[Prediction and prevention of fascial dehiscence after laparotomy].

Abstract

Objective: To evaluate the efficacy of fascial dehiscence prevention suture in patients with perioperative risk factors regarding the incidence of this complication after laparotomies in abdominal surgery.

Material and methods: A retrospective-prospective controlled randomized study included 112 patients with abdominal surgical diseases who underwent surgery between 2013 and 2023. Patients were divided into three groups. In the first group (n=57), fascial dehiscence occurred in early postoperative period. The second group (n=41) retrospectively included random patients without fascial dehiscence in postoperative period. In the third group (n=22), original preventive suturing of laparotomy was applied. The validity of differences in continuous variables was assessed using the Kruskal-Wallis test. Categorical variables were analyzed using chi-square test, as well as Dunn's and Fisher's post-hoc tests. Differences were significant at p<0.05. The third group did not statistically differ from the first one.

Results: A comprehensive perioperative assessment of risk factors and original aponeurosis suturing technique prevented fascial dehiscence.