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Journal of Women's Health Care

Journal of Women's Health Care
Open Access

ISSN: 2167-0420

Federico G Mariona

Federico G Mariona
Maternal Fetal Medicine Wayne State University School of Medicine,
Michigan Perinatal Associates, Dearborn, Michigan
Tanzania

Publications
  • Case Report
    Use of the O Wound Protector/Retractor in Extremely Obese Pregnant Woman - An Unexpected Event
    Author(s): Federico G Mariona and Karen L PlymelFederico G Mariona and Karen L Plymel

    Background: Extremely obese pregnant women are a rapidly increasing group requiring obstetrical care. When surgical delivery is indicated they present a unique challenge. Case: We submit the case of a pregnant woman with a body mass index (BMI) of 63Kg/m² (385 pounds) with a reduced pelvic outlet who selected to deliver by primary cesarean. A sub umbilical Joel Cohen incision was selected. The surgical procedure and delivery were uneventful. Twelve hours post-surgery a circumferential area of skin redness was present in the area where the wound protector-retractor was placed. We believe this represented an area of relative ischemia created by the pressure between the two plastic rings of the device. There was no pain or inflammation, the area returned to normal within 48 hours. Conclusion: We are not aware of a similar case reported with the use of this device. Practitioners are .. Read More»
    DOI: 10.4172/2167-0420.1000248

    Abstract PDF

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