Mass Closure vs Layer by Layer Closure of the Transverse Abdominal Laparotomy Incisions in Infants and Children: a Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- wound failure with the development of incisional hernia later in either group
研究概览
简要总结
to assess two different ways of closure of laparotomy in children and infants
详细描述
Introduction:
The technique of abdominal wall closure in infants subjected to abdominal transverse laparotomy incision may have an impact not only on the development of a future incisional hernia but also on the function of the anterior abdominal wall muscles.
There are two ways to close this laparotomy incision. These ways are either closure in mass or layer by layer closure. Neither of them is superior to the other.
The main issue that minds the pediatric surgeons is a safe and successful repair of the abdominal wall incision and the avoidance of the development of incisional hernia.
The aim of this work is to randomly compare the two different techniques of the closure of transverse laparotomy incision.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 3 Months 至 1 Year（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •all infants and children with transverse laparotomy
排除标准
- •previous abdominal operations
- •children and infants with congenital abdominal wall defects
结局指标
主要结局
wound failure with the development of incisional hernia later in either group
时间窗: one year
the occurrence or development of the incisional hernia is the primary outcome. the incidence of the development of this hernia will be recorded in each group. this will help choose the more appropriate method of transverse laparotomy closure in infants and children
次要结局
- surgical site infections(two weeks up to one month)
研究者
Mohammad Gharieb Mohammad Khirallah
professor of pediatric surgery
Tanta University