Comparative Study between Subcuticular Suturing With and Without Drain for Wound Closure in Obese Women in Obstetric and Gynecological Operations
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- Category: Vol. 90, December 2022
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Comparative Study between Subcuticular Suturing With and Without Drain for Wound Closure in Obese Women in Obstetric and Gynecological Operations, WALEED M.M. MOSTAFA, SOHA G. SYAM, MOSTAFA S. AHMED, MELAD M. MOUSA and AMR M. KAMEL ABOELFATH
Abstract
Background: Subcutaneous wound drainage is used in some obese womenin Obstetric and Gynecological Operations. The indications for its use is not clear.
Aim of Study: This study aimed to evaluate the Value of Subcutaneous Surgical Wound Drainage in Obstetric and Gynecological Operations in obese women.
Patients and Methods: This randomized controlled study included 74 patients undergoing gynecological or obstetric surgery. Patients were divided into two groups based on the placement of drain with subcuticular skin closure. Group A (37 patients) included patients managed with subcuticular suturing with subcutaneous drain, while group B (37 patients) included patients managed with subcuticular suturing without subcutaneous drain.
Results: In group A, the mean VAS (visual analog scale) for pain was 3.0±0.9, ranging between 1 and 4. In group B, the mean VAS for pain was 4.2±0.8, ranging between 3 and 6. A statistically significant difference was found between groups regarding VAS for pain. On the other hand no significant difference was observed between groups regarding postoper-ative complications.
Conclusion: Many obstetric and gynecological operations can be done safely in obese patients without prophylactic subcutaneous drain age. However, it is still the surgeon's decision to place a drain or not according to multiple factors.