Open Abdomen: Vacuum Pack Versus Sylo Bag and Mesh Protocol
NCT01864590 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 52
Last updated 2016-10-27
Summary
The open abdomen is a valid and accepted surgical tactic for the trauma and acute care patient. There have been many mechanisms described for its management, but the most accepted strategy is the vacuum pack. At our hospital the investigators have used for many years a double sylo bag, one underneath the fascia and the other sutured to the skin, at the initial operation. At subsequent surgeries once the abdomen is clean the investigators leave the same subfascial sylo bag and use a prolene mesh attached to the fascia. Every day the investigators try to tighten the mesh with sutures until the abdomen can be closed. This study´s objective is to compare our double sylo bag- mesh protocol with the vacuum pack to determine which is related to a higher fascial closure rate.
Conditions
- Open Abdomen
- Temporary Abdominal Closure Mechanisms
Interventions
- DEVICE
-
Vacuum Pack
Vacuum Pack Technique described by Barker et al.
- DEVICE
-
Double Sylo Bag - Mesh Protocol
double sylo bag, one underneath the fascia and the other sutured to the skin, at the initial operation. At subsequent surgeries once the abdomen is clean the investigators leave the same subfascial sylo bag and use a prolene mesh attached to the fascia. This mesh is resutured every day until the abdominal fascia is approximated enough to permit closure
Sponsors & Collaborators
-
Universidad de Antioquia
lead OTHER
Principal Investigators
-
Carlos H Morales, MD · Universidad de Antioquia
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 13 Years
- Max Age
- 96 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2011-06-30
- Primary Completion
- 2013-04-30
- Completion
- 2013-06-30
Countries
- Colombia
Study Locations
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