0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

THE "BURST ABDOMEN"

JAMA. 1966;195(7):578. doi:10.1001/jama.1966.03100070122040.
Text Size: A A A
Published online

The "burst abdomen" is an entity as old as laparotomy itself. A survey of the last 15 years showed that mortality following wound dehiscence was 15%, and one of every three survivors was left with an incisional hernia. Moreover, an increase in the frequency of this complication is noted over the past 30 years. In a series of 37,888 laparotomies in the most recent 15-year period, presented in the January issue of the Archives of Surgery, 0.61% resulted in wound disruption.1 A review of the preceeding 15 years showed an incidence of dehiscence in 29,180 incisions to be 0.47%.

Dehiscence is preventable. Over the years, emphasis has been placed on patient age, sex, chronic illness, the presence of malignancy, anemia, or vitamin deficiencies as factors predisposing to wound separation. Obesity, the type of anesthesia, steroid therapy, infection, the position of the wound in the abdominal wall, and the presence

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();