Dehiscence is the spontaneous opening of an area, which can occur in botany, medicine, and surgery. Wound dehiscence is a dangerous complication of surgery that can lead to infection and requires prompt treatment. It can be caused by various factors, including previous surgery, trauma, and poor health. Superior canal dehiscence syndrome is a rare balance disorder that requires surgery to repair the opening.
Dehiscence is a term that refers to the spontaneous creation of an opening. It can take different forms in both botany and medicine. More commonly, however, people use this term to refer to a potentially fatal complication of surgery called wound dehiscence, in which a surgical wound reopens after surgery. This can be very dangerous for the patient and is one of the reasons why surgical sites are monitored so closely, to ensure that any signs of wound dehiscence are identified early.
In the case of wound dehiscence, the phenomenon is associated with a number of things. Abdominal surgery can be a risk factor, as can diabetes, general poor health, and other factors that complicate recovery. If surgery is performed at a site where surgery has been performed previously, the risk may increase, and surgery following major trauma may also be a risk factor, as the surgeon may not be able to able to control the engraving as much as he or she wishes. Particularly large incisions are also a risk factor.
Wound dehiscence can occur up to a week after surgery. Signs that the patient may be at risk may include a slow healing time, increased discharge around the wound, severe bruising around the wound, and lack of granulation of the tissue around the wound during the healing process. These signs may indicate that the patient needs to be monitored closely in order to quickly spot signs of splitting and separation along the incision.
If a patient experiences surgical dehiscence, it can be fatal. It increases the risk of peritonitis and infection, can cause evisceration, and can present other problems, depending on the patient and the location of the wound. It needs to be treated promptly by a surgeon who can repair the break. The risk of wound dehiscence is one reason why patients may be asked to stay in the hospital during the early stages of the healing process if they have had traumatic surgery or are at risk of developing dehiscence.
The medical community also uses this term to refer to a very rare balance disorder called superior canal dehiscence syndrome (SCDS). In this condition, an opening to the inner ear appears spontaneously, which disrupts the patient’s balance and creates a sense of vertigo. Treatment for this condition is surgery to repair the opening. Since the condition is often caused by severe head trauma, the patient may also be monitored for signs of neurological complications.
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