Subcutaneous tissue approximation in relation to wound disruption after cesarean delivery in obese women.
Obstet Gynecol
; 85(3): 412-6, 1995 Mar.
Article
in En
| MEDLINE
| ID: mdl-7862382
ABSTRACT
OBJECTIVE:
To test the hypothesis that closure of the subcutaneous fat decreases the incidence of wound disruption after cesarean delivery.METHODS:
Two hundred forty-five women with at least 2 cm of subcutaneous fat were randomized to closure of the Camper fascia or no closure with cesarean delivery.RESULTS:
Complications leading to disruption or opening of the incision were classified as wound seromas in 28 women (11.4%) and as wound infections in 17 (7.0%). The relative risk (RR) of seroma formation in the subcutaneous closure group was 0.3 with a 95% confidence interval (CI) of 0.1-0.7 (5.1 versus 17.2%), a statistically significant difference. There was no significant difference in the incidence of wound infections in the two study groups. Overall, there was a significant difference in the incidence of wound disruption from all causes between the two groups 14.5% in the subcutaneous closure group compared with 26.6% when the subcutaneous tissues were not reapproximated (RR 0.5, 95% CI = 0.3-0.9).CONCLUSION:
Closure of the subcutaneous tissue can significantly reduce the rate of postoperative wound disruption in women with at least 2 cm of subcutaneous adipose tissue.
Search on Google
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Surgical Wound Dehiscence
/
Cesarean Section
/
Suture Techniques
/
Fasciotomy
/
Obesity
Type of study:
Clinical_trials
/
Etiology_studies
/
Incidence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
En
Journal:
Obstet Gynecol
Year:
1995
Document type:
Article