Transverse Supraumbilical Versus Pfannenstiel Incision for Cesarean Section in Morbidly Obese Women

Not Applicable

Completed

• Conditions: Cesarean Section
• Interventions: Procedure: pfannenstiel incision; Procedure: transverse supraumbilical

• Registration Number: NCT02692729
• Lead Sponsor: Ain Shams University

Brief Summary

This study aims to evaluate the efficacy and safety of transverse supraumbilical incision over Pfannenstiel incision in performing cesarean section for morbid obese pregnant women.

Detailed Description

Research Question In Morbidly obese women undergoing cesarean section, is transverse supraumbilical incision superior to Pfannenstiel incision? Research Hypothesis Transverse supraumbilical incision is superior to Pfannenstiel incision in morbidly obese women undergoing cesarean section.

Study Timeline

• Study First Submitted: 2016-02-23
• Study First Submitted QC: 2016-02-23
• Study First Posted: 2016-02-26
• Study Start: 2016-03
• Status Verified: 2016-07
• Primary Completion: 2018-02
• Study Completion: 2018-02
• Last Update Submitted: 2018-02-25
• Last Update Posted: 2018-02-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 72

Inclusion Criteria

• BMI more than 40 kg/m2
• women scheduled for CS

Exclusion Criteria

• patients receiving steroids or anticoagulation

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
pfannenstiel	pfannenstiel incision	Pfannenstiel Incision, in which the skin incision is a transverse upward concavity, typically initiated two finger-breadths above the symphysis pubis and extended in the direction of the anterior superior iliac spine below and medial to it about (2 - 3 ) cm.
supraumbilical transverse	transverse supraumbilical	transverse Supraumbilical Incision, in which the skin incision is a straight transverse skin incision slightly higher than the Pfannenstiel (5- 6) cm. from the upper border of the symphysis pubis The high transverse incision facilitated access to the fascia of the rectus abdominalis. Above the panniculus, the fatty tissues are not particularly thick. A transverse opening of the aponeurosis and of the parietal peritoneum was done. Then the approach to the lower uterine segment was easy. A Ricard retractor was put in place.

Primary Outcome Measures

Name	Time	Method
occurence of surgical site infection	one week	occurance of redness, hotness, pus discharge and exudation

Secondary Outcome Measures

Name	Time	Method
blood loss in milliliter	2 hours	volume of blood during the operation
operative time in minutes	2 hours	from skin incision to closure of the skin

Trial Locations

Locations (1)

Faculty of Medicine, Ain Shams University; 🇪🇬 Cairo, Al Qahirah, Egypt