The Outcomes of Skin, Closure Using Continuous Subcuticular Versus Interrupted Suture in Cesarean Sections Done at the Univesity Teaching Hospitals in Mwanza Tanzania (Record no. 18678)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03429nam a22002897a 4500 |
| 001 - CONTROL NUMBER | |
| control field | CUHAS/MMED/6000112/T/13 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | CUHAS/MMED/6000112/T/13 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20240416132519.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 230204b |||||||| |||| 00| 0 eng d |
| 028 ## - PUBLISHER OR DISTRIBUTOR NUMBER | |
| Source | Phone: +255 28 298 3384 |
| Source | Fax: +255 28 298 3386 |
| Source | Email: vc@bugando.ac.tz |
| Source | Website: www.bugando.ac.tz |
| 040 ## - CATALOGING SOURCE | |
| Transcribing agency | ddc |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | English |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Sunday Atugonza Rwebangila |
| 9 (RLIN) | 48335 |
| Dates associated with a name | [Male] |
| Relator term | CUHAS/MMED/6000112/T/13 |
| 245 ## - TITLE STATEMENT | |
| Title | The Outcomes of Skin, Closure Using Continuous Subcuticular Versus Interrupted Suture in Cesarean Sections Done at the Univesity Teaching Hospitals in Mwanza Tanzania |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Mwanza, Tanzania: |
| Name of publisher, distributor, etc. | Catholic University of Health and Allied Sciences [CUHAS – Bugando] : |
| Date of publication, distribution, etc. | c2016 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 44 Pages |
| Extent | Includes References and Appendices |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract:<br/><br/>Background: An appropriate suture technique for the closure of the cesarean skin incision is important in preventing hematoma, seroma and surgical site infection that will in turn allow an optimal wound healing. Currently, there is no conclusive evidence on what is the best suture technique for the skin closure by continuous subcuticular suture versus interrupted suture, done at the two university teaching hospitals.<br/><br/>Methods: A randomized equivalence clinical trial involving 380 pregnant women who underwent primary cesarean section was conducted from November 2015 to April 2016. Women were randomized into two groups; either subcuticular continuous suture (Group 1) or interrupted suture skin closure (Group II), each with 190 participants. These women were then followed for 30 days post operatively for the occurrence of hematoma/seroma and surgical site infection (SSI). A comparison of cumulative incidences of SSI and hematoma/seroma in the two groups was done with the equivalence margin of the 95% CI set at ± 5%. If the 95% CI for their difference was within the predefined margin, the two techniques were regarded as equivalent.<br/><br/>Results: The cumulative incidence of SSI in group I was 11.9% (21) whereas group II had 12% (22), with a difference of 0.1% [95% CI -6.8% to 6.5%; p-value = 0.9633]. The cumulative incidence of hematoma/seroma was 9.0 % (16) in group I and 6.0% (11) in group II, with a difference of 3% [95% CI -2.4% to 8.5%; p-value = 0.2754]. Group I had 7 (3.7%) cases with prolonged hospital stay whereas group II had 4 (2.1%) cases with prolonged hospital stay. There was no difference in the length of hospital; stay in the two groups, [95%CI – 1.8 to 4.9; p-value = 0.3587].<br/><br/>Conclusion: The two suture techniques are not equivalent with respect to the incidence of surgical site infections and hematoma/seroma. Subcutaneous continuous suture technique has more incidence of hematoma/seroma than the interrupted suture technique while on the other hand; the two techniques are equivalent in terms of length of hospital stay. As such, more randomized trials are encouraged to determine the superiority or inferiority of either of the two suture techniques with consideration of other additional outcomes of interest e.g. wound pain, wound dehiscence, wound cosmesis etc.<br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Obstetrics and Gynaecology |
| 9 (RLIN) | 47107 |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| 9 (RLIN) | 48336 |
| 9 (RLIN) | 22780 |
| 9 (RLIN) | 22050 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | POSTGRADUATE DISSERTATIONS |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Collection | Home library | Current library | Shelving location | Date acquired | Total checkouts | Barcode | Date last seen | Copy number | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 02/04/2023 | CREC/122023 | 02/04/2023 | CREC/122023 | 02/04/2023 | POSTGRADUATE DISSERTATIONS |