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Prevention of Wound Complications After Cesarean Delivery in Obese Women Utilizing Negative Pressure Wound Therapy

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West Virginia University

Status

Terminated

Conditions

Surgical Wound Dehiscence
Wound Infection

Treatments

Procedure: Standard wound closure
Procedure: Negative pressure wound closure

Study type

Interventional

Funder types

Other

Identifiers

NCT00654641
H-20292

Details and patient eligibility

About

Wound complications after Cesarean section (C-section) are common in obese women. Approximately 25% of obese women having a C-section will have a wound complication. This research study is designed to assess whether applying a source of vacuum (suction) to the wound can reduce the risk of wound complications. The investigators plan to enroll 220 women into the study.

Women will be randomly selected to receive standard stitching and stapling of the incision (cut on the abdomen) or closure with stitches, staples and wound suction. Subjects will be seen for follow-up visits in 7-14 days and again at 4-6 weeks after surgery. The number of wound complications in each group will be compared. If the wound suction technique is successful in preventing wound complications, this may substantially reduce pain and suffering in a large number of women undergoing C-section for delivery.

Enrollment

54 patients

Sex

Female

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  1. Undergoing Cesarean delivery.
  2. Patient at least 18 years of age.
  3. Weight greater than 199 pounds.
  4. Depth of subcutaneous tissue (measured from fascia to epidermis) of greater than or equal to 4 centimeters.

Exclusion criteria

  1. Weight less or equal to 199 pounds or less than 4 cm of subcutaneous tissue present.
  2. Inability to give proper informed consent.
  3. Inability to adhere to follow-up provisions of the study (return for 2 post-operative visits at 7-14 days post-op and between 4-6 weeks post-op).
  4. Patient less than 18 years of age.

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

54 participants in 2 patient groups

Negative pressure wound closure
Experimental group
Description:
Negative Pressure wound closure
Treatment:
Procedure: Negative pressure wound closure
Standard wound closure
Active Comparator group
Description:
Standard Wound Closure
Treatment:
Procedure: Standard wound closure

Trial contacts and locations

2

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Data sourced from clinicaltrials.gov

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