Continuous versus disrupted subcutaneous tissue closure in cesarean section: A retrospective cohort study.
cesarean delivery
subcutaneous tissue
surgical-site infection
suturing
Journal
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
ISSN: 1879-3479
Titre abrégé: Int J Gynaecol Obstet
Pays: United States
ID NLM: 0210174
Informations de publication
Date de publication:
Jan 2023
Jan 2023
Historique:
revised:
01
03
2022
received:
19
12
2021
accepted:
10
05
2022
pubmed:
30
6
2022
medline:
16
12
2022
entrez:
29
6
2022
Statut:
ppublish
Résumé
To compare rates of surgical-site infections following continuous, as compared with interrupted, subcutaneous tissue closure technique during cesarean delivery (CD). A retrospective cohort study during 2008-2018. The study group included women who underwent either elective or emergent CD with continuous subcutaneous tissue closure, while the control group comprised those with interrupted subcutaneous tissue closure. We excluded women with suspected infectious morbidity before CD. The primary outcome was surgical-site infection (SSI) rate. The final analysis included 6281 women. We performed continuous subcutaneous tissue closure in 37.4% (1867/4988) of scheduled CD, and 45.8% (592/1293) of emergent CD. The rate of SSI was significantly lower following continuous than interrupted subcutaneous tissue closure, in both elective CD (2.7% versus 4.5%, respectively, P = 0.031) and emergent CD (3.2% versus 5.4%, respectively, P = 0.036) in nulliparous and multiparous women. Similarly, secondary outcomes such as re-admission rates, postoperative maternal fever, and need for antibiotic treatment were significantly lower following continuous subcutaneous closure. Continuous subcutaneous closure technique during CD yields a lower rate of surgical-site complications compared with the interrupted technique.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
113-119Subventions
Organisme : Society for Maternal-Fetal Medicine (SMFM)
ID : 888
Informations de copyright
© 2022 International Federation of Gynecology and Obstetrics.
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