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Retrospective review of caesarean section wound outcomes in women with class III obesity at a regional hospital in South Africa with a comparison of skin closure techniques; skin staples vs nylon mattress sutures
Thesis (MMed)--Stellenbosch University, 2025.
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| Format: | Thesis |
| Language: | English |
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Stellenbosch : Stellenbosch University
2025
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| _version_ | 1867613986362490880 |
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| access_status_str | Open Access |
| author | Khan, Fatima-Zahra |
| author2 | De Waard, Liesl |
| author_browse | De Waard, Liesl Khan, Fatima-Zahra |
| author_facet | De Waard, Liesl Khan, Fatima-Zahra |
| author_sort | Khan, Fatima-Zahra |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MMed)--Stellenbosch University, 2025. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/134655 |
| institution | Stellenbosch University (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:44:51.414Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/134655 Retrospective review of caesarean section wound outcomes in women with class III obesity at a regional hospital in South Africa with a comparison of skin closure techniques; skin staples vs nylon mattress sutures Khan, Fatima-Zahra De Waard, Liesl Van der Merwe, Tian Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. Obstetrics and Gynaecology. Cesarean section -- Complications -- South Africa Surgical instruments and apparatus -- South Africa Wounds and injuries -- Complications -- South Africa Obesity in pregnancy Thesis (MMed)--Stellenbosch University, 2025. Khan, F. 2025. Retrospective review of Caesarean Section wound outcomes in women with class III obesity at a regional hospital in South Africa with a comparison of skin closure techniques; Skin Staples vs Nylon Mattress Sutures. Unpublished masters thesis. Stellenbosch: Stellenbosch University [online]. Available: https://scholar.sun.ac.za/items/a3bebe18-634c-469d-a19b-fe8659c15b82 ENGLISH ABSTRACT: Objective: In the Republic of South Africa (RSA), 37% of women of childbearing age are living with obesity, with the proportion of class III obesity increasing. Common skin closure methods used at caesarean delivery (CD) in RSA are staples and interrupted nylon sutures. This study examined the impact of skin closure materials on composite wound complications (CWC) rates in the population with class III obesity. Methods: We conducted a retrospective review of patients living with class III obesity who underwent a CD during a 4-year period at Worcester Hospital, RSA. Thirty days of follow-up data were included in outcomes reported and data analysed using Statistical Analysis System (SAS) software. Clinical and wound outcomes were compared between skin closure techniques used. Results: We included 346 patients, of who skin staples were used in 238 and 108 were closed with nylon sutures. The incidence of CWC was 25/346 (7.23%). The mean body mass index (SD) was 43.8 kg/m2 (2.80). The risk of developing an CWC did not differ significantly between the two groups [P=0.8251] of wound closure techniques. However mean CD duration where nylon closure was used was 6.1 min longer compared to when skin staples were used, (P0.0007). Regarding the indication for CD, 72,3% of the cases were for emergency indications. The relative risk of CWC was 3.86 higher when CD was performed after hours [95% CI 1.48;10.06] and 4.42 higher if the CD was an emergency procedure [95% CI 1.06;18.37]. Conclusions: In this cohort, the risk of CWC was similar to prior South African studies. CWC was not related to the skin closure technique used, but was associated with emergency and afterhours procedures. The significance of longer CD duration associated with sutures compared to staples will depend on the clinical setting. Considering that the cost of material is comparable. This suggests that providers may use either technique. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. Masters 2025-12-22T09:00:01Z 2025-12-22T09:00:01Z 2025-12 Thesis https://scholar.sun.ac.za/handle/10019.1/134655 en Stellenbosch University 26 pages application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Cesarean section -- Complications -- South Africa Surgical instruments and apparatus -- South Africa Wounds and injuries -- Complications -- South Africa Obesity in pregnancy Khan, Fatima-Zahra Retrospective review of caesarean section wound outcomes in women with class III obesity at a regional hospital in South Africa with a comparison of skin closure techniques; skin staples vs nylon mattress sutures |
| title | Retrospective review of caesarean section wound outcomes in women with class III obesity at a regional hospital in South Africa with a comparison of skin closure techniques; skin staples vs nylon mattress sutures |
| title_full | Retrospective review of caesarean section wound outcomes in women with class III obesity at a regional hospital in South Africa with a comparison of skin closure techniques; skin staples vs nylon mattress sutures |
| title_fullStr | Retrospective review of caesarean section wound outcomes in women with class III obesity at a regional hospital in South Africa with a comparison of skin closure techniques; skin staples vs nylon mattress sutures |
| title_full_unstemmed | Retrospective review of caesarean section wound outcomes in women with class III obesity at a regional hospital in South Africa with a comparison of skin closure techniques; skin staples vs nylon mattress sutures |
| title_short | Retrospective review of caesarean section wound outcomes in women with class III obesity at a regional hospital in South Africa with a comparison of skin closure techniques; skin staples vs nylon mattress sutures |
| title_sort | retrospective review of caesarean section wound outcomes in women with class iii obesity at a regional hospital in south africa with a comparison of skin closure techniques skin staples vs nylon mattress sutures |
| topic | Cesarean section -- Complications -- South Africa Surgical instruments and apparatus -- South Africa Wounds and injuries -- Complications -- South Africa Obesity in pregnancy |
| url | https://scholar.sun.ac.za/handle/10019.1/134655 |
| work_keys_str_mv | AT khanfatimazahra retrospectivereviewofcaesareansectionwoundoutcomesinwomenwithclassiiiobesityataregionalhospitalinsouthafricawithacomparisonofskinclosuretechniquesskinstaplesvsnylonmattresssutures |