caesarean section
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients of Federal Teaching Hospital, Katsina 2. Elective Caesarean section 3. Pfannenstiel or Joel Cohen skin incision 4. Gestational ages ranging from 28 weeks 0 days to 41 weeks 6 days
Exclusion criteria
Exclusion criteria: 1. Previous existing local skin infections, keloid or hypertrophied scar 2. Diabetes mellitus patients 3. Immunosuppressive disease condition, e.g. HIV infection, Systemic Lupus Erythematosus (SLE), Antiphospholipid Syndrome (APS), Multiple Sclerosis 4. Immunosuppressive treatment, e.g. prolonged use of systemic steroids >3 months 5. No consent to participate in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Superficial surgical site infection and postoperative wound dehiscence, defined as the observation of infection involving the skin and subcutaneous tissue of the incision site within with either purulent discharge, localized pain or tenderness, localized swelling, erythema, or heat measured using the Scar Cosmesis Assessment Rating (SCAR) scale on Day 5 and at 6 weeks post-operation | — |
Secondary
| Measure | Time frame |
|---|---|
| . Average duration of time (seconds) from the first to the last skin cut of subcuticular skin closure (control group) and from the time of first to the last skin stapler application for skin closure (study group) measured using a stop clock during the procedure ;Post-operative pain perception measured using the Numerical Pain Assessment Tool;Scar outcome measured using the Scar Cosmesis Assessment Rating (SCAR) scale ;Patient's and surgeons' satisfaction measured using the patient/surgeon scar Visual Satisfaction Scale (VSS) | — |
Countries
Nigeria
Contacts
public enquiries