Dass, Anil G. Krishna
(2005)
Closure versus non closure of the subcutaneous fat
layer of 2cm and more to prevent the incidence of
wound disruption: an observational study.
Closure versus non closure of the subcutaneous fat layer of 2cm and more to prevent the incidence of wound disruption: an observational study.
(Submitted)
Abstract
Introduction: Wound disruption is a known complication of caesarean section, which
may cause additional and unnecessary morbidity to the patients. Its occurrence is
influenced by many factors, of which technique of operation is one of the contributing
factors. This study was carried out in order to determine whether closure of
subcutaneous fat layer measuring 2cm or more will reduce the incidence of post
caesarean wound disruption. Methods: Patients whose subcutaneous fat thickness of
2cm or more, underwent caesarean section were randomised into closure group and
non- closure group. In the closure group, the subcutaneous fat layer was stitched while
those in the ~on- closure group was not stitched. The result of wound healing was
observed en the third, tenth and 42"d post- caesarean. Result: 120 patients were
recruited into the study, with 60 samples were available for each group. There was 1. 7
percent of wound disruption occurred on the third day of caesarean section for each
arm. Ten percent of wound disruption was noted to occur on the tenth day in the closure
group as compared to 35 percent for the non .. closure group (p value 0.001 ). No wound
disruption was noted on the 42"d day post caesarean section for closure group, while 3.3
percent was noted for the non- closure group, but not statistically significant.
Conclusion: Closing the subcutaneous fat tissue measuring 2cm and above for
patients undergoing caesarean section may help to reduce the occurrence of wound
disruption post caesarean section.
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