title: Comparison of closure of subcutaneous tissue versus non-closure in relation to wound disruption after abdominal hysterectomy in obese patients.
abstract: OBJECTIVE
  To evaluate the role of subcutaneous tissue closure in relation to wound disruption after abdominal hysterectomy in obese patients.
  
  
  METHODS
  In a prospective study at a tertiary referral centre in Mumbai, India, 60 obese patients with subcutaneous fat more than 2.5 cms were included in the study. In 30 patients, subcutaneous tissue was closed using synthetic suture (dexon) while in 30 control patients subcutaneous tissue was not closed. Average weight in the study and control groups were 69 -/+ 9.2 kg and 63.3 -/+ 11.2 kg respectively.
  
  
  RESULTS
  The wound disruption occurred in 5 patients in non-closure group as compared to only one in the closure group. Incidence of seroma, haematoma formation and other wound complications were higher in the non-closure group.
  
  
  CONCLUSIONS
  Closure of the subcutaneous tissue after abdominal hysterectomy of women with at least 2.5 cms of subcutaneous tissue lowers the overall rate of complications leading to disruption of the incision.
authors.affiliation: Department of Obstetrics and Gynaecology, L. T. M. G. Hospital, Sion, Mumbai - 400 022, India.
authors.forename: S
authors.initials: S
authors.lastname: Kore
authors.forename: M
authors.initials: M
authors.lastname: Vyavaharkar
authors.forename: R
authors.initials: R
authors.lastname: Akolekar
authors.forename: A
authors.initials: A
authors.lastname: Toke
authors.forename: V
authors.initials: V
authors.lastname: Ambiye
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D009765:Obesity; D011446:Prospective Studies; D013529:Surgical Wound Dehiscence / Q000517:prevention & control*; D013530:Surgical Wound Infection / Q000517:prevention & control; D013536:Suture Techniques; D016896:Treatment Outcome