Prophylactic subcutaneous drainage for prevention of wound complications after cesarean delivery--a metaanalysis

Am J Obstet Gynecol. 2007 Sep;197(3):229-35. doi: 10.1016/j.ajog.2007.05.023.

Abstract

A systematic literature review and meta-analysis of published data evaluating the effectiveness of prophylactic subcutaneous drainage to prevent wound complications in women undergoing cesarean delivery was performed. We identified 6 randomized trials of prophylactic subcutaneous drainage after cesarean delivery. Meta-analysis was performed and Peto odds ratios were calculated for each study outcome. The use of prophylactic subcutaneous drainage was not associated with a reduction in the rate of wound disruption (odds ratio 0.74, 95% CI: 0.39-1.42, P = .36, infection (odds ratio 1.15, 95% CI: 0.70-1.90, P = .58), hematoma (odds ratio 1.05, 95% CI: 0.33-3.30, P = .94), or seroma (odds ratio 0.44, 95% CI: 0.14-1.43, P = .17) when compared with women who were not receiving subcutaneous drainage. Prophylactic use of subcutaneous drainage does not prevent significant wound complications after cesarean delivery.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review

MeSH terms

  • Cesarean Section / adverse effects*
  • Drainage / methods*
  • Female
  • Hematoma / etiology
  • Hematoma / prevention & control*
  • Humans
  • Pregnancy
  • Seroma / etiology
  • Seroma / prevention & control*
  • Surgical Wound Infection / etiology
  • Surgical Wound Infection / prevention & control*