Breakage of suture material leading to fascial dehiscence

Abstract

Background: Fascial dehiscence is a feared complication associated with abdominal surgery. This case evaluates a case of dehiscence caused by breakage of the fascial stitch. Case: A 60-year-old woman (G2P1011) underwent abdominal myomectomy. During the closure of the fascia, a single knot within the segment of suture was noted. The knot was then loosened and untied. Thirty hours later, fascial dehiscence was noted secondary to breakage of the suture material at approximately the area where the knot had been noted earlier in the suture. The fascia was closed again and the patient had an unremarkable postoperative course. We could not find a mention in the package insert or the medical literature regarding how a knot could undermine the suture strength. We obtained a new suture and tied a single knot, which was then loosened. The suture was photographed and compared to a control. Conclusions: There is no way to necessarily attribute the compromise in the suture to this event. However, this case report warrants further research to better define all events that could compromise the integrity of suture material.

Keywords

• Fascial dehiscence
• Suture
• Breakage