Comparison of Post-Caesarean Section Wound Healing Methods Based on Reeda Scale and Platelet Lymphocyte Ratio

Abstract

To evaluate post-caesarean section wound healing on patient given standard analgesia compared with Tranversus Abdominis plane Block (TAP Block) and wound site infiltration based on REEDA scale and platelet Lymphocyte Ratio 72 hours post-caesarean section. A randomized clinical controlled trial study was conducted on 30 post-caesarean section women under spinal anesthesia. Participants were randomly divided into the groups: Standard Analgesia groups (SA), TAP Block groups (TAP), and Wound Site Infiltration groups (Infiltration). Each group received standard analgesia (ketorolac and tramadol) and adjuvant analgesia Ropivacain 0.2% on transversus abdominis space (TAP block group) and wound site infiltration in infiltration group. Wound healing was evaluated based on REEDA Scale and Platelet Lymphocite Ratio (PLR) 72 hours post-operation. There were significant differences on REEDA scale and PLR value between the three groups 72 hours post-caesarean section (P < 0.001). TAP groups had the lowest REEDA Scale (0,2 ±0.422) and PLR value (134.2±18.57) Tranversus abdominis plane block showed the best healing process compared to standard analgesia only and wound site infiltration.