Effect of Wound Closure Technique on Wound Infection in the Morbidly Obese: results of a randomized trial

Raphael S. Chung, Marion Schertzer, David Fromm, Robert Kozol

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

The effect of suture obliteration of the subcutaneous dead space in morbidly obese abdominal wounds was studied in a randomized trial, comparing a pre-fascial retention suture technique (utilized for approximation of the thick panniculus) to controls where the skin was simply closed with staples. The wound infection rates were similar (11.8% for the sutured group versus 12.3% for controls, p > 0.4), as were the total wound complication rates (26.5% for sutured group versus 21.9% for controls, p > 0.4). Ultrasound study of the wounds closed without suturing the panniculus demonstrated no dead spaces. We conclude that no advantage is to be gained by suturing the subcutaneous fat, however thick. The finding is of general application in wound closures involving thick layers of fat.

Original languageEnglish (US)
Pages (from-to)33-35
Number of pages3
JournalObesity Surgery: Including Laparoscopy and Allied Care
Volume1
Issue number1
DOIs
StatePublished - Mar 1991

Keywords

  • Morbid obesity
  • wound closure techniques
  • wound infection

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

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