Effect of Subcutaneous Tissue Closure on Wound Complications

The Effect of Subcutaneous Tissue Closure Technique in Cesarean Section on Reducing Postoperative Wound Complications

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT03354078

Enrollment

400

Registered

2017-11-27

Start date

2017-06-18

Completion date

2017-11-23

Last updated

2022-04-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cesarean Section

Keywords

Cesarean section, Wound infection, Gapping

Brief summary

Only a small number of research studies evaluated the impact of various subcutaneous tissue and skin closure methods at cesarean section. In a meta-analysis a major decline in incision site rupture was revealed when suturing the subcutaneous tissue in women with a subcutaneous depth \>2 cm.

Detailed description

Postoperative wound complications are one of the great issues in cesarean section (CS) with an incidence ranging from 3% to 30%.1 Obesity, operative time, diabetes, age of the patient, anemia, associated infection (e.g chorioamnionitis), the use of internal monitoring, delayed labor with many vaginal examinations and reduced nutrition are recognized risk factors for wound infections. Evaluating the various techniques for closure of the subcutaneous layer.

Interventions

PROCEDUREinterrupted sutures

The way of closing subcutaneous tissue either by interrupted

PROCEDUREcontinous sutures

The way of closure of subcutanous tissue is by continous sutures

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

PREVENTION

Masking

SINGLE (Subject)

Eligibility

Sex/Gender

FEMALE

Age

18 Years to 40 Years

Healthy volunteers

Yes

Inclusion criteria

* All patients included in this research BMI ≥ 30, First cesarean section performed, no medical disorders with pregnancy e.g DM, HTN. All patients were subjected to full history taking, examination. depth of subcutaneous tissue estimated by a special device used (sterilized operative ruler). number of sutures estimation

Exclusion criteria

* The following patients were excluded BMI \<30, Previous CS, DM with pregnancy, HTN with pregnancy

Design outcomes

Primary

Measure	Time frame	Description
The number of participants who passed without postoperative complications	one month post cesarean section	Describes how many participant willnot complain from wound seroma , wound erythema and wound infection

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 24, 2026