Adhesive incisional drapes during cesarean delivery for preventing wound infection: A systematic review and meta-analysis of randomized controlled trials

Eckler, Rebecca; Quist‐Nelson, Johanna; Saccone, Gabriele; Ward, Harvey; Berghella, Vincenzo

doi:10.1016/j.eurox.2019.100090

Cited by 4 publications

(2 citation statements)

References 29 publications

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“…The surgical site should be draped with nonadhesive drapes as adhesive drapes are associated with an increased risk of infection. 12 This meta-analysis of 1943 patients showed a statistically significant increase in wound infections in patients in the adhesive incisional drape group compared with the control group (RR 1.29; 95% CI, 1.02-1.65). However, studies are needed to explore this relationship in the setting of current postoperative infection prophylaxis, including broad-spectrum antibiotic coverage, skin preparation, and vaginal cleansing.…”

Section: Nonadhe S Ive Dr Ape Smentioning

confidence: 90%

“…The surgical site should be draped with nonadhesive drapes as adhesive drapes are associated with an increased risk of infection 12 . This meta‐analysis of 1943 patients showed a statistically significant increase in wound infections in patients in the adhesive incisional drape group compared with the control group (RR 1.29; 95% CI, 1.02–1.65).…”

Section: Nonadhesive Drapesmentioning

confidence: 91%

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FIGO good practice recommendations on surgical techniques to improve safety and reduce complications during cesarean delivery

Nunes,

Nicholson,

Theron

2023

Intl J Gynecology & Obste

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FIGO is actively contributing to the global effort to reduce maternal morbidity, mortality, and disability worldwide. Cesarean delivery rates are increasing globally, without signs of slowing down. Bleeding associated with cesarean delivery has become an important cause of hemorrhage‐related maternal deaths in many low‐ and middle‐income countries. Correct surgical techniques to improve safety and reduce complications of cesarean delivery is of the utmost importance. This article presents FIGO's good practice recommendations for effective surgical techniques to reduce cesarean complications. Evidence‐based information is included where data are available. An expanded WHO Surgical Safety Checklist for maternity cases is suggested. Different incision techniques through the layers of the abdominal wall with appropriate indications are discussed. Hysterotomy through a transverse incision is described, as are indications for low vertical and classical incisions. Important precautions when extracting the fetus are explained. Uterine closure includes a safe method ensuring adequate reapproximation of the upper segment if a vertical incision is made. The paper concludes with the management of two common bleeding problems following delivery of the placenta.

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Section: Nonadhe S Ive Dr Ape Smentioning

confidence: 90%

Section: Nonadhesive Drapesmentioning

confidence: 91%