Cesarean Section Wound
Conditions
Brief summary
Non-diabetic pregnant women who undergo elective CS will be randomized into two groups: group I included women who has their skin closed with subcuticular interrupted mattress suture using non-absorbable polypropylene, and group II included women who has their skin closed with subcuticular continous suture using the same suture material
Detailed description
Non-diabetic pregnant women who undergo elective CS will be randomized into two groups: group I included women who had their skin closed with subcuticular interrupted mattress suture using non-absorbable polypropylene, and group II included women who had their skin closed with subcuticular continous suture using the same suture material.
Interventions
PROCEDUREInterrupted subcuticular skin closure
skin is closed with interrupted mattress subcuticular sutures using non-absorbable polypropylene after elective cesarean section
PROCEDUREcontinuous subcuticular skin closure
skin is closed with continuous subcuticular sutures using non-absorbable polypropylene after elective cesarean section
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
19 Years to 39 Years
Healthy volunteers
No
Inclusion criteria
* 18 years or older * Overall good health * Elective Cesarean section ASA class 1 or 2
Exclusion criteria
* Allergy to synthetic suture materials * Diabetes whether gestational or pregestational * use of steroid or immunosuppresive medication within last 6 month of procedure * Skin sepsis or systemic fever * BMI \> 35 * History of keloid or hypertrophic scar formation or dermatologic conditions known to impair wound healing ASA class 3 or 4
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| wound infection | 10 days after surgery | occurrence of signs of wound infection |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| wound hematoma | 10 days after surgery | occurrence of subcutanous hematoma |
| scar dehiscence | 10 days after surgery | occurrence of scar dehiscence or incisional hernia |
| wound seroma | 10 days after surgery | occurrence of seroma of wound |
| the need for reclosure | 10 days after surgery | actual gapping of wound |
| postoperative pain | 12 hours after surgery | through visual analogue score The visual analogue scale or visual analog scale (VAS) is a psychometric response scale which can be used in questionnaires. It is a measurement instrument for subjective characteristics or attitudes that cannot be directly measured. When responding to a VAS item, respondents specify their level of agreement to a statement by indicating a position along a continuous line between two end-points. |
Countries
Egypt
Outcome results
None listed