Small Bite Technique Versus Standardised Large Bites Technique in Closure of Midline Laparotomies.
NCT04788875 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 108
Last updated 2021-11-08
Summary
In the attempt to gain quick and complete access to the abdominal regions with the least damage to the nerves and the vascular structures, surgeons use the median laparotomy more frequently. However, postoperative complications such as incisional hernia continue to be the known leading complications after median laparotomy. The reported cases to range from 2 to 20%. Higher cases have also been reported with up to 35% in the absence and aortic patients. Recent statistics have showed that small tissue bites prevent incisional hernia can occur in the aponeurosis. This technique is more effective than the commonly used process, which involves large edges of mass closure. In this study investigators aim to compare small bites sutures in closure of laparotomy incision and standardized large bites sutures, and its affect in reducing the incidence of incisional hernia postoperative along with the surgical site infection.
the investigators hypothesize that the small bites technique will result in a significant reduction of the incidence of incisional hernia and optimize the surgical site infection in major surgeries which may lead to a reduced morbidity and a better quality of life for patients and a significant reduction of costs.
Conditions
- Incision, Surgical
- Suture, Complication
- Incisional Hernia
Interventions
- PROCEDURE
-
Small bite suturing Technique
Small bite suturing technique with PDS 2.0
- PROCEDURE
-
Standardised Large Bites Technique
Standardised large bite suturing technique with PDS 2.0
Sponsors & Collaborators
-
Imam Abdulrahman Bin Faisal University
lead OTHER
Principal Investigators
-
Nasser M Amer · Imam Abdulrahman Bin Faisal University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-12-01
- Primary Completion
- 2023-11-30
- Completion
- 2023-11-30
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