Case Report of Complete Abdominal Wound Dehiscence After Cesarean Section at Dr. Soetomo General Hospital Surabaya, 2023-2024

Abstract

Background: Complete abdominal wound dehiscence (CAWD) is a serious post-abdominal surgery complication, including cesarean section, which although rare, is associated with high maternal morbidity and mortality. The increasing rate of cesarean sections makes this complication relevant for recognition, prevention, and optimal management. Case Report: Four cases of complete abdominal wound dehiscence following cesarean section treated at Dr. Soetomo Hospital Surabaya during 2023-2024 are reported. All patients had a history of previous cesarean section and underwent surgery with long duration and significant hemorrhage. Risk factors identified included anemia, hypoalbuminemia, obesity, history of abdominal surgery, and high-risk obstetric conditions such as placenta accreta. Dehiscence manifestations appeared on days 7 to 13 post-operatively. All patients were managed operatively with abdominal wall repair and a multidisciplinary approach, accompanied by culture-specific antibiotic therapy. Conclusion: Complete abdominal wound dehiscence following cesarean section is a multifactorial complication requiring high vigilance in early diagnosis and immediate management. Optimization of preoperative conditions, proper surgical technique, strict postoperative monitoring, and rapid and adequate surgical intervention provide good clinical outcomes.