Changing Technique of Abdominal Wall Closure (PHACPA)
- Conditions
- Closure of Abdominal Wall
- Interventions
- Procedure: Short stitch
- Registration Number
- NCT02658955
- Lead Sponsor
- Hospital del Mar
- Brief Summary
Implementing guidelines of EHS for abdominal wall closure in all specialities of a General Hospital. Migrating from large stitch technique to short stitch technique.
- Detailed Description
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.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 1164
- Patients operated on by laparotomy
- Previous mesh
- Concomitant hernia repair
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Short stitch Short stitch Patients in which abdominal wall is closed by short stitch technique
- Primary Outcome Measures
Name Time Method Incisional hernia and burst abdomen rate One year Analysis of the number of incisional hernia and burst abdomen after one year follow-up
- Secondary Outcome Measures
Name Time Method Rate of fulfillment of the protocol One year Analysis of results related with the fulfillment of the protocol
Mesh complications rate One year Analysis of mesh related complications in patients with a prophylactic mesh
Complication rate One month Analysis of complications related with the closure technique
Trial Locations
- Locations (1)
José A. Pereira
🇪🇸Barcelona, Spain