Comparison of Surgical Site Infection Rate Between Primary, Delayed Primary and Vacuum Assisted Closures.
NCT02649543 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 81
Last updated 2016-01-07
Summary
The objective of the study is to compare infection rates between primary, delayed primary and vacuum assisted closures in contaminated and dirty/infected laparotomy wounds.
Conditions
- Surgical Wound Infection
Interventions
- PROCEDURE
-
Primary Closure
A double antibiotic scheme with a cephalosporin and metronidazole is used as prophylaxis, and the fascia was closed with a continuous Polyglycolic Acid 0 suture. Subcutaneous tissue was approximated with Polyglycolic Acid 3-0, and the skin is sutured using Polypropylene 2-0.
- PROCEDURE
-
Vacuum Assisted Closure
A double antibiotic scheme with a cephalosporin and metronidazole is used as prophylaxis, and the fascia is closed with a continuous Polyglycolic Acid 0 suture. The VAC® system is then used, with change of dressings every 48 hrs. The wound is closed using Polypropylene 2-0 only after healthy granulation tissue and no signs of infection are present.
- PROCEDURE
-
Delayed Primary Closure
A double antibiotic scheme with a cephalosporin and metronidazole is used as prophylaxis, and the fascia was closed with a continuous Polyglycolic Acid 0 suture. The wound is left open for at least 7 days, after which closure with Polypropylene 2-0 takes place if considered suitable by a board certified surgeon.
Sponsors & Collaborators
-
Eduardo Flores Villalba
lead OTHER
Principal Investigators
-
Gerardo Lozano Balderas, MD · Escuela Nacional de Medicina, Tecnologico de Monterrey
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-01-31
- Primary Completion
- 2012-12-31
- Completion
- 2012-12-31
Countries
- Mexico
Study Locations
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