Effect of subcutaneous tissue closure technique in cesarean section on postoperative wound complications in obese Egyptian women

Abstract

Subcutaneous tissue closure technique is a wide area of interest for obstetricians who perform cesarean section especially on obese women while many observers studied in an extensive manner postoperative pain and wound cosmetic results.

Aim of the work: The main goal of our work was to display the differences in wound outcome results as regard postoperative wound complications comparing the two widely implemented techniques in subcutaneous tissue closure (interrupted versus continuous methods).

Results: A comparative analysis between continuous and interrupted techniques regarding wound complications (gapping, seroma, erythema, and infection) showing statistical significant differences in all four wound complications presented with p values = .019, .011, .015, and .001, in consecutive order with odds ratio in wound gapping = 5.239, wound seroma OR = 9.429, wound erythema OR = 3.709, and wound infection OR = 6.136.

Conclusions: Subcutaneous wound closure using interrupted technique of suturing in obese patients is superior to continuous technique as regard wound complications.

Clinical trials.gov ID Identifier (NCT 03354078).

Keywords:

• Subcutaneous
• seroma
• wound gapping
• wound infection
• erythema

Acknowledgements

The authors would like to thank all medical staff members who helped us in completing this research.

Disclosure statement

All authors declare that there are no any financial and personal relationships with other people or organizations that could inappropriately influence (bias) their work.