Surgical Site Infection
Conditions
Keywords
Surgical site infection, Cesarean section
Brief summary
The aim of this study is to determine the surgical site infection rate and patient satisfaction for subcuticular versus interrupted mattress suture in closure of skin at Cesarean delivery in obese patients.
Detailed description
This is a randomized controlled trial conducted in Ain-Shams University Maternity Hospital on the period from March 2012 till August 2012. It included 130 pregnant women who underwent elective Cesarean section. The aim of this study is to determine the surgical site infection rate and patient satisfaction for subcuticular versus interrupted mattress suture in closure of skin at Cesarean delivery in obese patients.
Interventions
OTHERInterrupted suturing
Skin is closed with interrupted mattress stitches using non-absorbable polypropylene \[Prolene®\]
Skin is closed with subcuticular stitches using non-absorbable polypropylene \[Prolene®\]
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Age: any female in childbearing period. * Women planned for elective Cesarean section. * Obese women (BMI ≥ 30 Kg/m2). Our study calculated the BMI of patients from their weight and height at admission, because the pre-pregnancy BMI was not available for all patients, and we hypothesized that the BMI at admission was a better indicator of body mass during the at-risk time for development of SSI than was the pre-pregnancy BMI.
Exclusion criteria
* Women who had concurrent overt infection (e.g.chorioamnionitis, pyelonephritis or chest infection). * Women who had intraoperative events that may themselves predispose to perioperative infection (e.g. bowel injury, operative time more than 90 minutes, major blood loss). * Women who had hemoglobin less than 10g/dl, preeclampsia, diabetes, rupture of membranes more than 12 hours, corticosteroid therapy. * Patients who had non Pfannenstiel incision.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Surgical site infection | 30 days after the operative procedure | We used the definition devised and adopted by the Center for Disease Control and Prevention. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Skin closure time | 15 minutes | — |
| Postoperative pain | 48 hours | Measured by 10-cm visual analogue scale, zero being no pain and ten the worst possible pain |
| Short-term cosmetic wound outcome | 30 days | We used Stony Brook Scar Evaluation Scale |
| Overall women satisfaction | 30 days | A questionnaire is used to check the patient satisfaction (satisfied versus unsatisfied) regarding the wound appearance and wound related pain |
Outcome results
None listed