Obesity is a nightmare for any surgeon who wants to avoid many difficulties and numerous dangers in his profession,
especially for obstetricians, who face a wide range of unfavourable pregnancy outcomes in obese moms.. Subcutaneous
tissue re-approximation alone or in conjunction with subcutaneous drain placement was the focus of this research in obese
women scheduled for an elective caesarean birth to see which was more effective. Methods: Women with a BMI of more
than 25 who had an elective caesarean delivery were randomised to either'subcutaneous tissue re-approximation alone' (200
women) or a combination of subcutaneous draining and re-approximation (200 women) (200 women). Each of the
following conditions had to be met in order to be included in the study: BMI > 25, haemoglobin 10 gm/dl, Pfannenstiel
incision, elective caesarean birth. Investigations carried out at the laboratory (CBC, LFT, KFT and bleeding profile). 200
patients in group I and 200 patients in group II were involved in this trial; both groups had subcutaneous tissue reapproximation and a subcutaneous drain as their treatment. In terms of age, body mass index (BMI), blood pressure, heart
disease, subcutaneous tissue thickness, pre- and postoperative haemoglobin and infection, no variations were found
between the two groups. However, in group II, the rate of hematoma and length of hospital stay were both considerably
greater. Dehiscence and seroma were also more common in group I than group II. Conclusion: This research shows that
obese women having caesarean section do not benefit from the preventive use of a subcutaneous drain in addition to a
normal subcutaneous tissue re-approximation procedure |
