ArticleCureus2022
Relevance of Subcutaneous Fat Thickness as a Risk Factor for Surgical Site Infections in Abdominal Surgeries.
Article in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.
- Pooled it
- Risk factors and incidence of surgical wound infection after stoma reversal: A systematic review and meta-analysis.PloS one · 2025Pooled it
- Subcutaneous fat thickness as a risk factor for surgical site infection following open appendectomy.International journal of surgery open · 2025Article
- Changes in abdominal subcutaneous adipose tissue thickness associate with disease and anthropometric factors.International journal of obesity (2005) · 2025Article
- Wound Healing in Diabetic Patients Undergoing Abdominal Surgery: A Retrospective Study.Cureus · 2025Article
- The correlation between subcutaneous fat thickness and the incidence of chemoport-related infection.Infection prevention in practice · 2025Article
- The role of subcutaneous fat and BMI in predicting surgical outcomes and patient reported outcomes in robotic-assisted total hip arthroplasty.Journal of orthopaedics · 2024Article
- Incidence of surgical site infection in minimally invasive colorectal surgery.World journal of gastrointestinal surgery · 2024Article
- [Pay attention to the prevention and treatment of deep sternal wound infection after sternotomy].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2024Article
- Developing a calculable risk prediction model for sternal wound infection after median sternotomy: a retrospective study.Burns & trauma · 2024Article
- Visceral obesity determined in routine preoperative CT scans predicts risk of postoperative burst abdomen.Scientific reports · 2023Article
- Subcutaneous fat thickness and abdominal depth are risk factors for surgical site infection after gastric cancer surgery.World journal of clinical cases · 2023Article
- Local adiposity may be a more reliable predictor for infection than body mass index following total knee arthroplasty: a systematic review.Journal of experimental orthopaedics · 2023Article
- Influencing factors and predictive model of postoperative infection in patients with primary hepatic carcinoma.BMC gastroenterology · 2023Article
- Subcutaneous Fat Obesity in a High Body Mass Index Donor Is Not a Contraindication to Living Donor Hepatectomy.Case reports in hepatology · 2023Article
- Abdomen anatomic characteristics on CT scans as predictive markers for short-term complications following radical resection of colorectal cancer.Frontiers in surgery · 2022Article
- Laparoscopic Appendectomy Is Superior in Patients with Higher Fat Thickness.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction Incisional surgical site infection is an important cause of postoperative morbidity which results in extended hospital stay and may result in future incisional hernia. We intended to evaluate the thickness of subcutaneous fat with a cut-off value of 2.5cm as a risk factor in causing surgical site infection using a simple, cost-effective, and direct intraoperative method for measuring subcutaneous fat thickness. Methods A total of 147 patients who underwent abdominal surgeries from September 2017 to April 2019 were included in this prospective study. A proforma was used to collect information of all patients regarding various variables. Abdominal subcutaneous fat thickness was measured in the supine position intraoperatively with a measuring scale from below dermis to rectus sheath at 1cm caudal to umbilicus level. Results The study's overall incidence of incisional surgical site infection (SSI) in laparotomy surgeries was 10.8%. Subcutaneous fat thickness was independently associated with incisional SSI. Subcutaneous fat thickness association with SSI was more statistically significant than that of BMI. The other associated risk factors were found to be obesity, diabetes, and emergency surgery. Conclusion Our results suggest that the risk of incisional SSI increases with the increased subcutaneous fat thickness of more than 2.5cm. Placement of subcutaneous drain in patients undergoing laparotomy with increased subcutaneous fat thickness plays a significant role in reducing the incidence of surgical site infection. Risk of SSI increases in obesity, diabetes, increased age group, dirty surgery, and emergency surgeries. Subcutaneous fat thickness is an independent risk factor for surgical site infection and subcutaneous drain decreases the risk of SSI in thick subcutaneous fat.
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Registered trials
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