title: Modifications of celiotomy techniques to decrease morbidity in obese gynecologic patients.
abstract: Celiotomy techniques have been modified in an attempt to decrease the wound complication rates at our institution. During a 5-year period, 1044 patients underwent celiotomy and major surgical procedures, usually hysterectomy and bilateral salpingo-oophorectomy. Wound complications were noted in eight of 900 nonobese patients. Of obese patients not operated upon by the protocol, 42.2% had wound complications. Obese patients operated upon according to protocol had a wound complication rate of 3.1%. The difference in wound complication rate in obese, non-protocol operation patients as compared to the obese, protocol operation patients was highly significant (p less than 0.0001). The techniques used minimized wound infections in obese patients.
mesh_terms: D000328:Adult; D000368:Aged; D002369:Castration; D002481:Cellulitis / Q000209:etiology / Q000517:prevention & control; D004927:Escherichia coli Infections / Q000209:etiology / Q000517:prevention & control; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007813:Laparotomy / Q000379:methods*; D008875:Middle Aged; D009765:Obesity / Q000150:complications*; D010051:Ovarian Neoplasms / Q000150:complications / Q000601:surgery*; D011183:Postoperative Complications; D013203:Staphylococcal Infections / Q000209:etiology / Q000517:prevention & control; D013530:Surgical Wound Infection / Q000209:etiology / Q000517:prevention & control; D014594:Uterine Neoplasms / Q000150:complications / Q000601:surgery*