Wound Dehiscence

Full Definition

Wound dehiscence refers to the breakdown or separation of a surgical wound that had been previously closed, resulting in the reopening of wound edges. In dermatologic surgery, this complication can range from superficial separation of the epidermis to complete breakdown involving deeper tissue layers. Common contributing factors include excessive wound tension, infection, poor tissue quality, patient factors such as smoking or immunosuppression, and inadequate wound care. Management depends on the extent of dehiscence and may involve revision closure, secondary intention healing, or delayed primary closure.

In Context

• "Partial wound dehiscence was noted at the superior aspect of the incision during follow-up." — Postoperative visit note
• "Risk factors for wound dehiscence include smoking, diabetes, and excessive tissue tension." — Preoperative counseling documentation