What could be a factor contributing to dehiscence of a wound?

Dehiscence of a wound occurs when a surgical wound opens along the surgical incision, which can be influenced by various factors. Poor tissue integrity is a significant contributor to dehiscence because compromised tissue—whether due to inadequate nutrition, previous radiation, or chronic disease—can weaken the healing process. When the tissue does not heal adequately, it can result in a failure of the wound to stay closed, particularly under stress or tension.

This condition is exacerbated by factors such as infection, excessive mechanical stress on the wound, or the presence of foreign bodies. While the age of the patient and physical therapy may influence recovery and healing, they do not directly relate to the structural integrity of the tissue at the surgical site. Additionally, administering antibiotics can help prevent infection, which is a common cause of wound complications, but by itself, it does not directly affect wound healing integrity. Hence, recognizing poor tissue integrity as a critical factor helps to understand how it can lead to dehiscence.