It is the purpose of this study to evaluate the relationship between a low transverse, vertical midline, and supra-panicular high transverse skin incisions and the rate of wound complications in women with a BMI of 40 or greater undergoing a cesarean section for delivery. So far, the choice of incision for the morbidly obese is based only on case reports. No randomized controlled trials have been done up to date comparing these methods. It is our hope that a high transverse incision will have all of the benefits of a low transverse skin incision, with the added benefit of better exposure offered by a vertical midline incision, without the added increased risk of subjecting the woman to a vertical hysterotomy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
309
Cesarean section performed using a midline vertical skin incision, located between the umbilicus and pubis
Cesarean section performed using a transverse skin incision located above the pannus
Albany Medical Center Obstetrics and Gynecology
Albany, New York, United States
RECRUITINGAlbany Medical Center Obstetrics and Gynecology
Albany, New York, United States
RECRUITINGAlbany Medical Center
Albany, New York, United States
RECRUITINGAlbany Medical Center Obstetrics and Gynecology
Ballston Spa, New York, United States
RECRUITINGAlbany Medical Center Obstetrics and Gynecology
Clifton Park, New York, United States
RECRUITINGAlbany Medical Center Obstetrics and Gynecology
Delmar, New York, United States
RECRUITINGAlbany Medical Center Obstetrics and Gynecology
Latham, New York, United States
RECRUITINGWound Complications
Time frame: 6 months
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