PICO Dressings for Emergency Laparotomy
- Conditions
- Surgical Site Infection
- Interventions
- Device: PICO dressing
- Registration Number
- NCT05090462
- Lead Sponsor
- North Middlesex University Hospital NHS Trust
- Brief Summary
SSI (Surgical Site Infection) rate is an important consideration after emergency laparotomy. SSIs carry a high financial burden for health institutes with the cost of major SSIs after emergency laparotomy to add an additional cost of £10000-£15000 per patient.
NICE has recommended the use of PICO dressings for the reduction of SSI rate as a cost-neutral.
The purpose of this study was to review the current SSI rate, assess the patient risk factors for development of SSIs and evaluate if the use of PICO dressings as per NICE guidelines will reduce the SSI rate.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 100
- All emergency midline laparotomy
- Laparoscopic converted open
- Reoperation with 28 days of index laparotomy
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description NPWT dressing (PICO) PICO dressing -
- Primary Outcome Measures
Name Time Method SSI Day 7 Day 7 Presence of SSI
- Secondary Outcome Measures
Name Time Method SSI Day 7 Day 28 Presence of SSI
Surgical site complications Day 28 Number of participants with other complications of the wound to include dehiscence and burst abdomen
Length of antibiotic therapy Day 28 Duration of post-operative antibiotic therapy
Reoperation Day 28 Number of participants undergoing reoperation
Length of stay through study completion, an average of 6 months Length of stay
SSI grading Day 28 SSI grading as per Southampton scoring system (if applicable) (Grade 0-5 with 5 being worse outcome)
Trial Locations
- Locations (1)
Nader University Bedwani
🇬🇧London, United Kingdom