wound infection. Disruption of operation wound, Infection of obstetric surgical wound
Conditions
Interventions
Intervention 1: In the study group, at the end of the operation, that is done by an obstetrics and gynecology resident, after closing the fascia, a layer of 0,5-1 cm of the skin and subcutaneous tissu
Treatment - Surgery
In the study group, at the end of the operation, that is done by an obstetrics and gynecology resident, after closing the fascia, a layer of 0,5-1 cm of the skin and subcutaneous tissue is excised wit
In the control group the skin and subcutaneous tissue is closed routinely without excising them.
Sponsors
Vice chancellor for research, Women's Reproductive Health Research Center
Eligibility
Sex/Gender
Female
Age
15 Years to 75 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: patient with moderate to severe obesity (BMI=30-40) , subcutaneous fat thickness over 5 cm, diabetes, suppressed immunity, systemic and chronic illnesses, cesarean section for meconium defecation, ruptured membrane, prolonged labor and dystocia, cesarean lasting more than 2 hours, gynecologic operations lasting more than 3 hours, presence of scars in the operative field Exclusion criteria: patient with bleeding illnesses, cardiovascular diseases or critical conditions requiring to urgently terminate the operation, active infection like bacteremia, septicemia, pelvic or abdominal abscess, chorioamnionitis, acute PID, severe bleeding, cancer
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Wound infection. Timepoint: third and tenth of the operation. Method of measurement: physical examination. | — |
Secondary
| Measure | Time frame |
|---|---|
| Wound dehiscence. Timepoint: third and tenth day of the operation. Method of measurement: physical examination. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactNazli Navali
Tabriz University of Medical Sciences
Outcome results
None listed