High transverse skin incisions may reduce wound complications in obese women having cesarean sections: a pilot study

Walton, Robert B.; Shnaekel, Kelsey L; Ounpraseuth, Songthip; Napolitano, Peter G.; Magann, Everett F.

doi:10.1080/14767058.2017.1391780

Cited by 18 publications

(16 citation statements)

References 9 publications

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“…However, prolonged operative time did not increase the WC rate in either group for the Dias et al study (22.2 vs 27.7%) [28]. There was a trend that high transverse and suprapannicular incisions are associated with a lower risk of WCs compared with low transverse and infrapannicular incisions described in Walton et al and Dias et al, respectively [28,29]; however, there was no statistically significant difference between the groups.…”

Section: Resultsmentioning

confidence: 69%

“…Among the included articles, eight studies discussed the effect of transverse skin incision and vertical skin incision on WCs. Walton et al compared WCs between low and high transverse skin incision types [29]. Dias et al addressed infra-panniculus versus supra-panniculus incisions [28].…”

Section: Resultsmentioning

confidence: 99%

“…The length of hospital stay after delivery was reported in seven studies, with no difference between the vertical and transverse incision groups [21][22][23]25,[27][28][29]. Total operative time was longer in those with a vertical skin incision; only three of the five studies reporting this notion demonstrated a statistically significant difference (Table 2) [22,23,28].…”

Section: Resultsmentioning

confidence: 99%

“…Since pannus retraction is not necessary, less thoracic compression and resultant hypotension are noted. High transverse skin incisions are also associated with reduced postoperative pain, lower rates of dehiscence and the possible risk of infection or bleeding [29]. Despite the aforementioned research, insufficient definitive guidance is available to assist obstetricians in the selection of the best incision type to use for obese patients undergoing CD.…”

Section: Discussionmentioning

confidence: 99%

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Maternal Morbidity Associated With Skin Incision Type at Cesarean Delivery in Obese Patients: a Systematic Review

et al. 2020

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Aim: To describe the relationship between cesarean skin incision type and postoperative wound complications (WCs) in obese pregnant patients. Materials & methods: MEDLINE (PubMed and OVID), Embase, Scopus, Web of Science Core Collection, Cochrane Library and ClinicalTrials.gov databases were used for publication search. Selection criteria consisted of articles studying pregnant patients with BMI ≥30 kg/m2 undergoing cesarean delivery and assessing the effect of skin incision type on postoperative maternal outcomes. Results: Ten publications met criteria for a systematic review of a total of 2946 patients. The transverse skin incision was associated with a lower rate of WC compared with the vertical skin incision. The pooled risk ratio for WCs was 0.47 (95% CI: 0.37–0.58; p < 0.00001). Conclusion: Transverse skin incision may be preferable to vertical skin incision at cesarean delivery in pregnant patients with obesity as it may be associated with a lower rate of WCs. PROSPERO registration ID: CRD42020151106

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Section: Resultsmentioning

confidence: 69%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Maternal Morbidity Associated With Skin Incision Type at Cesarean Delivery in Obese Patients: a Systematic Review

et al. 2020

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“…Most surgical procedures require a skin cut to access the surgical site [1]. There are several methods for closing surgical wounds.…”

Section: Introductionmentioning

confidence: 99%

Best Skin Suture: Interrupted or Continuous?

Armoeyan¹

2019

BJSTR

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This study was conducted with key words that include of sutures, interrupted, continuous, surgery, surgeons in data bases such as google scholar, web of sciences, pubmed, embase, sciencedirect between 2015 to 2019. Inclusion criteria include of randomized clinical trials, English language study. 19 study was included, and two authors read abstract carefully and if study not compared two methods of continuous and separate skin suture were excluded. Finally, five articles were selected for this research.

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Obesity and venous thromboembolism and management plan

Ellison¹,

Thomson

2020

Obesity and Obstetrics

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High transverse skin incisions may reduce wound complications in obese women having cesarean sections: a pilot study

Abstract: High transverse skin incisions may reduce the risk of wound complications in parturients with obesity. A study with more power should be considered.

Cited by 18 publications

References 9 publications

Maternal Morbidity Associated With Skin Incision Type at Cesarean Delivery in Obese Patients: a Systematic Review

Maternal Morbidity Associated With Skin Incision Type at Cesarean Delivery in Obese Patients: a Systematic Review

Best Skin Suture: Interrupted or Continuous?

Obesity and venous thromboembolism and management plan

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