Skin Incisions and Wound Complication Rates for C-sections in Obese Women
- Conditions
- ObesityInfection; Cesarean SectionSurgical Wound
- Interventions
- Procedure: High TransverseProcedure: Midline Vertical
- Registration Number
- NCT02685761
- Lead Sponsor
- Albany Medical College
- Brief Summary
It is the purpose of this study to evaluate the relationship between a low transverse, vertical midline, and supra-panicular high transverse skin incisions and the rate of wound complications in women with a BMI of 40 or greater undergoing a cesarean section for delivery. So far, the choice of incision for the morbidly obese is based only on case reports. No randomized controlled trials have been done up to date comparing these methods. It is our hope that a high transverse incision will have all of the benefits of a low transverse skin incision, with the added benefit of better exposure offered by a vertical midline incision, without the added increased risk of subjecting the woman to a vertical hysterotomy.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- Female
- Target Recruitment
- 309
- pre-pregnancy BMI equal or greater than 40
- prior cesarean section or laparotomy
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description High Transverse High Transverse Patients in this arm will undergo their cesarean section using a high transverse skin incision, above the pannus Midline Vertical Midline Vertical Patients in this arm will undergo their cesarean section using a midline vertical skin incision
- Primary Outcome Measures
Name Time Method Wound Complications 6 months
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (2)
Albany Medical Center Obstetrics and Gynecology
🇺🇸Latham, New York, United States
Albany Medical Center
🇺🇸Albany, New York, United States