Wound Infection Incidence and Obesity in Elective Cesarean Sections in Jordan

Al-Kharabsheh, Randa; Ahmad, Muayyad; Soudi, Majdi Al; Al-Ramadneh, Amal

doi:10.5455/medarh.2021.75.138-143

Cited by 2 publications

(1 citation statement)

References 18 publications

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“…In the post-operative period, slow healing and wound infection increases morbidity [ 3 ] and in rare cases, life-threatening infections [ 4 ]. One of the major indications for CS birth is obesity [ 5 ], a health risk that also increases the incidence of infection at the incision site; surgical site infection (SSI) [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Cutaneous Perfusion Dynamics of the Lower Abdomen in Healthy Normal Weight, Overweight and Obese Women: Methods Development Using Infrared Thermography with Applications for Future Wound Management after Caesarean Section

Childs

Nwaizu

Bullivant

et al. 2023

IJERPH

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Background: Evidence has shown an association between obesity and an increased risk of wound infection after caesarean section. This study was designed to examine if abdominal subcutaneous adiposity impacts upon cutaneous perfusion dynamics. Methods: Mild cool challenge, followed by real-time video thermography, was developed to map the appearance of abdominal ‘hot spots’. Correspondence of marked ‘spots’ with audible Doppler and colour and power Doppler ultrasound was performed. Results: 60 healthy, afebrile, women (20–68 years; BMI 18.5–44 kg/m2) were recruited. Hot spot appearance consistently corresponded with audible Doppler sounds. Colour and power Doppler ultrasound revealed vessels at depths of 3–22 mm. No statistically significant interactions for BMI, abdominal circumference or environmental parameters were observed for hot spot count. The temperature of cold stimulus was significant for effects on spot count, but only for the first minute (p = 0.001). Thereafter, effects on spot numbers were not significant. Conclusions: Cutaneous ‘perforator’ mapping of the abdomen (via hot spot appearance) in healthy women, as a potential and future method for risk of perfusion-dependent wound healing complications, reveals that bedside mapping of skin perfusion is feasible over a short interval. Hot spot number was not influenced by BMI or indicators of central fat distribution (abdominal circumference) indicating variability in an individual’s vascular anatomy. This study provides the underpinning methodology for personalised perfusion assessment after incisional surgery which may be a more reliable indicator of potential healing complications than body habitus as is currently the norm.

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Section: Introductionmentioning

confidence: 99%

Cutaneous Perfusion Dynamics of the Lower Abdomen in Healthy Normal Weight, Overweight and Obese Women: Methods Development Using Infrared Thermography with Applications for Future Wound Management after Caesarean Section

Childs

Nwaizu

Bullivant

et al. 2023

IJERPH

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Role of Haematological Indices, Interleukin-10, Tumour Necrosis Factor and Vascular Endothelial Growth Factor on Gastric Ulcer Healing in Obese Wistar Rats: Effect of Garlic Oil

Nndunno Asheku,

Olasupo Stephen,

Linus Chia

et al. 2023

International Journal of Innovative Science and Research Techno

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Haematological indices, cytokines and growth factors are among the factors that impact inflammatory processes. The impact of obesity on gastric ulcer (GU) healing is not fully known. Natural products like garlic oil (GO) which may be readily available and accessible choice, especially for the less privileged population are worth studying as regards its effect on gastric ulcer healing. Male Wistar rats (80) weighing 120 g -140 g were randomly placed in 10 groups consisting eight each. Groups 1 to 5 were fed regular rat chow while groups 6 to 10 were fed high-fat diet (HFD) for eight weeks and weight were recorded weekly. By week 8, GU was induced with acetic acid in all rats except Groups 1 and 6 respectively. Rats in Group 2 and 7 were treated with normal saline (NS), Groups3, 4 and 5 were treated with 30mg/kg GO, 60mg/kg GO and 20mg/kg omeprazole respectively, while groups 8, 9 and 10 were likewise treated as above. Ulcer healing was assessed by measuring ulcer area by days 3 and 7 after ulcer induction. Ulcer area was significantly larger in obese group compared to negative control. Total white cell count was elevated in groups treated with garlic oil compared to normal control. GO increased level of interleukin-10, vascular epithelial growth factor and reduced tumor necrosis factor alpha levels. We conclude that garlic oil is beneficial for gastric ulcer healing in obesity state.

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Wound Infection Incidence and Obesity in Elective Cesarean Sections in Jordan

Cited by 2 publications

References 18 publications

Cutaneous Perfusion Dynamics of the Lower Abdomen in Healthy Normal Weight, Overweight and Obese Women: Methods Development Using Infrared Thermography with Applications for Future Wound Management after Caesarean Section

Cutaneous Perfusion Dynamics of the Lower Abdomen in Healthy Normal Weight, Overweight and Obese Women: Methods Development Using Infrared Thermography with Applications for Future Wound Management after Caesarean Section

Role of Haematological Indices, Interleukin-10, Tumour Necrosis Factor and Vascular Endothelial Growth Factor on Gastric Ulcer Healing in Obese Wistar Rats: Effect of Garlic Oil

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