OBJECTIVE: The purpose of this study was to compare a subcutaneous stitch closure and subcutaneous drain placement for the risk of wound disruption after cesarean delivery. STUDY DESIGN: This was a prospective randomized clinical trial that evaluated subcutaneous stitch closure, placement of a subcutaneous drain, or no closure for subsequent wound disruption risk in women with subcutaneous depth at >or=2 cm. RESULTS: The maternal demographics and intrapartum risk factors for postoperative wound disruptions were similar among the 964 study subjects, who were divided into 3 groups. Wound disruptions that required opening of the wound, irrigation, debridement, packing, and/or secondary delayed closure occurred in 9.7% of the women with no closure, 10.4% of the women in the stitch closure group, and 10.3% of the women in the closed drain group (P =.834). CONCLUSION: There appears to be no difference in the subsequent risk of wound complications when no closure of the subcutaneous tissue layers occurs versus suture closure or a closed drainage system.
RCT Entities:
OBJECTIVE: The purpose of this study was to compare a subcutaneous stitch closure and subcutaneous drain placement for the risk of wound disruption after cesarean delivery. STUDY DESIGN: This was a prospective randomized clinical trial that evaluated subcutaneous stitch closure, placement of a subcutaneous drain, or no closure for subsequent wound disruption risk in women with subcutaneous depth at >or=2 cm. RESULTS: The maternal demographics and intrapartum risk factors for postoperative wound disruptions were similar among the 964 study subjects, who were divided into 3 groups. Wound disruptions that required opening of the wound, irrigation, debridement, packing, and/or secondary delayed closure occurred in 9.7% of the women with no closure, 10.4% of the women in the stitch closure group, and 10.3% of the women in the closed drain group (P =.834). CONCLUSION: There appears to be no difference in the subsequent risk of wound complications when no closure of the subcutaneous tissue layers occurs versus suture closure or a closed drainage system.
Authors: Peter K Baier; Nadine C Glück; Ulrich Baumgartner; Ulrich Adam; Andreas Fischer; Ulrich T Hopt Journal: Int J Colorectal Dis Date: 2010-02-06 Impact factor: 2.571
Authors: Akiva P Novetsky; Israel Zighelboim; Saketh R Guntupalli; Yevgeniya J M Ioffe; Nora T Kizer; Andrea R Hagemann; Matthew A Powell; Premal H Thaker; David G Mutch; L Stewart Massad Journal: Gynecol Oncol Date: 2014-06-18 Impact factor: 5.482
Authors: Hong-Da Pan; Lin Wang; Yi-Fan Peng; Ming Li; Yun-Feng Yao; Jun Zhao; Tian-Cheng Zhan; Chang-Zheng Du; Jin Gu Journal: Int J Colorectal Dis Date: 2015-02-21 Impact factor: 2.571