting abdominal aponeurotic dehiscence were submitted to the study. Items described for each person were sex, weight and BMI, serum albumin, lymphocytes, interventional reason, morbidity, associated therapies, surgical intervention description, incision and sutures, postoperative follow-ups, surgical findings related, and total of surgical interventions on the wound. RESULTS: Malnutrition and surgical site infection were considered the main risk factors associated to aponeurotic dehiscence and the archetype patient reveals to be men, aging 25 to 45 years old, admitted as an emergency, presenting non-traumatic acute abdomen, and malnutrition. Surgical site infection occurred mainly during the first postoperative week. CONCLUSIONS: Malnutrition and surgical site infection were the most important risk factors related to the occurrence of aponeurotic dehiscence.
Aponeurotic dehiscence; Evisceration; Risk factors
