Transverse Supraumbilical Versus Pfannenstiel Incision for Cesarean Section in Morbidly Obese Women

NCT02692729 | Completed DMC

• 1 other identifier: STIP
• Study Type: interventional
• Target: 72
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to evaluate the efficacy and safety of transverse supraumbilical incision over Pfannenstiel incision in performing cesarean section for morbid obese pregnant women.

Conditions

Cesarean Section

Outcome Measures

Primary Outcomes (1)

• occurence of surgical site infection

  occurance of redness, hotness, pus discharge and exudation

  one week

Secondary Outcomes (2)

• operative time in minutes

  2 hours

• blood loss in milliliter

  2 hours

Study Arms (2)

supraumbilical transverse

EXPERIMENTAL

transverse Supraumbilical Incision, in which the skin incision is a straight transverse skin incision slightly higher than the Pfannenstiel (5- 6) cm. from the upper border of the symphysis pubis The high transverse incision facilitated access to the fascia of the rectus abdominalis. Above the panniculus, the fatty tissues are not particularly thick. A transverse opening of the aponeurosis and of the parietal peritoneum was done. Then the approach to the lower uterine segment was easy. A Ricard retractor was put in place.

Procedure: transverse supraumbilical

pfannenstiel

ACTIVE COMPARATOR

Pfannenstiel Incision, in which the skin incision is a transverse upward concavity, typically initiated two finger-breadths above the symphysis pubis and extended in the direction of the anterior superior iliac spine below and medial to it about (2 - 3 ) cm.

Procedure: pfannenstiel incision

Interventions

transverse supraumbilical PROCEDURE

transverse Supraumbilical Incision, in which the skin incision is a straight transverse skin incision slightly higher than the Pfannenstiel (5- 6) cm. from the upper border of the symphysis pubis The high transverse incision facilitated access to the fascia of the rectus abdominalis

supraumbilical transverse

pfannenstiel incision PROCEDURE

Pfannenstiel Incision, in which the skin incision is a transverse upward concavity, typically initiated two finger-breadths above the symphysis pubis and extended in the direction of the anterior superior iliac spine below and medial to it about (2 - 3 ) cm.

pfannenstiel

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• BMI more than 40 kg/m2
• women scheduled for CS

You may not qualify if:

• patients receiving steroids or anticoagulation

Sponsors & Collaborators

• Ain Shams University: lead

Study Sites (1)

Faculty of Medicine, Ain Shams University

Cairo, Cairo Governorate, Egypt

Location

Related Publications (1)

• AbdElhady RM, Hamid ASA, El Sayed HM, El Mekkawi SF, Elhossary HMAF, El Kotb AM. Randomized trial assessing transverse supraumbilical incisions for cesarean sections in morbid obese women with pannus. BMC Pregnancy Childbirth. 2025 Dec 18. doi: 10.1186/s12884-025-08530-y. Online ahead of print.

  PMID: 41413498 DERIVED

Study Officials

• Ahmed M kotb, MD

  Ain Shams University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: dr. Ahmed Kotb

Study Record Dates

• First Submitted: February 23, 2016
• First Posted: February 26, 2016
• Study Start: March 1, 2016
• Primary Completion: February 1, 2018
• Study Completion: February 1, 2018
• Last Updated: February 27, 2018

Record last verified: 2016-07

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)