Closure of Subcutaneous Fat in Obese Patients: A Prospective Randomised Study in Abdominal Incisions

Abstract

BACKGROUNDObesity is a complex medical disorder characterised by an excess of total body fat. Traditionally, abdominal wall closure is performed using a three layer technique in which the parietal peritoneum with posterior rectus sheath, anterior rectus sheath and skin are individually and sequentially closed. Camper's fascia provides a potential space for haematoma and seroma formation. The vascular supply to subcutaneous fat is relatively poor making this tissue susceptible to infection.