Effect of Subcutaneous Tissue Closure on Wound Complications

Aljazeera Hospital

Status: Completed

Conditions: Cesarean Section

Treatments: Procedure: interrupted sutures; Procedure: continous sutures

Study type: Interventional

Funder types: Other

Identifiers

NCT03354078

Cesarean section / sutures

Details and patient eligibility

About

Only a small number of research studies evaluated the impact of various subcutaneous tissue and skin closure methods at cesarean section. In a meta-analysis a major decline in incision site rupture was revealed when suturing the subcutaneous tissue in women with a subcutaneous depth >2 cm.

Full description

Postoperative wound complications are one of the great issues in cesarean section (CS) with an incidence ranging from 3% to 30%.1 Obesity, operative time, diabetes, age of the patient, anemia, associated infection (e.g chorioamnionitis), the use of internal monitoring, delayed labor with many vaginal examinations and reduced nutrition are recognized risk factors for wound infections.

Evaluating the various techniques for closure of the subcutaneous layer.

Enrollment: 400 patients

Sex: Female

Ages: 18 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• All patients included in this research BMI ≥ 30, First cesarean section performed, no medical disorders with pregnancy e.g DM, HTN. All patients were subjected to full history taking, examination.

depth of subcutaneous tissue estimated by a special device used (sterilized operative ruler). number of sutures estimation

Exclusion criteria

• The following patients were excluded BMI <30, Previous CS, DM with pregnancy, HTN with pregnancy

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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400 participants in 2 patient groups

interrupted sutures group

Active Comparator group

Description:

This group in which closure of the subcutaneous layer is closed by interrupted sutures

Treatment:

Procedure: continous sutures

Procedure: interrupted sutures

Continous sutures group

Active Comparator group

Description:

subcutanous tissue layer is closed by continous sutures in this group

Treatment:

Procedure: continous sutures

Procedure: interrupted sutures