[Comparison of closure of subcutaneous tissue versus non-closure in relation to wound infection and disruption after cesarean section delivery in obese patients]

ABSTRACT

Wound disruption after cesarean section is a common complication; and obesity has been identified as strong independent risk factor for wound complications. The aim of this study was to test the hypothesis that closure of the subcutaneous fat decreases the incidence of wound infection and disruption after cesarean delivery. In a clinical trial study conducted in Yazd, a hundred women with at least 2 cm of subcutaneous fat and cesarean delivery were included in the study. In 50 patients, subcutaneous tissue was closed using synthetic suture [group A], while in 50 control patients subcutaneous tissue was not closed [group B]. Two groups were compare in relation to wound infection and disruption. Data were analyzed using student and X[2] tests. Complications leading to wound infections [positive culture] were 2 women in group A and 5 women in group B [P<0.05] and disruption or opening of the incision were in 7 women in group A and in 17 women in group B [P<0.01]. Closure of the subcutaneous tissue can significantly reduce the rate of postoperative wound disruption in women with at least 2 cm of subcutaneous adipose tissue