Closure versus Non Closure of Subcutaneous Tissue in Cesarean Section in Diabetic Women: A Randomized Controlled Trial

Abstract

Caesarean section is one of the most commonly performed abdominal operations on women in most countries of the world. Its rate has increased markedly in recent years, and is about 20–25% of all child-births in most developed countries (Menacher et al., 2009).

Sutures are a contributory factor in infection; in fact,

66% of SSIs are related to the incision. Sutures may create a setting in which low numbers of bacteria proliferate while sequestered from host defenses. In the presence of sutures, only 100 colony-forming units per milligram are necessary to produce infection. Various bacteria may contaminate not only the tissue in the surgical wound, but also the actual suture material (Mingmalairak, 2013).

Wound complications are a major source of morbidity after CS and contribute to prolonged hospital stay and rates of readmission (Felix et al., 2011).

A variety of techniques exist for nearly every step of the procedure ,many of which have been studied (coronis et al., 2013).