Subcutaneous management of vertical incisions with 3 or more centimeters of subcutaneous fat

American Journal of Obstetrics and Gynecology

Volumn 195, Issue 2, 2006, Pages 607-614

  Cardosi, Richard J ^a   Drake, Janet ^b   Holmes, Sherri ^b   Tebes, Stephen J ^a   Hoffman, Mitchel S ^a   Fiorica, James V ^a   Roberts, William S ^a   Grendys Jr , Edward C ^a  

^a UNIVERSITY OF SOUTH FLORIDA   (United States)

^b EAST TENNESSEE STATE UNIVERSITY   (United States)

Author keywords

Obesity; Subcutaneous wound management; Wound complication(s)

Indexed keywords

ABDOMINAL WALL CLOSURE; ADULT; AGED; ANALYSIS OF VARIANCE; ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DEMOGRAPHY; FEMALE; HOSPITALIZATION; HUMAN; LOGISTIC REGRESSION ANALYSIS; OUTPATIENT; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SUBCUTANEOUS FAT; SUCTION DRAINAGE; WOUND COMPLICATION;

ANTIBIOTIC PROPHYLAXIS; FALLOPIAN TUBES; FEMALE; GENITAL NEOPLASMS, FEMALE; HUMANS; HYSTERECTOMY; LENGTH OF STAY; LYMPH NODE EXCISION; OBESITY; OVARIECTOMY; PROSPECTIVE STUDIES; RISK FACTORS; SUBCUTANEOUS FAT, ABDOMINAL; SUCTION; SURGICAL WOUND INFECTION; SUTURE TECHNIQUES;

EID: 33746507781     PISSN: 00029378     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ajog.2006.04.013     Document Type: Article

References (31)

