Role of subcutaneous drains in reducing post-cesarean section wound complications in obese women | ||
| Evidence Based Women's Health Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 16 October 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ebwhj.2025.433306.1524 | ||
| Authors | ||
| Amr Salah Hegab* 1; Samira Elsaid2; Alaa Naguib El Ebrashy3; Mohamed Hussein3 | ||
| 1Obstetrics and Gynecology department, Armed Forces College of Medicine AFCM, Cairo, Egypt | ||
| 2Obstetrics and Gynecology department, Armed Forces College of Medicine (AFCM), Cairo, Egypt | ||
| 3Obstetrics and Gynecology department, Cairo University, Cairo, Egypt | ||
| Abstract | ||
| Background: A number of strategies have been investigated to lessen wound complications, including subcutaneous drainage, skin preparation techniques, perioperative antibiotic prophylaxis, and subcutaneous suture closure. The placement of drains following cesarean deliveries has yielded conflicting and varied results across several gynecologic procedures. Aim and objectives: The main objective of this study was to evaluate the occurrence of post-cesarean section wound complications in patients with or without negative pressure subcutaneous wound drains. Subjects and methods: This follow-up study was performed at Ahmed Galal Military Hospital on full-term pregnant women with a BMI ≥ 30, scheduled for elective CS. Patients meeting the inclusion criteria were separated into two groups: Group A (control group), consisting of patients without negative pressure subcutaneous wound drains, and Group B (study group), comprising patients with drains. Result: There was no significant variation among examined groups concerning the rate of wound infection, postoperative fever, wound disruption, and need for redressing. However, there was a significant variance regarding the incidence of wound seroma. Conclusion: Negative pressure subcutaneous wound drains do not significantly reduce the risk of postoperative wound complications (e.g., wound infection and disruption). However, they may play a role in reducing wound seroma formation in obese patients. | ||
| Keywords | ||
| Obesity; Caesarean section; Subcutaneous drain; Wound complications; surgical site infection (SSI) | ||
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