A New Alternative Technique After Pfannenstiel Incision in Obese Women; Cutaneous Plication

Abstract

OBJECTİVE: Surgical wound infections are frequently observed in obese women following surgery. In order to overcome this complication, different management strategies are determined. The study demonstrates a new cutaneous plication technique which minimizes surgical wound infection incidence in obese women. With this method, wound complication rates in obese women are decreased and wound repair is similar to classical cutaneous plications.
STUDY DESIGN: The technique was conducted with one hundred obese women (n: 100) who had pfannenstiel incisions for any obstetrical and gynecological indications. All patients were evaluated on the postoperative 7th day and 6th week for wound repair.
RESULTS: There were only 3 cases with wound infections with this technique and all were detected within the first week following operation. Two patients with wound infections were also diabetic. Tissue approximation and wound repair were appropriate on the postoperative 7th day. There was not any wound dehiscence, hematoma, nor abscess formation at postoperative 6th week.