This is a prospective, open-label, non-randomized interventional feasibility study with a nested qualitative analysis. The study exploratively verifies the feasibility of targeted prophylactic closed incision negative pressure wound therapy (ciNPWT) in clinical practice for patients with a high predicted risk of wound healing complications and compares the 30-day incidence of postoperative complications with standard dressing.

Participants will:

• Get ciNPWT or standard dressing after planned laparotomy
• Answer the questionairs about qualite of life
• Will visit the clinic 30 days after surgery to see the final result

Inclusion Criteria:

• Adult female patients scheduled for planned abdominal surgery for gynecologic or gynecologic-oncologic indications.

Identification as "high-risk" for wound healing complications based on a clinical risk screening at admission.

Signed informed consent.

Exclusion Criteria:

• Failure to provide informed consent.