Mullen MM, Porcelli BP, Cripe J, et al. - Among obese patients undergoing gynecologic surgery, researchers examined the link between frailty and postoperative wound complications, as well as constructed a prediction model for wound complications. A prospective review of data from obese patients undergoing laparotomy via midline vertical incisions, from July 2013 to March 2016, was performed for this purpose. Experts used 11 comorbidities earlier confirmed in order to compute the modified frailty index. There were 163 patients in total, of those, frail were 56 (34%). Overall 52 patients (31.9%) developed wound complications, including 28 (50%) frail and 24 (22.4%) non-frail. Significantly greater frequencies of wound breakdown were noted in frail patients. Frailty continued to be an independent predictor of wound complication after controlling for BMI, tobacco use, and maximum postoperative glucose. Findings revealed a link of frailty with wound complications in this patient population, as well as the usefulness of frailty as an instrument to recognize the most high-risk patients.