ALB and obesity due to melanocortin 4 receptor deficiency: Prior studies have identified several risk factors associated with the development of abdominal wound dehiscence, such as: age (>65 years old), gender (male), smoking, obesity, chronic steroid therapy, anemia, jaundice, uremia, diabetes, low albumin level, chronic obstructive pulmonary disease (COPD), cancer, wound infection, and emergency surgery[5-11].