Aslan Çetin Berna, Aydogan Mathyk Begum, Barut Sibel, Koroglu Nadiye, Zindar Yelda, Konal Merve, Atis Aydin Alev
Kanuni Sultan Suleyman Research and Training Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey.
University of North Carolina, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Chapel Hill, NC, USA.
Eur J Obstet Gynecol Reprod Biol. 2018 Aug;227:67-70. doi: 10.1016/j.ejogrb.2018.06.006. Epub 2018 Jun 7.
To assess the effectiveness of subcutaneous saline irrigation in preventing wound complications after cesarean sections.
Patients undergoing primary cesarean sections were randomly assigned to either the subcutaneous saline irrigation group or the control group. The participants were asked to come to the hospital for routine inspection of the skin incision on day 7 and day 30 postoperatively. The wounds were inspected for hematoma, seroma, separation and signs of superficial infection. The prime outcome was the comparison of the superficial surgical site infection (SSI) rates among the groups. Additionally, factors associated with wound complications were also analyzed using logistic regression.
A total of 204 women undergoing primary cesarean sections were randomized, and 185 were included in the final analysis. There was no significant difference in terms of SSI rates among the groups (14.3% in the saline group vs 12.8% in the control group, p = 0.76). However, the existences of hematoma and seroma were significantly lower in the saline irrigation group compared to the control group.
Irrigation of subcutaneous tissue decreases the occurrences of both postoperative hematoma and seroma in women undergoing primary cesarean sections.
评估皮下生理盐水冲洗在预防剖宫产术后伤口并发症中的有效性。
接受初次剖宫产的患者被随机分为皮下生理盐水冲洗组或对照组。要求参与者在术后第7天和第30天到医院进行皮肤切口的常规检查。检查伤口是否有血肿、血清肿、分离及浅表感染迹象。主要结局是比较各组的浅表手术部位感染（SSI）率。此外，还使用逻辑回归分析了与伤口并发症相关的因素。
共有204例接受初次剖宫产的女性被随机分组，185例纳入最终分析。各组间的SSI率无显著差异（生理盐水组为14.3%，对照组为12.8%，p = 0.76）。然而，与对照组相比，生理盐水冲洗组血肿和血清肿的发生率显著更低。
皮下组织冲洗可降低接受初次剖宫产女性术后血肿和血清肿的发生率。
