The goal of this observational study is to compare the incidence of post-cesarean section wound infections between emergency and elective cesarean deliveries at El-hussien Hospital. The main questions it aims to answer are: Is there a difference in surgical site infection rates between emergency and elective cesarean sections? What are the other outcome measures associated with emergency versus elective cesarean deliveries? Participants will be 220 patients undergoing cesarean section, divided into two groups: 110 patients undergoing emergency cesarean delivery in the Emergency Unit 110 patients undergoing elective cesarean delivery Researchers will compare the emergency cesarean group to the elective cesarean group to see if there are differences in surgical site infection rates and other relevant outcome measures.
Study Type
OBSERVATIONAL
Enrollment
220
The cesarean section will begin with a Pfannenstiel incision above the pubic bone, followed by blunt dissection to separate tissue layers and retracting the rectus muscles for peritoneal cavity access. A transverse or vertical peritoneal incision will expose the uterus, and a transverse incision on the lower uterine segment will be made for delivery. The baby will be delivered, the umbilical cord clamped and cut, and the baby handed to the pediatric team. The placenta will be detached and delivered, and the uterus will be closed with multiple layers of sutures. The abdominal layers will be closed with absorbable Polyglactin (Vicryl) sutures for the rectus sheath and subcutaneous tissue, and non-absorbable Polypropylene sutures for the skin. A sterile dressing will be applied to protect the wound and promote a clean healing environment, ensuring proper surgical technique, tissue handling, and minimizing post-operative complications.
Al-Hussein University Hospital
Cairo, Cairo Governorate, Egypt
Post Caesarian Section Wound Infections
* The wounds will be inspected. The presence of minor or major wound infection will be recorded on an audit form. * Wound infection will be defined as: Purulent discharge present within or exuding from the wound. Painful spreading erythema indicative of cellulitis. • An infection will be defined as minor if deep tissue destruction or lymphangitis is absent, and major if these elements, wound dehiscence or systemic symptoms, is present.
Time frame: 6 weeks after surgery.
Wound Healing Complications
We will assess the occurrence of other wound-related complications, such as wound dehiscence (separation of wound edges), seroma (accumulation of fluid), or hematoma (collection of blood).
Time frame: 6 weeks after surgery.
Length of Hospital Stay
We will measure the duration of hospitalization for patients who undergo a cesarean section at the emergency unit and hospital.
Time frame: 6 weeks after surgery.
Surgical Site Pain
We will evaluate the intensity and duration of pain experienced by patients at the surgical site following a cesarean section.
Time frame: 6 weeks after surgery.
Antibiotic Usage
We will measure the frequency, type, and duration of antibiotic administration to treat post-cesarean section wound infections.
Time frame: 6 weeks after surgery.
Patient Satisfaction
We will assess the level of satisfaction reported by patients regarding their overall experience with the cesarean section procedure and subsequent wound healing.
Time frame: 6 weeks after surgery.
Keloid formation
We will assess formation of keloid after the surgery/
Time frame: 6 months after the surgery
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