Editing Fascial dehiscence (section)

== '''Management''' ==

* Partial dehiscence
** Consider conservative management for small dehiscences if bowel is covered
** Carefully consider why it happened
*** Should get a CT to rule out an intra-abdominal cause of dehiscence
** Otherwise, to theatre for re-closure
* Complete dehiscence
** Initial:
*** Moist dressing over wound, taped securely to skin
*** Assess for factors that may have led to this including infection/IAH
** If superficial infection is present:
*** Drainage, antibiotics and local wound management then either
*** Option 1 - vac, then fix the incisional hernia later
*** Option 2 - debridement and delayed primary closure once the infection is resolved
** If deep infection is present, and the abdomen is inaccessible:
*** Treat the intra-abdominal infection
*** Planned ventral incisional hernia once the infection is resolved
*** Consider biologic mesh to breach the defect
** Early dehiscence with no infection:
*** Primary abdominal wall closure