Comparison of Closure of Subcutaneous Tissue Versus Non-closure in Relation to Wound Disruption After Abdominal Hysterectomy in Obese Patients

Aims: To evaluate the role of subcutaneous tissue closure in relation to wound disruption after abdomibal hysterectomy in obese patients. Material and Methods: In a prospective study at a tertiary referal centre in Mumbai, India, 60 obese patients with subcutaneous fat more than 2.5 cms were included in the study. In 30 patients, subcutaneous tissue was closed using synthetic suture (dexon) while in 30 control patients subcutaneous tissue was not closed. Average weight in the study and control groups were 69 kg and 63.3 kg respectively. Results: The wound disruption occurred in 5 patients in non-closure group as compared to only one in the closure group. Incidence of seroma, haematoma formation and other wound complications were higher in the non-closure group. CONLUSIONS: Closure of the subcutaneous tissue after abdominal hysterectomy of women with at least 2.5 cms of subcutaneous tissue lowers the overall rate of complications leading to disruption of the incision.