fascial dehiscence
Postoperative separation or breakdown of the fascial layer closure, often requiring surgical repair.
Full Definition
Fascial dehiscence refers to the partial or complete separation of the fascial layers following abdominal surgery, typically occurring within the first few weeks postoperatively. This complication can range from superficial fascial separation to complete wound breakdown involving all layers, potentially leading to evisceration. Risk factors include infection, poor nutrition, obesity, and excessive tension on the closure. Recognition and prompt management are crucial to prevent serious complications.
Usage
Usage note: Often confused with incisional hernia, which occurs later and involves protrusion of abdominal contents through the fascial defect.
In Context
- "The patient developed fascial dehiscence on postoperative day 8, requiring return to the operating room for re-closure." — Surgical complication report
- "Risk factors for fascial dehiscence include diabetes, malnutrition, and wound infection." — Patient education material