Direct Peritoneal Resuscitation for Intra-abdominal Catastrophes

• Conditions: Trauma Abdomen; Intestinal Perforation; Intestinal Obstruction

• Registration Number: NCT05208489
• Lead Sponsor: New York Medical College

Brief Summary

It is a retrospective study. Patients, who presented with either traumatic or general surgery emergencies, undergone exploratory laparotomy, had an open abdomen management and received Direct Peritoneal Resuscitation in addition to standard resuscitation will be considered as meeting the criteria to collect the data.

Detailed Description

Due to the high volume of patient transfers from different facilities with difficult intra-abdominal pathologies and the high case-mix index at Westchester Medical Center, we see many patients who require re-operations and open abdominal management. Since July1st of 2020 we have been using DPR in addition to standard iv fluids on all patients who undergo open abdominal management and it is now standard of care at our facility. we plan to collect the data from all qualified subjects who received DRP since 7/1/2020 to 6/30/2022.

Study Timeline

• Study Start: 2021-12-16
• Study First Submitted: 2021-12-28
• Status Verified: 2022-01
• Study First Submitted QC: 2022-01-13
• Last Update Submitted: 2022-01-13
• Study First Posted: 2022-01-26
• Last Update Posted: 2022-01-26
• Primary Completion: 2022-06-30
• Study Completion: 2023-06

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 108

Inclusion Criteria

• Adult patients 18 years of age or older.
• Trauma or General surgery patients who undergo emergency abdominal surgery via laparotomy and who had open abdominal management during the index procedure at our institution.
• Patients who are transferred to our institution with an already open abdomen will also be eligible if they required continued open abdominal management.

Exclusion Criteria

• Patients <18 years are excluded.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Post operative outcomes	through out the hospitalization and 30 days after discharge.	intra abdominal infections and other complications

Secondary Outcome Measures

Name	Time	Method
length of hospital stay	post procedure to 30 days after discharge.	includes ICU stay, ventilator days and mortality.

Trial Locations

Locations (1)

New York Medical College; 🇺🇸 Valhalla, New York, United States