Cesarean Section
Conditions
Brief summary
This study aims to evaluate the efficacy and safety of transverse supraumbilical incision over Pfannenstiel incision in performing cesarean section for morbid obese pregnant women.
Detailed description
Research Question In Morbidly obese women undergoing cesarean section, is transverse supraumbilical incision superior to Pfannenstiel incision? Research Hypothesis Transverse supraumbilical incision is superior to Pfannenstiel incision in morbidly obese women undergoing cesarean section.
Interventions
PROCEDUREtransverse supraumbilical
transverse Supraumbilical Incision, in which the skin incision is a straight transverse skin incision slightly higher than the Pfannenstiel (5- 6) cm. from the upper border of the symphysis pubis The high transverse incision facilitated access to the fascia of the rectus abdominalis
PROCEDUREpfannenstiel incision
Pfannenstiel Incision, in which the skin incision is a transverse upward concavity, typically initiated two finger-breadths above the symphysis pubis and extended in the direction of the anterior superior iliac spine below and medial to it about (2 - 3 ) cm.
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* BMI more than 40 kg/m2 * women scheduled for CS
Exclusion criteria
* patients receiving steroids or anticoagulation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| occurence of surgical site infection | one week | occurance of redness, hotness, pus discharge and exudation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| operative time in minutes | 2 hours | from skin incision to closure of the skin |
| blood loss in milliliter | 2 hours | volume of blood during the operation |
Countries
Egypt
Outcome results
None listed