Features of tissue healing of laparotomy wounds after cesarean section in obesity
Background. Recently, the number of cesarean section deliveries has increased, which increases the risk of postoperative complications. One of the important risk factors is obesity, which significantly complicates the healing of laparotomy wounds. The purpose of the study was to establish a link...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Penza State University Publishing House
2024-11-01
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| Series: | Известия высших учебных заведений. Поволжский регион: Медицинские науки |
| Subjects: | |
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| Summary: | Background. Recently, the number of cesarean section deliveries has increased,
which increases the risk of postoperative complications. One of the important risk factors is
obesity, which significantly complicates the healing of laparotomy wounds. The purpose of
the study was to establish a link between the degree of obesity and the presence of complications
after abdominal delivery. Materials and methods. 65 pregnant women were examined
after delivery by cesarean section. In accordance with the purpose of the work, three
groups are identified. In the first group there were women with normal body weight, in the
second group there were women with grade I obesity (body mass index over 30), in the
third group there were women with grade III obesity (body mass index over 40. The obtained
digital data were processed by the method of variational statistics using the Student's
t criterion. Results. In obese patients, repair of abdominal wall tissue structures after cesarean
section in the early postoperative period was slower and more imperfect. The analysis of
the obtained cytological material showed that the course of incomplete reparative regeneration
of abdominal wall tissues in obesity occurred against the background of prolongation
of the inflammatory phase, revealed by the analysis of the results of cytological examination.
The prolongation of the inflammatory phase, therefore, and the low rate of tissue regeneration
in the wound area in obesity were indicated by a low regenerative-degenerative
index, which is determined by the ratio of normal and degenerative forms of these shaped
elements. Conclusions. In obese women who have undergone cesarean section delivery, the
healing process of a laparotomy wound proceeds slowly, especially in the third degree. This
is documented by a marked decrease in the degenerative-degenerative index, a slowdown in
the transformation of polyblasts into tissue forms – precursors of connective tissue elements.
One of the factors reducing the rate of tissue repair along the suture line in obese patients
after cesarean section are dysmicrocirculatory phenomena, which are most pronounced
in third degree obesity. |
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| ISSN: | 2072-3032 |