SUBCUTANEOUS FAT SUTURE IN CESAREAN SECTIONS AND WOUND DISRUPTION

Abstract

Background: Cesarean sections, which are performed either elective or as an emergency, have become a common procedure in obstetrics. Although there are many advantages of this procedure for the baby as well as for the mother in apt situations, there are many risks associated with it. Wound infection, or disruption is a common complication following caesarean section. The factors inuencing the risk of these complications are many but maternal obesity, an increase in the subcutaneous fat, and its closure after the procedure are the main risk factors. Since there are no basic recommendations regarding suturing, the type of suture materials to be used, etc., the procedure varies among the practitioners, and hence the complications after the procedure. Thus, in this article, the effects of suturing the subcutaneous fat in cesarean sections on wound disruption are reviewed and the current status of the choice of suture materials to be used is also considered. Conclusion:There are no strong shreds of evidence to prove the inuence of suturing the subcutaneous fat or the type of suture material used on wound disruption during cesarean section. Most of the authors agree with the fact that closure of the subcutaneous fat reduces the risk of wound disruption for subcutaneous tissue larger than 2 cm