Skin Incisions and Wound Complication Rates for C-sections in Obese Women
| Status: | Recruiting |
|---|---|
| Conditions: | Obesity Weight Loss |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 4/21/2016 |
| Start Date: | September 2015 |
| End Date: | September 2021 |
| Contact: | Peter R Cole, MD |
| Email: | colep@mail.amc.edu |
| Phone: | 518-262-4942 |
Randomized Controlled Trial of Wound Complication Rates Between Low Transverse, Midline Vertical, and High Transverse Skin Incisions in Women With a BMI of 40 or Above Undergoing a Cesarean Section for Delivery
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.
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.
Inclusion Criteria:
- pre-pregnancy BMI equal or greater than 40
Exclusion Criteria:
- prior cesarean section or laparotomy
We found this trial at
7
sites
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