What Drives Fascial Dehiscence? Insights from Laparotomy Cases

Authors

  • Nihiladhithya Rajasekar Author
  • Shenbaga Praveen Ramanathan Author
  • Anushvar I. R Author

DOI:

https://doi.org/10.4238/x5850z02

Keywords:

Fascial dehiscence; Midline laparotomy; Diabetes mellitus; Hypoalbuminaemia; Prolonged surgery; Postoperative complications; Risk factors; Abdominal wound closure.

Abstract

Background: Fascial dehiscence is a severe postoperative complication after midline laparotomy. Methods: A retrospective observational cohort study reviewed 50 patients undergoing midline laparotomy from April 2024 to March 2025. Results: Diabetes, hypoalbuminaemia, prolonged surgery, and blood loss greater than 500 mL were significantly associated with fascial dehiscence in univariable analysis. In multivariable analysis, prolonged surgery (OR 5.2), hypoalbuminaemia (OR 4.8), and diabetes (OR 3.7) were independent predictors, whereas blood loss greater than 500 mL was no longer significant after adjustment. Conclusion: Optimisation of nutritional and glycaemic status and minimisation of operative duration may risk.

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Published

2026-07-27

Issue

Vol. 25 No. 12s (2026)

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.