Subcutaneous vicryl suture covering efficacy on wound complications after cesarean section

Firouzeh Veisi; Mariam Zangeneh; Shohre Malekkhosravi; Negin Rezavand; Kamelia Hemiari; Mansour Rezaei

Journal of Kermanshah University of Medical Sciences

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Subcutaneous vicryl suture covering efficacy on wound complications after cesarean section

Author(s):

Firouzeh Veisi^1,*,

Mariam Zangeneh¹,

Shohre Malekkhosravi¹,

Negin Rezavand¹,

Kamelia Hemiari¹,

Mansour Rezaei²

1Dept. of Obstetrics and Gynecology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

2Dept. of Biostatistics and Epidemiology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

Journal of Kermanshah University of Medical Sciences:Vol. 15, issue 3; e79353

Published online:Sep 19, 2011

Article type:Research Article

Received:Apr 26, 2010

Accepted:Oct 19, 2010

How to Cite:Firouzeh VeisiMariam ZangenehShohre MalekkhosraviNegin RezavandKamelia HemiariMansour Rezaeiet al.Subcutaneous vicryl suture covering efficacy on wound complications after cesarean section.J Kermanshah Univ Med Sci.15(3):e79353.

Abstract

Background: Increasing abdominal subcutaneous tissue thickness is a risk factor for postoperative complications in obese women who underwent cesarean section (C/S). Different strategies have used to decrease the wound complications. Using antibacterial vicryl suture to decrease infectious complications has been studied for several years. Present study assesses the effect of subcutaneous closure with antibacterial vicryl suture on decreasing wound complications in obese women with C/S.

Methods: This single blind randomized clinical trial conducted on obese women whose the subcutaneous tissue thickness was more than 2cm. They divided into two case and control groups. Antibacterial vicryl used in case group for closuring subcutaneous tissue in 133 patients and vicryl in control group including 131 patients. Incidence rate of seroma, hematoma, wound dehiscence and wound infection were assessed.

Results: Both groups were homogenous regarding to maternal age, gestational age, BMI, subcutaneous tissue thickness and C/S indications. In case group, incidence rate of infection slightly decreased compared to control group (1.5% VS. 6.1% P=0.059). There was no significant difference in occurrence rate of seroma, hematoma and wound dehiscence between two groups.

Conclusion: The results indicated that using antibacterial vicryl for subcutaneous tissue closure in obese women doesn’t seem effective to decrease wound complications while its increases the cost of surgery.

Keywords

cesarean section

obesity

antibacterial vicryl suture

wound complications

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