Comment je préviens les infections de paroi après césarienne chez des patientes obèses en 2017 ?
| Autor: | C. Chauleur, T. Raia-Barjat, P. Mathevet, B. Ripamonti |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
education.field_of_study
medicine.medical_specialty 030219 obstetrics & reproductive medicine integumentary system business.industry medicine.medical_treatment Population Obstetrics and Gynecology Perioperative Surgery Retractor 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Reproductive Medicine Suture (anatomy) Negative-pressure wound therapy Vagina Medicine 030212 general & internal medicine Risk factor Antibiotic prophylaxis business education |
| Zdroj: | Gynécologie Obstétrique Fertilité & Sénologie. 45:619-622 |
| ISSN: | 2468-7189 |
| DOI: | 10.1016/j.gofs.2017.08.006 |
| Popis: | Obesity is an important risk factor of cesarean section and is associated with an increased risk of wound complications such as infections. This review focuses on the available strategies to limit complications in this population. Choice of antiseptic solution, appropriate dose and type of antibiotic prophylaxy, suture closure of subcutaneous fat, suture skin closure and closed incision negative pressure wound therapy may reduce the risk of wound infections associated with cesarean section in obese patients. Vaginal desinfection, plastic adhesive draps, high-concentration supplemental perioperative oxygen, use of a barrier retractor, wound drainage and type of skin incision are discussed in this review. Clinical trials of good quality are needed to improve our clinical practice. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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