Changing Technique of Abdominal Wall Closure According to European Hernia Society (EHS) Guidelines in a General Hospital
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,164
- 试验地点
- 1
- 主要终点
- Incisional hernia and burst abdomen rate
研究概览
简要总结
Implementing guidelines of EHS for abdominal wall closure in all specialities of a General Hospital. Migrating from large stitch technique to short stitch technique.
详细描述
Surgeons will receive instruction about new techniques of closure of the abdomen and will practice in models and receive a certification previously to implement in their surgical practice the new technique.
Results will be monitorised and compared with previous cohort of patients. A protocol of closure will be implemented. Patients without risk factors will receive a laparotomy closure with "short stitch" technique and patients with risk factor for developing incisional hernia or burst abdomen and aditional profilactic suprafascial mesh.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 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
- •Patients operated on by laparotomy
排除标准
- •Previous mesh
- •Concomitant hernia repair
研究组 & 干预措施
Short stitch
Patients in which abdominal wall is closed by short stitch technique
干预措施: Short stitch (Procedure)
Large stitch
Patients who didn't receive properly closure according with the protocol
结局指标
主要结局
Incisional hernia and burst abdomen rate
时间窗: One year
Analysis of the number of incisional hernia and burst abdomen after one year follow-up
次要结局
- Rate of fulfillment of the protocol(One year)
- Mesh complications rate(One year)
- Complication rate(One month)