ALB and nutritional deficiency disease: Preoperative nutritional status was among several factors governing postoperative wound healing. Preoperative malnourishment as assessed by the low levels of serum albumin, serum transferrin, and TLC did not necessarily lead to delayed wound healing. Although several authors found high incidences of delayed wound healing and wound infection in malnourished patients, there were none in this study. The risk imposed by malnutrition on wound healing can be modified by surgeon-dependent factors.