Wound Infection
Conditions
Keywords
Absorbable vicryl subcuticular staples, metal staples, wound healing, cesarean section
Brief summary
The purpose of this study is to evaluate the incidence of wound breakdown or wound infection following skin closure with Insorb subcuticular absorbable staples versus metal staples after cesarean section through a retrospective chart analysis.
Detailed description
Procedures: A list will be compiled of patients who underwent cesarean section at Memorial Hermann Hospital in the Texas Medical Center from January 1st 2010 through January 1st 2011. Only UT patients who had their skin closed with Insorb or metal staples will be included in this list. Patients' clinical charts will be reviewed for post-operative follow-up, and notes will be made of the wound assessment. Any complications such as infection, seroma, hematoma, and wound separation or delayed healing will be recorded. Additional notes will be made of any co-morbid conditions, including, but not limited to, \>30 BMI, chronic hypertension, diabetes mellitus, HIV, history of tobacco use. Once the data is gathered, it will be compared with published national averages to determine if there is an increased risk of wound separation or wound infection at our institution. In addition, rated of infection and wound breakdown following closure with either absorbable or metal staples will be compared by Fisher's exact test, to determine statistical significance. Course of Study: Data will be obtained from UT patients who underwent cesarean section from January 1st, 2010 through January 1st, 2011. Only patients who had skin closure with InSorb or metal staples will be included in analysis.
Interventions
None, no intervention made.
Sponsors
The University of Texas Health Science Center, Houston
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
14 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* Cesarean sections * UT patients
Exclusion criteria
* Patients who have skin closed with suture, per attending choice.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Wound infection/separation | from time of surgery up until wound assessed to be completely healed, no longer than 1 year. |
Secondary
| Measure | Time frame |
|---|---|
| wound hematoma | From time of surgery up until wound assessed to be completely healed, no longer than 1 year. |
| wound seroma | From time of surgery up until wound assessed to be completely healed, no longer than 1 year. |
Countries
United States
Outcome results
None listed