Abdominal fascia dehiscence: is there a connection to a special microbial spectrum?

“Acute fascia dehiscence (FD) is a threatening complication occurring in 0.4–3.5% of cases after abdominal surgery. Prolonged hospital stay, increased mortality and increased rate of incisional hernias could be following consequences. Several risk factors are controversially discussed. Even though surgical infection is a known, indisputable risk factor, it is still not proven if a special spectrum of pathogens is responsible. In this study, we investigated if a specific spectrum of microbial pathogens is associated with FD.”

“FD is a serious complication in the postoperative course with serious consequences; therefore, it is of high priority to reduce the occurrence of FD. Our study assessed the
bacterial spectrum in patients developing FD compared to a matched control cohort. We found Gram-positive pathogens, especially enterococci, were significantly more often
detected in the FD group and were shown to be an independent risk factor in the multivariate analysis.”

Stropnicky, P V et al. “Abdominal fascia dehiscence: is there a connection to a special microbial spectrum?.” Hernia : the journal of hernias and abdominal wall surgery vol. 27,3 (2023): 549-556. Free Full Text

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