Surgical Wound Infection
Conditions
Keywords
Surgical site infections, Elective Cesarean delivery, Emergency Room
Brief summary
The goal of this observational study is to compare the incidence of post-cesarean section wound infections between emergency and elective cesarean deliveries at El-hussien Hospital. The main questions it aims to answer are: Is there a difference in surgical site infection rates between emergency and elective cesarean sections? What are the other outcome measures associated with emergency versus elective cesarean deliveries? Participants will be 220 patients undergoing cesarean section, divided into two groups: 110 patients undergoing emergency cesarean delivery in the Emergency Unit 110 patients undergoing elective cesarean delivery Researchers will compare the emergency cesarean group to the elective cesarean group to see if there are differences in surgical site infection rates and other relevant outcome measures.
Interventions
PROCEDURECesarean delivery
The cesarean section will begin with a Pfannenstiel incision above the pubic bone, followed by blunt dissection to separate tissue layers and retracting the rectus muscles for peritoneal cavity access. A transverse or vertical peritoneal incision will expose the uterus, and a transverse incision on the lower uterine segment will be made for delivery. The baby will be delivered, the umbilical cord clamped and cut, and the baby handed to the pediatric team. The placenta will be detached and delivered, and the uterus will be closed with multiple layers of sutures. The abdominal layers will be closed with absorbable Polyglactin (Vicryl) sutures for the rectus sheath and subcutaneous tissue, and non-absorbable Polypropylene sutures for the skin. A sterile dressing will be applied to protect the wound and promote a clean healing environment, ensuring proper surgical technique, tissue handling, and minimizing post-operative complications.
Sponsors
Al-Azhar University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Age \> 18 * Managed with elective CS or Emergency CS * BMI \< 25 Kg/m2
Exclusion criteria
* Immunodeficiency or diabetes. * Premature rupture of membrane * Bleeding disorder. * Previous uterine surgery except previous CS. * Malignancy. * Refusal to participate.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post Caesarian Section Wound Infections | 6 weeks after surgery. | * The wounds will be inspected. The presence of minor or major wound infection will be recorded on an audit form. * Wound infection will be defined as: Purulent discharge present within or exuding from the wound. Painful spreading erythema indicative of cellulitis. • An infection will be defined as minor if deep tissue destruction or lymphangitis is absent, and major if these elements, wound dehiscence or systemic symptoms, is present. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient Satisfaction | 6 weeks after surgery. | We will assess the level of satisfaction reported by patients regarding their overall experience with the cesarean section procedure and subsequent wound healing. |
| Keloid formation | 6 months after the surgery | We will assess formation of keloid after the surgery/ |
| Antibiotic Usage | 6 weeks after surgery. | We will measure the frequency, type, and duration of antibiotic administration to treat post-cesarean section wound infections. |
| Length of Hospital Stay | 6 weeks after surgery. | We will measure the duration of hospitalization for patients who undergo a cesarean section at the emergency unit and hospital. |
| Surgical Site Pain | 6 weeks after surgery. | We will evaluate the intensity and duration of pain experienced by patients at the surgical site following a cesarean section. |
| Wound Healing Complications | 6 weeks after surgery. | We will assess the occurrence of other wound-related complications, such as wound dehiscence (separation of wound edges), seroma (accumulation of fluid), or hematoma (collection of blood). |
Countries
Egypt
Outcome results
None listed