Subcutaneous Drain Versus Wound Irrigation by Normal Saline for Prevention of Surgical Site Infection Following Caesarean Section in Obese Patients.

Subcutaneous Drain Versus Wound Irrigation by Normal Saline for Prevention of Surgical Site Infection Following Caesarean Section in Obese Patients: A Prospective Randomized Controlled Trial.

This is a prospective randomized controlled trial conducted at Ain Shams University Maternity Hospital to compare subcutaneous drain versus wound irrigation with normal saline for the prevention of surgical site infection following cesarean section in obese patients. Eligible women were randomly assigned to either subcutaneous drain placement or intraoperative wound irrigation, or subcutaneous skin closure only. The primary outcome was the incidence of surgical site infection, with additional assessment of postoperative wound complications and recovery.

Inclusion Criteria:

• Obese Pregnant women who attend for cesarean section.
• Aged 18 to 50 years old.
• BMI ≥ 30 kg/m2.

Exclusion Criteria:

• Preoperative uncontrolled infection.
• Prolonged premature rupture of membranes.
• Severe surgical blood loss >1000ml.
• Uncontrolled Pregestational Diabetes mellitus type 1 and type2.
• Uncontrolled Gestational Diabetes mellitus.
• Uncontrolled Hypertension with pregnancy.
• Preeclampsia and Eclampsia, Pregnancy-induced hypertension (PIH).
• Chronic medical disorders including chronic kidney disease, chronic hepatitis, chronic autoimmune disease and chronic heart disease.
• Anemia with pregnancy.
• Patient with Immunodeficiency disorders and patients on immunosuppressive drugs.
• Patient with recent history of drug abuse.
• Smoker.