patients will receive sterile wound dressing of gauze and tape for 4 days.

patients will receive placement of a sterile dressing of gauze and occlusive adhesive over the closed incision. The dressing's tubing will then be attached to a compact, portable negative-pressure therapy unit (Yuwell 7E-A portable suction unit) that will deliver -80 mm Hg of continuous pressure to the dressing and will remove exudates into a disposable canister for 4 days.

Wound Dehiscence

A portable suction unit that will deliver 125 mm Hg of continuous pressure to the dressing and will remove exudates into a disposable canister for 4 days.

External negative pressure dressing system (Yuwell 7E-A portable suction unit)

External Negative Pressure Dressing System vs. Traditional Wound Dressing for Cesarean Section Incision in Obese Women.

External Negative Pressure Dressing System (ENPDS) vs. Traditional Wound Dressing for Cesarean Section Incision in Obese Women.

separation of the incision line prior to complete healing resulting in an open wound.

post-operative pain assessed by Wong-Baker Faces pain rating scale,from 0=no pain to 10=maximal pain

if the patient encountered surgical site infection requiring re admission to the hospital

if the surgical site infection required additional post operative antibiotics

if any skin blistering occurs under the occlusive adhesive layer

if attachment to a negative pressure pump affects patients mobility

patient's age ,ethnicity,gravidity,parity,gestational age ,previous cesarean section, previous surgeries,weight, height,BMI,pre/post operative haemoglobin,degree of post operative pain,incidence and type of surgical site infection,length of hospital stay, need for re-admission,need for additional antibiotics

Dalia Magdy Mokhtar

resident of obstetrics and gynecology

Ain Shams Maternity Hospital

Basic information included age, ethnicity, weight, height, body mass index (BMI).
Full obstetric, medical and surgical history. Informed written consent will be obtained Patients will receive standard preoperative antibiotic prophylaxis Wound dressing will be applied in a sterile fashion after primary closure of the Pfannenstiel incision closure by interrupted PROLENE Polypropylene Sutures The intervention group: placement of a sterile multilayer dressing (wicking fabric, reticulated foam, and occlusive adhesive). The dressing's tubing will then be attached to a (Yuwell 7E-A portable suction unit) that will deliver 125 mm Hg of continuous pressure to the dressing for 4 days.
The comparison group: traditional sterile wound dressing of gauze and tape for 4 days.
Post-operative data including: type of dressing used, postoperative hemoglobin, degree of pain, length of hospital stay, readmission for surgical site infection and the type of the surgical site infection.

Hernia, Ventral

Hernia Incisional

Acute Kidney Injury

Restrictive Lung Disease

Intraabdominal Hypertension

No restrictions are set on surgical procedures or anaesthetic management.

Abdominal reconstruction

Digestive Disease Center, Bispebjerg Hospital

Renal- and Pulmonary Function in Relation to Abdominal Hypertension After Abdominal Reconstruction

Renal- and Pulmonary Function in Relation to Abdominal Hypertension After Abdominal Reconstruction: The REPARE-study

The primary aim is to investigate changes in the intraabdominal pressure after abdominal reconstruction.

The primary aim is to investigate changes in the pulmonary areal after abdominal reconstruction through pre- and postoperative CT scans.

The primary aims are to estimate length of stay in patients with and without intraabdominal hypertension.

Secondary aims are to estimate the risk of intraabdominal hypertension in correlation with loss of domain defined by preoperative CT scans and to estimate the incidence of AKI in patients with and without intraabdominal hypertension.

Secondary aims are to investigate immediate intraoperative changes in inspiratory peak pressures before and after primary fascial closure and estimate the incidence of postoperative restrictive pulmonary dysfunction.

Secondary aims are to investigate complications, reoperations and 30-day mortality in patients with and without intraabdominal hypertension. Furthermore, to evaluate predicting factors of intraabdominal hypertension in relation to hernia dimensions, comorbidities and surgical procedures.

incisional hernia/hypoxia

External Negative Pressure Dressing System vs. Traditional Wound Dressing for Cesarean Section Incision in Obese Women.

Renal- and Pulmonary Function in Relation to Abdominal Hypertension After Abdominal Reconstruction

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