Wound dehiscence can be superficial or can extend into the deeper fascial planes. Dehiscence is caused by either inadequate closure or intrinsic host factors, such as malnutrition, glucocorticoid use, or diabetes. The patient may have serosanguineous fluid leaking from the wound. Dehiscence of abdominal incisions has the potential for evisceration. If evisceration is not present, conservative management using abdominal binders is appropriate. However, if there is any uncertainty, operative exploration is indicated.
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