Skin Incisions and Wound Complication Rates for C-sections in Obese Women

Albany Medical College

Status: Unknown

Conditions: Infection; Cesarean Section; Surgical Wound; Obesity

Treatments: Procedure: Midline Vertical; Procedure: High Transverse

Study type: Interventional

Funder types: Other

Identifiers

NCT02685761

4128

Details and patient eligibility

About

It is the purpose of this study to evaluate the relationship between a low transverse, vertical midline, and supra-panicular high transverse skin incisions and the rate of wound complications in women with a BMI of 40 or greater undergoing a cesarean section for delivery. So far, the choice of incision for the morbidly obese is based only on case reports. No randomized controlled trials have been done up to date comparing these methods. It is our hope that a high transverse incision will have all of the benefits of a low transverse skin incision, with the added benefit of better exposure offered by a vertical midline incision, without the added increased risk of subjecting the woman to a vertical hysterotomy.

Enrollment: 309 estimated patients

Sex: Female

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• pre-pregnancy BMI equal or greater than 40

Exclusion criteria

• prior cesarean section or laparotomy

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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309 participants in 3 patient groups

Low Transverse

No Intervention group

Description:

Patients in this arm will undergo their cesarean section using the standard low transverse skin incision location

Midline Vertical

Experimental group

Description:

Patients in this arm will undergo their cesarean section using a midline vertical skin incision

Treatment:

Procedure: Midline Vertical

High Transverse

Experimental group

Description:

Patients in this arm will undergo their cesarean section using a high transverse skin incision, above the pannus

Treatment:

Procedure: High Transverse