Servicios Personalizados
Revista
Articulo
Indicadores
- Citado por SciELO
- Accesos
Links relacionados
- Similares en SciELO
Compartir
Ginecología y obstetricia de México
versión impresa ISSN 0300-9041
Resumen
SALVENT-TAMES, Adrián y ROMERO-VIAMONTE, Katherine. Infraumbilical transverse incision in a pregnant woman with morbid obesity: A case report. Ginecol. obstet. Méx. [online]. 2022, vol.90, n.3, pp.287-293. Epub 01-Ago-2022. ISSN 0300-9041. https://doi.org/10.24245/gom.v90i3.5703.
BACKGROUND:
Overweight and obesity are increasing every day mainly in low- and middle-income countries. Obesity in pregnancy increases the risk of complications, including surgical site infection.
OBJECTIVE:
To document the application of a surgical technique adapted for cesarean delivery of a pregnant woman with morbid obesity in a hospital in Ecuador, carried out to reduce the infection of the surgical site.
CLINICAL CASE:
a 43-year-old pregnant patient who came to the hospital due to decreased fetal movements accompanied by contraction-type abdominal pain of moderate intensity. Based on the tests performed, a 35.1-week twin pregnancy + uncompensated gestational diabetes + threat of preterm birth + morbid obesity + elderly mother + pre-eclampsia with signs of severity + HELLP syndrome + high obstetric risk was diagnosed. Due to the characteristics of the patient, it was decided to perform an infraumbilical transverse incision.
CONCLUSIONS:
the technique used can be an effective alternative in obese patients to reduce the infection of the surgical site; Compliance with aseptic measures and preoperative antibiotic prophylaxis should also be taken into consideration.
Palabras llave : Morbid obesity; Pregnancy; Cesarean section; Surgical technique; Infraumbilical transverse incision; Antibiotic prophylaxis.