WordNet

put in a coil
an injury to living tissue (especially an injury involving a cut or break in the skin) (同)lesion
the act of inflicting a wound (同)wounding
a casualty to military personnel resulting from combat (同)injury, combat injury
a figurative injury (to your feelings or pride); "he feared that mentioning it might reopen the wound"; "deep in her breast lives the silent wound"; "The right reader of a good poem can tell the moment it strikes him that he has taken an immortal wound--t
(biology) release of material by splitting open of an organ or tissue; the natural bursting open at maturity of a fruit or other reproductive body to release seeds or spores or the bursting open of a surgically closed wound
people who are wounded; "they had to leave the wounded where they fell" (同)maimed

PrepTutorEJDIC

windの過去・過去分詞
(身体の)『傷』,負傷 / (感情・自尊心などに対する)『痛手』,傷《+to+『名』》 / …‘を'『負傷させる』 / 〈感情など〉‘を'傷つける,〈人〉‘の'感情などを傷つける
(特に戦争で)負傷した;(感情などが)傷つけられた

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/11/22 05:39:27」(JST)

wiki en

Wound Dehiscence post inguinal hernia repair.

Wound dehiscence is a surgical complication in which a wound ruptures along surgical suture. Risk factors are age, diabetes, obesity, poor knotting or grabbing of stitches, and trauma to the wound after surgery.^[1]

Symptoms

Symptoms of dehiscence can include bleeding, pain, inflammation, fever, or the wound opening spontaneously.^[1]

Cause

Wound dehiscence can be caused by inadequate undermining (cutting the skin away from the underlying tissues) of the wound during surgery, excessive tension on the wound edges caused by lifting or straining, or the wound being located on a highly mobile or high tension area such as the back, shoulders or legs.^[2] Individuals with Ehlers–Danlos syndrome also commonly experience wound dehiscence.^[3] Risk factors can include any of the above as well as obesity, smoking, previous scarring, surgical error, cancer, chronic use of corticosteroids and increased abdominal pressure.^[1]

Prevention

Dehiscence can be prevented through adequate undermining to reduce stress on the wound edges, avoiding heavy lifting and hematomas, and speeding healing through adequate nutrition, controlling diabetes and avoiding certain medications such as prednisone. Sterile strips may also be used to cover the sutures for up to a week.^[2] Antibiotics and cleaning the wound may also help.^[1]

Treatment

Once wound dehiscence occurs, it can be treated by allowing granulation, re-cutting and suturing the edges and providing prophylactic antibiotics.^[2] Exposure to the air, debridement and if indicated, frequent dressing changes also help.^[1]

Notes

^ ^a ^b ^c ^d ^e "Wound Dehiscence (Surgical Wound Dehiscence; Operative Wound Dehiscence)". EBSCO Industries. 2010-09-01. Retrieved 2011-06-24.
^ ^a ^b ^c Rusciani, L; Robins P (2008). Textbook of dermatologic surgery. PICCIN. pp. 183. ISBN 88-299-1898-9.
^ Cassidy, SB; Allanson JE (2005). Management of genetic syndromes. Wiley-Liss. p. 220. ISBN 0-471-30870-6.

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 開腹術の合併症 complications of abdominal surgical incisions
2. 創傷治癒および治癒しない創傷の危険因子 wound healing and risk factors for non healing
3. 縫合糸による皮膚創傷部の閉鎖 closure of skin wounds with sutures
4. 腹壁閉鎖の原則 principles of abdominal wall closure
5. 成人患者における外傷性胃腸障害 traumatic gastrointestinal injury in the adult patient

English Journal

Interim reconstruction and space maintenance of mandibular continuity defects preceding definitive osseous reconstruction.

Ferretti C, Rikhotso E, Muthray E, Reyneke J.SourceDivision of Maxillofacial & Oral Surgery, Chris Hani Baragwanath Hospital & University of the Witwatersrand, Johannesburg, South Africa. Electronic address: ferretti@mweb.co.za.
The British journal of oral & maxillofacial surgery.Br J Oral Maxillofac Surg.2013 Jun;51(4):319-25. doi: 10.1016/j.bjoms.2012.06.012. Epub 2012 Jul 19.
The use of space maintenance in mandibular defects as an interim measure before definitive osseous reconstruction may prevent problems associated with delayed reconstruction including increased technical difficulty, contracture of soft tissues that limits the volume of the final reconstruction, and
PMID 22818045

Effect of human urine on the tensile strength of sutures used for hypospadias surgery.

Kerstein RL, Sedaghati T, Seifalian AM, Kang N.SourceDepartment of Plastic and Reconstructive Surgery, Royal Free London NHS Foundation Trust Hospital, London, UK. Electronic address: ryan.kerstein@gmail.com.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS.J Plast Reconstr Aesthet Surg.2013 Jun;66(6):835-8. doi: 10.1016/j.bjps.2013.02.006. Epub 2013 Apr 1.
INTRODUCTION: Hypospadias is the most common congenital condition affecting between 1 in 250 and 300 live births. Even in experienced hands, surgery to repair this congenital defect can have a high complication rate. Wound dehiscence is reported to occur in 5% and fistula formation in 6%-40% dependi
PMID 23558021

Japanese Journal

骨盤部放射線照射後症例に対する尿路変向術: 横行結腸導管再訪

松井喜之,兼松明弘,根来宏光,小林恭,寺田直樹,杉野善雄,山崎俊成,井上貴博,神波大己,吉村耕治,小川修
泌尿器科紀要 = Acta urologica Japonica 60(8), 365-370, 2014-08
… Although acute pyelonephritis, ileus, wound dehiscence and pelvic abscess formation were seen as postoperative complications, all but two improved without any additional procedure. … Cases of pelvic abscess or wound dehiscence were treated by abscess drainage. …
NAID 120005468370

Wound-induced expression of DEFECTIVE IN ANTHER DEHISCENCE1 and DAD1-like lipase genes is mediated by both CORONATINE INSENSITIVE1-dependent and independent pathways in Arabidopsis thaliana

Ishiguro Sumie,Kępczyński Jan,Nakamura Kenzo,Seo Mitsunori,Kamiya Yuji,Tsukagoshi Hironaka,Nishimori Yuka,Hattori Kazuki,Kojima Hisae,Shimizu Takafumi,Terai Haruka,Ruduś Izabela
Plant Cell Reports 33(6), 849-860, 2014-06
Epub 2014 Jan 16.
NAID 120005540273

Components separation法が有効であった20cm大の腹壁瘢痕ヘルニアの1例

福島健太郎,横山隆秀,清水明,小林聡,宮川眞一
日本臨床外科学会雑誌 75(2), 586-589, 2014
症例は67歳，女性．慢性関節リウマチにてステロイド内服中．消化管穿孔に対する小腸部分切除術後，創感染・創離開を合併，単純閉鎖術が行われたが再度創離開をきたし，加療目的に当科紹介となった．皮膚欠損（13×9cm）を伴った腹壁瘢痕ヘルニア（20×9cm）を認め，皮膚欠損部の瘢痕組織から小腸の蠕動が透見された．ステロイド内服中であったことから創感染のリスクが高いと判断し，components separ …
NAID 130004685370