Prevention of Incisional Hernia in Emergent Laparotomy Using a Prophylactic Mesh Augmentation Protocol Algorithm.
试验速览
- 阶段
- 不适用
- 入组人数
- 100
- 试验地点
- 2
- 主要终点
- Incisional hernia
研究概览
简要总结
Use of informed algorithm for patients selection of prophylactic mesh aplication after midline laparotomy in emergency surgery.
详细描述
Midline laparotomy complications have a high rate. When midline laparotomy is performed complications rate is even higher. One of the commons complications is incisional hernia, reaching up to 40%- 50% of cases in High risk groups.
Prophylactic mesh use has been proved to be useful preventing midline laparotomy in elective surgery. Despite this, there is not enough data to recommend its use in emergency surgery.
Aim of the study is to investigate if use of an algorithm of informed decision for use of prophylactic mesh in emergency midline laparotomy reduces incisional hernia incidence.
Prospective cohort study of all consecutive midline laparotomy performed at our emergency surgery department. Compare correct application of algorithm outcomes versus non correct application.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Emergency midline laparotomy.
排除标准
- •Surgical infection present at the moment of surgery.
- •Ventrla or incisional hernia present at the moment of laparotomy .
- •Open abdomen.
- •Preoperative American Society of Anesthesiologist score (ASA) of V.
结局指标
主要结局
Incisional hernia
时间窗: Durign first and second year of follow up
Diagnosis by clinical or image control of incicionsal hernia during follow up.
次要结局
- Long term mesh related complications: chronic pain and mesh infection.(During first year of follow-up.)
- Incidence os surgical site ocurrence complications(During first postoperative month.)
研究者
Alejandro Bravo Salva
Assistant doctor
Hospital del Mar