Risk Factors and Predictive Models of Abdominal Wound Dehiscence in Pediatric Age | ||
| Zagazig University Medical Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 21 October 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2025.428709.4229 | ||
| Authors | ||
| Mennat Allah Oda Adly Salem Oda* 1; Alaa Mohammed Ebrahim Khalil2; Ismail Tantawy3; Hesham Mohamed Ali Kasem4; Khalid Elsayed Ali Hasan Shreef5 | ||
| 1Department of Pediatric Surgery, Faculty of Medicine, Zagazig University, Egypt | ||
| 2Professor of General Surgery department, Faculty of Medicine, Zagazig University, Egypt | ||
| 3Professor of Pediatric Surgery department, Faculty of Medicine, Zagazig University, Egypt | ||
| 4Assistant professor of Pediatric Surgery department, Faculty of Medicine, Zagazig University, Egypt | ||
| 5Professor and Head of Pediatric Surgery department, Faculty of Medicine, Zagazig University, Egypt | ||
| Abstract | ||
| Background: Abdominal wound dehiscence (AWD) is a serious postoperative complication in pediatric surgical patients, associated with increased morbidity, prolonged hospital stay, and, in severe cases, mortality. This study aimed at formulating predictive models related to abdominal wound dehiscence in pediatric patients who had undergone abdominal surgical procedures. Methods: This prospective study was conducted in Zagazig university hospitals, total of 48 pediatric patients undergoing major abdominal surgery were included. The median age was 41 days (range: 4–350), with 34 males (70.83%) and 14 females (29.17%). The mean body mass index (BMI) was 18.72±0.7kg/m². Patient demographics, clinical risk factors, surgical characteristics, and postoperative outcomes were systematically recorded. Wound dehiscence was classified as partial or complete. Patients were stratified into two groups: those with AWD (Group A, n=5) and those without AWD (Group B,n=43). Results: The overall incidence of AWD was 10.42% (5/48). Patients in Group A tended to be younger, but age and sex differences were not statistically significant. Hypoproteinemia was significantly more common among AWD patients (60%vs. 6.98%, P=0.0004). Operative factors significantly associated with AWD included longer incision length (6.6±1.17vs. 4.81±1.41cm, P=0.0339) and vertical incision type (80%vs. 18.6%, P=0.0021). Postoperative coughing was also significantly higher in the AWD group (40%vs. 6.98%, P= 0.0219). Multivariate logistic regression identified hypoproteinemia (P=0.001), incision length (P=0.032), and postoperative coughing (P=0.01) as independent predictors of AWD. Conclusion: Optimizing nutritional status, minimizing incision size, and controlling postoperative respiratory complications are essential to reduce the risk of AWD, particularly in neonates and young children | ||
| Keywords | ||
| Pediatric surgery; Risk factors; Hypoproteinemia; Incision length; Predictive models | ||
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