Fasciorrhaphy: Surgical Repair of Fascial Defects

Fasciorrhaphy is the surgical suturing of torn or incised fascia—the connective tissue sheath enveloping muscles and organs.

Indications

• Hernia repair: Closing fascial defects (incisional, ventral, inguinal).
• Traumatic lacerations: Deep cuts violating fascia.
• Burns/necrotizing infections: Debridement followed by fascial closure.
• Abdominal wall reconstruction: Component separation, mesh reinforcement.

Technique

Under general anesthesia, the fascial edges are approximated with absorbable or permanent sutures (e.g., PDS, polypropylene). Mesh may be used for tension-free closure. Postoperative care focuses on wound monitoring, hernia prevention, and gradual return to activity.