Non-closure of the subcutaneous fat layer suture in cesarean section of.doc

 PAGE \* MERGEFORMAT 6 Non-closure of the subcutaneous fat layer suture in cesarean section of [Keywords] section, subcutaneous fat, abdominal wall closure As technology continues to improve cesarean section and surgical improvements, cesarean section rate has increased year by year trend of cesarean section incision methods have been improved [12]. Our hospital in January 2007 to 2007 cesarean delivery in June non-closure of the fat layer by using absorbable suture directly intradermal suture 124 patients achieved good clinical results, are as follows. 1 Materials and Methods 1.1 Clinical data 260 cases of cesarean section in this group, 124 cases in which the observation group, the subcutaneous fat layer is not sewn, 136 cases of the control group, with No. 1 silk suture of subcutaneous fat. Two groups of mothers had no scar, not physical scars, preoperative No bleeding tendency and hypoproteinemia. all with the choice of 4 / 0 braided absorbable suture, continuous suture the skin, 5 d after suture removal. 1.2 Methods Observer Group: General suture retroperitoneal, 0, Ethicon absorbable continuous suture fascia, the subcutaneous fat, complete hemostasis, the start line with a continuous subcutaneous absorbable suture, one end of the first skin incision needle knot in 3 consecutive close to the tissue under the skin flap, the direction to the terminal to about 0.5 cm away from the needle, the horizontal and out of the skin, continuous suture line, elastic in order to smooth the skin flap on the co-moderate, to the other side of the terminal piercing the skin and tie a knot 3 times. control group: peritoneum and the fascia with the observation group, then No. 1 silk suture the subcutaneous fat layer, the latter with 4 / 0 continuous suture with absorbable suture abdominal skin incision, the method with the observation group. calculate the time used in abdominal wall closure. 2 Results Abdominal wall closure time of the two groups: th