Silver Impregnated Dressings to Reduce Wound Complications in Obese Patients at Cesarean Section
| Status: | Completed |
|---|---|
| Conditions: | Obesity Weight Loss |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/2/2016 |
| Start Date: | February 2012 |
| End Date: | February 2013 |
Obese patients undergoing cesarean section are at high risk for wound complications, which
occur in approximately 20% of patients. This is a randomized controlled trial designed to
determine whether the risk for wound-related complications can be reduced by covering the
incision with a silver-impregnated dressing in the postoperative period.
occur in approximately 20% of patients. This is a randomized controlled trial designed to
determine whether the risk for wound-related complications can be reduced by covering the
incision with a silver-impregnated dressing in the postoperative period.
Inclusion Criteria:
- Undergoing cesarean section (with or without concurrent tubal ligation)
- Body mass index (based on most recent weight) >=30
Exclusion Criteria:
- Known allergy to silver
- Less than 18 years of age
- Preoperative evidence of current abdominal wall infection
- Contraindication to closure of the skin at time of surgery
- Plan to perform procedures in addition to cesarean section (with or without tubal
ligation)
- Patients with previously placed abdominal wall mesh at site of planned surgery
- Inability to participate in medical decision making
- Inability to follow up with the Michigan Visiting Nurses or are unable to return to
the University of Michigan Medical Center for staple removal
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