Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 15 , ISSUE 4 ( July-August, 2023 ) > List of Articles


Management of Abdominal Wound Dehiscence Following Cesarean Section in District Area of Indonesia: Honey as an Alternative Dressing

Edward Sugito Manurung, Yudianto Budi Saroyo, Rima Irwinda, Ramot Arif Banamtuan, Charles Yulian Boru, Leonard Evan Mella

Keywords : Abdominal wound dehiscence, Case report, Honey, Primary re-closure, Wound dressing

Citation Information : Manurung ES, Saroyo YB, Irwinda R, Banamtuan RA, Boru CY, Mella LE. Management of Abdominal Wound Dehiscence Following Cesarean Section in District Area of Indonesia: Honey as an Alternative Dressing. J South Asian Feder Obs Gynae 2023; 15 (4):472-474.

DOI: 10.5005/jp-journals-10006-2280

License: CC BY-NC 4.0

Published Online: 16-09-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Background: Honey through its antimicrobial properties has an effect on wound healing. We would like to report the clinical change of wound dehiscence after cesarean section using honey dressing before primary re-closure. Case illustration: A-29-year-old woman came with an open abdominal wound with smelly pus 7 day after cesarean section. We used honey “Madu Nusantara” for the wound dressing until the granulation tissue grew before we performed re-closure. We performed primary re-closure 9 days after wound care. Discussion: Wound healing as a complex process involves immunological mediators to bring back the cellular integrity from the damaged tissue. An alternative natural compound, honey, is known to have benefits in wound healing through the action of neutrophils to eradicate the reactive oxygen species. Honey is believed to reduce the wound size, fasten the healing time, decrease the extent of infection, dehiscence, and pain compared with placebo. Primary re-closure had demonstrated superiority over secondary intention healing. Conclusion: In abdominal wound dehiscence after cesarean section, honey can be an alternative method for dressings in district area of Indonesia due to effectivity and efficacy. Primary re-closure is useful to shorten the healing time.

  1. Hamilton BE, Martin JA, Osterman MJK, et al. Births: Final Data for 2014. Natl Vital Stat Rep 2015;64(12):1–64. PMID: 26727629.
  2. Ferres MA, Olivarez SA, Trinh V, et al. Rate of wound complications with enoxaparin use among women at high risk for postpartum thrombosis. Obstet Gynecol 2011;117(1):119–124. DOI: 10.1097/AOG.0b013e3182029180.
  3. Schneid-Kofman N, Sheiner E, Levy A, et al. Risk factors for wound infection following cesarean deliveries. Int J Gynaecol Obstet 2005;90(1):10–15. DOI: 10.1016/j.ijgo.2005.03.020.
  4. Kajiwara K, Kimura E, Nakano M, et al. Clinical experience of J-VAC drain for skin closure in the laparotomy of obstetrics and gynecology. J Obstet Gynaecol Res 2014;40(4):1089–1097. DOI: 10.1111/jog.12312.
  5. Sarsam SE, Elliott JP, Lam GK. Management of wound complications from cesarean delivery. Obstet Gynecol Surv 2005;60(7):462–473. DOI: 10.1097/01.ogx.0000166603.43959.aa.
  6. Hartati, Muzakkie M, Effendi Y, et al. Clinical efficacy of the use of honey as wound treatment in surgical site infection due to hysterectomy patient with type 2 diabetes mellitus. BioSci Med J Biomed Transl Res 2021;5(8):780–783. DOI: 10.32539/bsm.v5i8.343.
  7. Saikaly SK, Khachemoune A. Honey and wound healing: an update. Am J Clin Dermatol 2017;18(2):237–251. DOI: 10.1007/s40257-016-0247-8.
  8. Subramaniam A, Jauk V, Figueroa D, et al. 782: Risk factors for wound disruption following cesarean delivery. Amer J Obstet Gynecol 2013;208(1):S328. DOI: 10.3109/14767058.2013.850487.
  9. Guo S, DiPietro LA. Factors affecting wound healing. J Dent Res 2010;89(3):219–229. DOI: 10.1177/0022034509359125.
  10. Tashkandi H. Honey in wound healing: an updated review. Open Life Sci 2021;16(1):1091–1100. DOI: 10.1515/biol-2021-0084.
  11. Dryden M, Goddard C, Madadi A, et al. Using antimicrobial Surgihoney to prevent caesarean wound infection. Br J Midwifery 2014;22(2):111–115. DOI: 10.12968/bjom.2014.22.2.111.
  12. Minden-Birkenmaier BA, Bowlin GL. Honey-based templates in wound healing and tissue engineering. Bioengineering (Basel). 2018;5(2):E46. DOI: 10.3390/bioengineering5020046.
  13. Singh S, Young A, McNaught CE. The physiology of wound healing. Surgery (Oxford). 2017;35(9):473–477. Available from:
  14. Nikpour M, Shirvani MA, Azadbakht M, et al. The effect of honey gel on abdominal wound healing in cesarean section: a triple blind randomized clinical trial. Oman Med J 2014 29(4):255–259. DOI: 10.5001/omj.2014.68.
  15. Dryden M, Lockyer G, Saeed K, et al. Engineered honey: In vitro antimicrobial activity of a novel topical wound care treatment. J Glob Antimicrob Resist 2014;2(3):168–172. DOI: 10.1016/j.jgar.2014.03.006.
  16. Falola RA, Tilt A, Carroll AM, et al. Management of abdominal wound dehiscence following cesarean section: The case for debridement and immediate primary re-closure. Clin Surg 2018;3:1881.
  17. Dodson MK, Magann EF, Meeks GR. A randomized comparison of secondary closure and secondary intention in patients with superficial wound dehiscence. Obstet Gynecol 1992;80(3 Part 2):321–324. PMID: 1495686.
  18. Walters MD, Dombroski RA, Davidson SA, et al. Reclosure of disrupted abdominal incisions. Obstetrics and gynecology 1990;76(4):597–602. PMID: 2216186.
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