1. Walters M.D., Dombroski R.A., Davidson S.A., Mandel P.C., and Gibbs R.S. Reclosure of disrupted abdominal incisions. Obstet Gynecol 76 (1990) 597-602
2. Robinson W.R., and Champlin S.A. A trial of secondary closure versus second-intention closure in surgical wound separation. J Gynecol Tech 2 (1996) 13-18
3. Green J.W., and Wenzel R.P. Postoperative wound infection: a controlled study of the increased duration of hospital stay and direct cost of hospitalization. Ann Surg 185 (1977) 264-268
4. Cruse P.J.E., and Foord R. The epidemiology of wound infection: a 10 year prospective study of 62,939 wounds. Surg Clin N Am 60 (1980) 27-40
5. Orr J.W., and Taylor P.T. Wound healing. In: Orr J.W., and Shingleton H.M. (Eds). Complications in gynecologic surgery: prevention, recognition, and management (1994), JB Lippencott, Philadelphia (PA) 182-184
6. Pitkin R.M. Adbominal hysterectomy in obese women. Surg Gynecol Obstet 142 (1976) 532-536
7. Soper D.E., Bump R.C., and Hurt W.G. Wound infection after abdominal hysterectomy: effect of the depth of subcutaneous tissue. Am J Obstet Gynecol 173 (1995) 465-471
8. Vermillion S.T., Lamoutte C., Soper D.E., and Verdeja A. Wound infection after cesarean: effect of subcutaneous tissue thickness. Obstet Gynecol 95 (2000) 923-926
9. Del Valle G.O., Combs P., Qualls C., and Curet L.B. Does closure of Camper fascia reduce the incidence of post-cesarean superficial wound disruption?. Obstet Gynecol 80 (1992) 1013-1016
10. Naumann R.W., Hauth J.C., Owen J., Hodgkins P.M., and Lincoln T. Subcutaneous tissue approximation in relation to wound disruption after cesarean delivery in obese women. Obstet Gynecol 85 (1995) 412-416
11. Allaire A.D., Fisch J., and McMahon M.J. Subcutaneous drain vs. suture in obese women undergoing cesarean delivery: a prospective, randomized trial. J Reprod Med 45 (2000) 327-331
12. Magann E.F., Chauhan S.P., Rodts-Palenik S., Bufkin L., Martin J.N., and Morrison J.C. Subcutaneous stitch closure versus subcutaneous drain to prevent wound disruption after cesarean delivery: a randomized clinical trial. Am J Obstet Gynecol 186 (2002) 1119-1123
13. Cetin A., and Cetin M. Superficial wound disruption after cesarean delivery: effect of the depth and closure of subcutaneous tissue. Int J Gynaecol Obstet 57 (1997) 17-21
14. Chelmow D., Huang E., and Strohbehn K. Closure of the subcutaneous dead space and wound disruption after cesarean delivery. J Maternal Fetal Neonatal Med 11 (2002) 403-408
15. Chelmow D., Rodriguez E.J., and Sabatini M.M. Suture closure of subcutaneous fat and wound disruption after cesarean delivery: a meta-analysis. Obstet Gynecol 103 (2004) 974-980
16. Kore S., Vyavaharkar M., Akolekar R., Toke A., and Ambiye V. Comparison of closure of subcutaneous tissue versus non-closure in relation to wound disruption after abdominal hysterectomy in obese patients. J Postgrad Med 46 (2000) 26-28
17. Milewski P.J., and Thomson H. Is a fat stitch necessary?. Br J Surg 67 (1980) 393-394
18. Hussain S.A. Closure of subcutaneous fat: a prospective randomized trial. Br J Surg 77 (1990) 107
19. Soisson A.P., Olt G., Soper J.T., Berchuck A., Rodriguez G., and Clarke-Pearson D.L. Prevention of superficial wound separation with subcutaneous retention sutures. Gynecol Oncol 51 (1993) 330-334
20. Kozol R.A., Fromm D., Ackerman N.B., and Chung R. Wound closure in obese patients. Surg Gynecol Obstet 162 (1986) 442-444
21. Morrow C.P., Hernandez W.L., Townsend D.E., and DiSaia P.J. Pelvic celiotomy in the obese patient. Am J Obstet Gynecol 127 (1977) 335-339
22. Gallup D.G. Modifications of celiotomy techniques to decrease morbidity in obese gynecologic patients. Am J Obstet Gynecol 150 (1984) 171-178
23. Gallup D.C., Gallup D.G., Nolan T.E., Smith R.P., Messing M.F., and Kline K.L. Use of a subcutaneous closed drainage system and antibiotics in obese gynecologic patients. Am J Obstet Gynecol 175 (1996) 358-362
24. Guvenol T., Duran B., Demirkoprulu N., and Cetin M. Prevention of superficial wound disruption in Pfannenstiel incisions by using a subcutaneous drain. Int J Gynecol Obstet 77 (2002) 151-153
25. Shaffer D., Benotti P.N., Bothe A., Jenkins R.L., and Blackburn G.L. A prospective, randomized trial of abdominal wound drainage in gastric bypass surgery. Ann Surg 206 (1987) 134-137
26. Saunders N.J.S.t.G., and Barclay C. Closed suction wound drainage and lower segment cesarean section. BJOG 95 (1988) 1060-1062
27. Loong R.L.C., Rogers M.S., and Chang A.M.Z. A controlled trial on wound drainage in cesarean section. Aust NZ J Obstet Gynaecol 28 (1988) 266-269
28. Al-Inany H., Youssef G., ElMaguid A.A., Hamid M.A., and Naguib A. Value of subcutaneous drainage system in obese females undergoing cesarean section using Pfannenstiel incision. Gynecol Obstet Invest 53 (2002) 75-78
29. de Holl D., Rodeheaver G., Edgerton M.T., and Edlich R.F. Potentiation of infection by suture closure of dead space. Am J Surg 127 (1974) 716-720
30. Edlich R.F., Panek P.H., Rodeheaver G.T., Turnbull V.G., Kurtz L.D., and Edgerton M.T. Physical and chemical configuration of sutures in the development of surgical infection. Ann Surg 177 (1973) 679-688
31. Van Winkle W., Hastings J.C., Barker E., Hines D., and Nichols W. Effect of suture materials on healing skin wounds. Surg Gynecol Obstet 140 (1975) 7-12