Effect of Prophylactic Negative Pressure Wound Therapy versus Standard Wound Dressing on Surgical-Site Infection Cesarean section in Obese Women: a randomized controlled trial | ||
| The Egyptian Journal of Fertility and Sterility | ||
| Volume 29, Issue 5 - Serial Number 11106352, September 2025, Pages 3-15 PDF (592.23 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/egyfs.2025.457883 | ||
| Authors | ||
| Abdelraouf Abdelnasser Abdelraouf* ; Hossam Gouda; Moustafa Hassan; Mohamed Taman | ||
| Department of Obstetrics and Gynecology, Faculty of Medicine, Mansoura University, Egypt | ||
| Abstract | ||
| Background: Obesity is described as excessive fat accu-mulation presenting a risk to health. Caesarean delivery (CD) is the surgical approach by which a baby is deliv-ered through an abdominal incision in the mother. Surgi-cal site infections (SSIs) are a significant postoperative adverse event. Negative pressure wound therapy (NPWT) is a modality frequently utilized to help major wounds close rapidly. Aim: To assess the efficacy of prophylactic NPWT, ini-tiated immediately after CD in lowering the risk of SSIs compared to traditional wound dressing in obese females on the occurrence of SSI. Methods: This is a non-blinded Randomized Clinical Trial (RCT) conducted on 130 obese pregnant females underwent cesarean section randomly divided into two groups: Group A included 65 cases who had NPWT and Group B included 65 cases who had traditional wound dressing on SSI. The primary outcome was the SSI rate after two weeks of delivery. Results: There was insignificant difference between group A and B regarding temperature, wound hotness, redness, painful sore, pus discharge and bad smell in week 1 (p>0.05), while there was a significant difference was detected in week 2 between studied groups regarding temperature, hotness, redness, painful sores, bad smell and pus discharge. There was a statistically significant decrease in painful sore and wound redness incidence for group A. There was difference between studied groups concerning SSI rate after 2 weeks with higher rate among group B compared to group A. Conclusion: Our study concluded that the use of NPWT decreases the rate of SSI two weeks after delivery in obese women delivered by CS compared with traditional wound therapy. | ||
| Keywords | ||
| NPWT; SSI; Obese Women; Cesarean Deliv-ery | ||
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