Sezaryen Sonrasi Cerrahi Alan Komplikasyonları: Retrospektif Kohort Çalışma

Abstract

Amaç: Çalışmanın amacı sezaryen sonrası yara komplikasyonları için risk faktörlerini belirlemektir. Ayrıca sekonder amaç cerrahi alan enfeksiyonu olan hastaların kültür sonuçlarını göstermektir. Materyal ve Metod: Ocak 2019 ile Aralık 2020 tarihleri arasında üçüncü basamak bir merkezde gerçekleştirilen ardışık sezaryen doğumlarının retrospektif bir kohort çalışması gerçekleştirdik. Cerrahi alan enfeksiyonu tanımu, ameliyattan 30 gün sonra meydana gelen cerrahi alandaki enfeksiyonu içeriyordu. Tıbbi kayıtlar gözden geçirildi hasta demografik özellikleri, komorbiditeler, potansiyel risk faktörleri olarak değerlendirildi. Bulgular: Çalışma süresince sezaryen uygulanan 22627 hastadan 151'inde (%0.6) CAE gelişti. CAE grubunda vücut kitle indeksi kontrol grubuna göre anlamlı şekilde daha yüksekti (28.3±4.3'e karşılık 23.9±4.7; <0.001). Aynı şekilde hipertansif hastalıklar CAE olan grupta kontrol grubuna göre anlamlı şekilde daha sık görüldü (sırasıyla 30'a (%19.8) karşılık 1131 (%4.9); <0.001). Sonuç: Hipertansiyon ve artan vücut kitle indeksi ile CAE olan hastalar arasında ilişki vardır. Ameliyattan önce yüksek riskli kadınlara daha yüksek CAE oranları ve önleyici tedbirler hakkında bilgi verilmelidir.

Keywords

• cerrahi alan enfeksiyonu
• sezaryen
• yara yeri enfeksiyonu

Surgical Site Complications After Cesarean Section: A Retrospective Cohort Study

Abstract

Aim: The aim of the study is to determine the risk factors for wound complications after cesarean section. In addition, the secondary aim is to show the culture results of patients with surgical site infection. Materials and Methods: We conducted a retrospective cohort study of consecutive cesarean deliveries performed at a tertiary center between January 2019 and December 2020. The definition of surgical site infection included infection at the surgical site occurring 30 days after surgery. Medical records were reviewed and patient demographics, comorbidities were evaluated as potential risk factors. Results: SSI developed in 151 (0.6%) out of 22627 patients who underwent cesarean section during the study. Body mass index was significantly higher in the CAE group than in the control group (28.3±4.3 vs. 23.9±4.7; <0.001). Likewise, hypertensive diseases were significantly more common in the group with SSI compared to the control group (30 (19.8%) vs. 1131 (4.9%), respectively; <0.001). Conclusion: There is a relationship between hypertension and increased body mass index in patients with CAE. High-risk women should be counseled about higher rates of SAE and preventive measures prior to surgery.

Keywords

• surgical site infection
• cesarean section
• wound infection

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