Mullen MM, Porcelli BP, Cripe J, et al. - Since there exist limited methods to recognize which obese patients will encounter wound complications following gynecologic surgery, so, researchers assessed the link between frailty and postoperative wound complications as well as they constructed a prediction model for wound complications in this patient population. The prospectively gathered data of obese patients undergoing laparotomy though midline vertical incisions from 7/2013-3/2016 were studied. They used 11 comorbidities earlier validated in order to calculate the modified frailty index. Significantly greater frequencies of wound breakdown were reported in frail patients. Frailty continued to be an independent predictor of wound complication following controlling for BMI, tobacco use, and maximum postoperative glucose. For wound complications, the predictive model including frailty yielded an area under the curve of 0.73. Findings revealed a link of frailty with wound complications in obese patients undergoing gynecologic surgery via a midline vertical incision. Frailty was identified as a useful instrument in recognizing the most high risk patients.