Impact of Intraoperative Factors on the Development of Postpartum Septic Complications
<i>Background and Objectives:</i> Triclosan-coated sutures (antibacterial sutures) can reduce the risk of postoperative surgical site infection. This study aimed to investigate the effect of intraoperative factors, including antibacterial sutures, on the risk of postpartum septic complic...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-09-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/9/1637 |
| _version_ | 1797578886893010944 |
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| author | Diana Andzane Anna Miskova Antra Krone Dace Rezeberga |
| author_facet | Diana Andzane Anna Miskova Antra Krone Dace Rezeberga |
| author_sort | Diana Andzane |
| collection | DOAJ |
| description | <i>Background and Objectives:</i> Triclosan-coated sutures (antibacterial sutures) can reduce the risk of postoperative surgical site infection. This study aimed to investigate the effect of intraoperative factors, including antibacterial sutures, on the risk of postpartum septic complications. <i>Materials and Methods:</i> The prospective study included patients who underwent caesarean section. The exclusion criterion was chorioamnionitis. The investigation group patient’s (<i>n</i> = 67) uterus and fascial sheath of the abdominal wall were sutured with triclosan-coated polyglactin 910 sutures during surgery. The control group consisted of 98 patients using uncoated polyglactin 910 sutures only. The patients were contacted by phone after the 30th postoperative day. <i>Results:</i> No significant difference was found between the investigation group and the control group in the development of postpartum endometritis (11.7% in the investigation group vs. 8.4% in the control group, <i>p</i> = 0.401), wound infection (6.3% vs. 3.6%, <i>p</i> = 0.444) or patients experienced any septic complication (15.9% vs. 12%, <i>p</i> = 0.506). Postpartum endometritis was more common in patients who underwent instrumental uterine examination during the surgery (23.8% vs. 18%, <i>p</i> = 0.043). A moderately strong correlation was found for haemoglobin level on the third–fourth postoperative day with the development of postpartum septic complications, <i>p</i> < 0.001, Pearson coefficient −0.319. Post-caesarean delivery septic complications were not statistically more common in patients with blood loss greater than 1 L. The incidence of post-caesarean endometritis was 13.4%, and wound infection was 4.8% in this study’s hospital, having five to six thousand deliveries per year. <i>Conclusions:</i> Using antibacterial sutures during caesarean section does not affect the incidence of postpartum septic complications. Instrumental uterine examination during caesarean section increases the risk of post-caesarean endometritis and is, therefore, not recommended. Haemoglobin level on the 3rd–4th postoperative day, rather than the estimated blood loss during surgery, affects the development of postpartum septic complications. |
| first_indexed | 2024-03-10T22:29:05Z |
| format | Article |
| id | doaj.art-7699fde41d1f46aaa3a17cf0b1da9408 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-10T22:29:05Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-7699fde41d1f46aaa3a17cf0b1da94082023-11-19T11:52:46ZengMDPI AGMedicina1010-660X1648-91442023-09-01599163710.3390/medicina59091637Impact of Intraoperative Factors on the Development of Postpartum Septic ComplicationsDiana Andzane0Anna Miskova1Antra Krone2Dace Rezeberga3Riga Maternity Hospital, Miera Street 45, LV-1013 Riga, LatviaRiga Maternity Hospital, Miera Street 45, LV-1013 Riga, LatviaRiga Maternity Hospital, Miera Street 45, LV-1013 Riga, LatviaRiga Maternity Hospital, Miera Street 45, LV-1013 Riga, Latvia<i>Background and Objectives:</i> Triclosan-coated sutures (antibacterial sutures) can reduce the risk of postoperative surgical site infection. This study aimed to investigate the effect of intraoperative factors, including antibacterial sutures, on the risk of postpartum septic complications. <i>Materials and Methods:</i> The prospective study included patients who underwent caesarean section. The exclusion criterion was chorioamnionitis. The investigation group patient’s (<i>n</i> = 67) uterus and fascial sheath of the abdominal wall were sutured with triclosan-coated polyglactin 910 sutures during surgery. The control group consisted of 98 patients using uncoated polyglactin 910 sutures only. The patients were contacted by phone after the 30th postoperative day. <i>Results:</i> No significant difference was found between the investigation group and the control group in the development of postpartum endometritis (11.7% in the investigation group vs. 8.4% in the control group, <i>p</i> = 0.401), wound infection (6.3% vs. 3.6%, <i>p</i> = 0.444) or patients experienced any septic complication (15.9% vs. 12%, <i>p</i> = 0.506). Postpartum endometritis was more common in patients who underwent instrumental uterine examination during the surgery (23.8% vs. 18%, <i>p</i> = 0.043). A moderately strong correlation was found for haemoglobin level on the third–fourth postoperative day with the development of postpartum septic complications, <i>p</i> < 0.001, Pearson coefficient −0.319. Post-caesarean delivery septic complications were not statistically more common in patients with blood loss greater than 1 L. The incidence of post-caesarean endometritis was 13.4%, and wound infection was 4.8% in this study’s hospital, having five to six thousand deliveries per year. <i>Conclusions:</i> Using antibacterial sutures during caesarean section does not affect the incidence of postpartum septic complications. Instrumental uterine examination during caesarean section increases the risk of post-caesarean endometritis and is, therefore, not recommended. Haemoglobin level on the 3rd–4th postoperative day, rather than the estimated blood loss during surgery, affects the development of postpartum septic complications.https://www.mdpi.com/1648-9144/59/9/1637antibacterial suturestriclosancaesarean sectionpostpartum endometritis |
| spellingShingle | Diana Andzane Anna Miskova Antra Krone Dace Rezeberga Impact of Intraoperative Factors on the Development of Postpartum Septic Complications Medicina antibacterial sutures triclosan caesarean section postpartum endometritis |
| title | Impact of Intraoperative Factors on the Development of Postpartum Septic Complications |
| title_full | Impact of Intraoperative Factors on the Development of Postpartum Septic Complications |
| title_fullStr | Impact of Intraoperative Factors on the Development of Postpartum Septic Complications |
| title_full_unstemmed | Impact of Intraoperative Factors on the Development of Postpartum Septic Complications |
| title_short | Impact of Intraoperative Factors on the Development of Postpartum Septic Complications |
| title_sort | impact of intraoperative factors on the development of postpartum septic complications |
| topic | antibacterial sutures triclosan caesarean section postpartum endometritis |
| url | https://www.mdpi.com/1648-9144/59/9/1637 |
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