Novel Surgical Technique to Improve Wound Healing Outcomes of Suprapubic Pfannenstiel Incision Surgical Wounds in Obese Patient

Surgical site infections (SSI) can become surgeon’s nightmare, complicating even a very well done surgical procedure. Therefore, the focus has always been on minimizing the SSIs by targeting the associated risk factors. One of the very challenging factors is Obesity [1]. Abdominal wounds in obese population need special care to prevent infection especially beneath the panniculus – an overhanging “apron” of skin and fatty tissue in the lower abdomen. The incision under the panniculus may create suboptimal environment for wound healing. The moisture and friction between the skin folds may lead to skin inflammation called as Intertrigous dermatitis. Therefore, the incisions are planned to avoid such complications whenever possible. Our novel technique utilizes simple sutures to keep the belly overhang lifted off the underlying skin incision to allow adequate environment for wound healing and wound care [2-9].