Effect of Subcutaneous Tissue Closure on Wound Complications

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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The Effect of Subcutaneous Tissue Closure Technique in Cesarean Section on Reducing Postoperative Wound Complications

Conditions
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Cesarean Section

Intervention / Treatment
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* Procedure: interrupted sutures
* Procedure: continous sutures


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: interrupted sutures group<br>This group in which closure of the subcutaneous layer is closed by interrupted sutures | Procedure: interrupted sutures<br>* The way of closing subcutaneous tissue either by interrupted<br>Procedure: continous sutures<br>* The way of closure of subcutanous tissue is by continous sutures<br>|
| Active Comparator: Continous sutures group<br>subcutanous tissue layer is closed by continous sutures in this group | Procedure: interrupted sutures<br>* The way of closing subcutaneous tissue either by interrupted<br>Procedure: continous sutures<br>* The way of closure of subcutanous tissue is by continous sutures<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The number of participants who passed without postoperative complications | Describes how many participant willnot complain from wound seroma , wound erythema and wound infection | one month post cesarean section | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Wound infection, Gapping, Cesarean section