Obesity and the challenges of caesarean delivery: Prevention and management of wound complications

Ayres-de-Campos, Diogo

doi:10.1016/j.bpobgyn.2014.08.009

Cited by 22 publications

(18 citation statements)

References 47 publications

(34 reference statements)

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“…The profile for participant 1 is partly occluded by adjacent structures (hair). From the difference between healthy ''reference'' skin and scar/wound temperature (deltaT), pixel differences along the scar/wound margin (Fig 2c) differ, for the majority of women, by not more than 1 o C. In four participants (6,9,11,16) deltaT reveals four predominately negative deltaT plots, indicating lower scar/wound temperatures of up to 4 o C. In two women, (participant 6, 16) the scar at days 15 and 11 respectively were infected. In participant 11, the scar at day 2 was ''lumpy''; the low deltaT along the scar indicating that the scar edge was at a consistently lower temperature than adjacent healthy (reference) skin.…”

Section: Edge Analysis and Quantitative Temperature Profilingmentioning

confidence: 99%

“…9,10 Obesity and SSI risk is now a matter for increasing concern in women undergoing caesarean section. 11,12 After abdominal delivery and caesarean section, infection can occur in all three of the SSI categories; superficial incisional SSI, deep incisional SSI and organ (or space) SSI. 13 Typically infection of skin and superficial tissues is most common after caesarean birth.…”

Section: Introductionmentioning

confidence: 99%

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Thermal territories of the abdomen after caesarean section birth: infrared thermography and analysis

et al. 2016

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Thermal imaging at early and later times after caesarean birth is feasible and acceptable. Women reported potential benefits of the technique for future wound infection screening. Thermal intensity profiling and HCS for pixel cluster dissimilarity between scar and adjacent healthy skin has potential as a method for the development of techniques targeted to early infection surveillance in women after caesarean section.

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Section: Edge Analysis and Quantitative Temperature Profilingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Thermal territories of the abdomen after caesarean section birth: infrared thermography and analysis

et al. 2016

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“…Evidence suggests that closure of the subcutaneous tissue (if over 2-3 cm in depth) and avoidance of subcutaneous drains decrease the chance of wound complications in obese patients [70][71][72].…”

Section: Surgical Skin Incision Choices a -Pfannensteil B -Supraumbmentioning

confidence: 99%

“…On a large multicenter randomized trial, obese women with subcutaneous drains had similar rates of wound complications as those with subcutaneous fat closure only [85]. However, more recent studies suggest that the subcutaneous tissue should be closed if more than 2-3 cm deep, and subcutaneous drains should be avoided to prevent surgical site infections [70][71][72].…”

Section: Prevention Of Surgical Site Infectionsmentioning

confidence: 99%

Obesity: Unique Challenges at the Time of Cesarean Delivery

Roloff¹,

Cao²,

Okekpe³

et al. 2020

Recent Advances in Cesarean Delivery

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The obesity epidemic has touched all aspects of obstetric care, including the practice of cesarean delivery. Obesity is an independent risk factor for cesarean delivery, and the increased prevalence of obesity has contributed to the overall rise in primary cesarean delivery seen over the past few decades. Because of the frequent existence of co-morbidities such as hypertension and diabetes, obesity is a plausible contributor to rising maternal mortality. In addition, obese women who undergo both primary and repeat cesarean delivery have a higher chance to develop surgical and post-operative complications, including wound infection and thromboembolic events. Surgical complications increase steadily with increasing maternal weight. In this chapter, we will review the incidence and contributing factors that lead to cesarean delivery in obese patients, peri-operative complications, and strategies to reduce these risks in obese women undergoing cesarean delivery.

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“…In that way, antibiotic prophylaxis in these patients is different, and the actual recommendation is to administer at least 2 g of cefazolin some 60 minutes before the cesarean section. Another recommendation is to close the subcutaneous tissue layer in obese patients particularly when its depth exceeds 2 cm [43].…”

Section: Obesity and Gynecological Surgerymentioning

confidence: 99%

Obesity: A Risk Factor for Infection after Surgery

Suclla-Velásquez¹,

Smedts²

2020

Weight Management

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Obesity is a prevalent health problem all over the world. It is associated with several diseases including infections. It impairs the immune system function by plenty of mechanisms. For instance, leptin and adiponectin are cytokines produced by the adipose tissue, both participating in immunity, but their effects are impaired in obese patients. Moreover, immune cells also show defects in their functions. They produce a pro-inflammatory state and contribute to obesity-related diseases. Innate immune system and adaptive immunity are both impaired in obese patients which causes a poor response to infections. In addition, in surgical site infections (SSI), there are local factors that must be considered. The large adipose panicle and visceral adipose tissue increase the surgical technique difficulty and extend the operative time. Besides, the adipose tissue has poor oxygenation and reduces operative field. It has been proven that obesity is associated to surgical site infection irrespective of type of surgery. However, minimal invasive surgery has demonstrated that reducing surgical trauma can diminish the risk for surgical site infection.

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Obesity and the challenges of caesarean delivery: Prevention and management of wound complications

Cited by 22 publications

References 47 publications

Thermal territories of the abdomen after caesarean section birth: infrared thermography and analysis

Thermal territories of the abdomen after caesarean section birth: infrared thermography and analysis

Obesity: Unique Challenges at the Time of Cesarean Delivery

Obesity: A Risk Factor for Infection after Surgery

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