Subcutaneous vicryl suture covering efficacy on wound complications after cesarean section

AUTHORS

Firouzeh Veisi 1 , * , Mariam Zangeneh 1 , Shohre Malekkhosravi 1 , Negin Rezavand 1 , Kamelia Hemiari 1 , Mansour Rezaei 2

AUTHORS INFORMATION

1 Dept. of Obstetrics and Gynecology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

2 Dept. of Biostatistics and Epidemiology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

ARTICLE INFORMATION

Journal of Kermanshah University of Medical Sciences: 15 (3); e79353
Published Online: September 19, 2011
Article Type: Research Article
Received: April 26, 2010
Accepted: October 19, 2010

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Abstract

Background: Increasing abdominal subcutaneous tissue thickness is a risk factor for postoperative complications in obese women who underwent cesarean section (C/S). Different strategies have used to decrease the wound complications. Using antibacterial vicryl suture to decrease infectious complications has been studied for several years. Present study assesses the effect of subcutaneous closure with antibacterial vicryl suture on decreasing wound complications in obese women with C/S.

Methods: This single blind randomized clinical trial conducted on obese women whose the subcutaneous tissue thickness was more than 2cm. They divided into two case and control groups. Antibacterial vicryl used in case group for closuring subcutaneous tissue in 133 patients and vicryl in control group including 131 patients. Incidence rate of seroma, hematoma, wound dehiscence and wound infection were assessed.

Results: Both groups were homogenous regarding to maternal age, gestational age, BMI, subcutaneous tissue thickness and C/S indications. In case group, incidence rate of infection slightly decreased compared to control group (1.5% VS. 6.1% P=0.059). There was no significant difference in occurrence rate of seroma, hematoma and wound dehiscence between two groups.

Conclusion: The results indicated that using antibacterial vicryl for subcutaneous tissue closure in obese women doesn’t seem effective to decrease wound complications while its increases the cost of surgery.

Keywords

cesarean section obesity antibacterial vicryl suture wound complications

© 2011, Journal of Kermanshah University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
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