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189833

Wound Complications in Obese Patients after Gynecologic Oncology Surgeries, an Intervention Study

Article

Last updated: 03 Jan 2025

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Abstract

Background: Obesity is one of the comorbid conditions which can affect the operative and postoperative outcome of patients undergoing surgery. Objective: The aim of the current work was to assess the impact of using specific protocol suggested by author included (saline wash, suture material, subcutaneous drain and binder) on wound complications after major gynecologic Oncology surgeries in obese patients. Patients and Methods: This study was an intervention prospective study which included 86 women undergoing surgical gynecologic procedures via a vertical abdominal incision performed at Obstetrics and Gynecology Department, Faculty of Medicine, Zagazig University Hospital during the period from April 2020 to October 2020. All patients were subjected to detailed history taking, Clinical examination including general, abdominal and pelvic examination. Surgical Protocol for skin closure was applied. Results: There was a significant difference between study group and control group regarding wound complications (P=0.001). Fever was found in 23.2% in study group and 34.8% in control group, seroma was found in 100% in study group and 80% in control group and wound dehiscence, wound infection and wound hematoma respectively were found in 100% in study group and 60% in control group. Conclusion: It could be concluded that using this specific protocol (saline wash, suture material (Polydioxanone Suture), subcutaneous drain and binder) may decrease the incidence of wound complications in obese women undergoing a gynecologic procedure via a vertical abdominal incision.  

DOI

10.21608/ejhm.2021.189833

Keywords

Wound Complications, Obese Patients, Oncology Surgeries, saline wash

Authors

First Name

Esraa Gomaa Mustafa

Last Name

Alsyied

MiddleName

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Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University, Egypt

Email

gomaae975@gmail.com

City

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Orcid

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First Name

Hussein Mohammed

Last Name

Abdeldaim

MiddleName

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Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University, Egypt

Email

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City

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Orcid

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First Name

Taha Abdelfattah

Last Name

Ahmed

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University, Egypt

Email

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City

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Orcid

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First Name

Mohammed Mustafa

Last Name

Zaitoun

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University, Egypt

Email

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City

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Orcid

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Volume

85

Article Issue

1

Related Issue

27163

Issue Date

2021-10-01

Receive Date

2021-08-17

Publish Date

2021-10-01

Page Start

2,718

Page End

2,724

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_189833.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=189833

Order

8

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Wound Complications in Obese Patients after Gynecologic Oncology Surgeries, an Intervention Study

Details

Type

Article

Created At

22 Jan 2023