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A Study comparing imaging with CT scan versus key hole surgery in patients with stab injury to abdomen : A Randomized Controlled Trial

Not Applicable
Conditions
Health Condition 1: S399- Unspecified injury of abdomen, lower back, pelvis and external genitals
Registration Number
CTRI/2019/04/018721
Lead Sponsor
All India Institue of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Closed to Recruitment of Participants
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1.All hemodynamically stable patients, who get admitted under the Division of Trauma Surgery and Critical Care in JPNApex Trauma Centre, AIIMS, New Delhi.

2.Patients of age - 16 years to 65 years

3.Penetrating injury to anterior abdominal wall

Anterior abdominal wall is defined as the region between bilateral mid axillary lines, upper limit is taken as 4th intercostal space at level of nipple, lower limit is defined as bilateral inguinal ligaments.

4.Presentation within 24 hours of injury

Exclusion Criteria

1.Hemodynamically unstable patients

a.Pulse > 120/min

b.BP < 90/60 mmHg

2.Features of peritonitis

3.Evisceration of bowel and/or omentum

4.Pregnant or lactating women

5.Concomitant Head injury

6.Gunshot wounds

7.Posterior abdominal penetrating injuries

8.Patients requiring surgery for any other concomitant injury

9.Patients with coagulation disorders, autoimmune disorders

10.Patients on corticosteroids, insulin, anticoagulants

11.Patients who will not consent

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To compare the length of hospital stay in patients with anterior abdominal penetrating wounds undergoing non operative management versus diagnostic laparoscopy <br/ ><br>Timepoint: time of discharge
Secondary Outcome Measures
NameTimeMethod
1.To compare the rate of non therapeutic surgery in patients with anterior abdominal penetrating wounds undergoing non operative management versus diagnostic laparoscopy <br/ ><br>2.To compare complication rates in patients with anterior abdominal penetrating wounds undergoing non operative management versus diagnostic laparoscopy <br/ ><br>Timepoint: time of discharge
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