Journal of Postgraduate Medicine
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 ORIGINAL ARTICLE
Year : 2000  |  Volume : 46  |  Issue : 1  |  Page : 26-8

Comparison of closure of subcutaneous tissue versus non-closure in relation to wound disruption after abdominal hysterectomy in obese patients.


Department of Obstetrics and Gynaecology, L. T. M. G. Hospital, Sion, Mumbai - 400 022, India., India

Correspondence Address:
S Kore
Department of Obstetrics and Gynaecology, L. T. M. G. Hospital, Sion, Mumbai - 400 022, India.
India
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Source of Support: None, Conflict of Interest: None


PMID: 0010855074

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AIMS: To evaluate the role of subcutaneous tissue closure in relation to wound disruption after abdominal hysterectomy in obese patients. MATERIAL AND METHODS: In a prospective study at a tertiary referral centre in Mumbai, India, 60 obese patients with subcutaneous fat more than 2.5 cms were included in the study. In 30 patients, subcutaneous tissue was closed using synthetic suture (dexon) while in 30 control patients subcutaneous tissue was not closed. Average weight in the study and control groups were 69 -/+ 9.2 kg and 63.3 -/+ 11.2 kg respectively. RESULTS: The wound disruption occurred in 5 patients in non-closure group as compared to only one in the closure group. Incidence of seroma, haematoma formation and other wound complications were higher in the non-closure group. CONCLUSIONS: Closure of the subcutaneous tissue after abdominal hysterectomy of women with at least 2.5 cms of subcutaneous tissue lowers the overall rate of complications leading to disruption of the incision.






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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow