Changing Technique of Abdominal Wall Closure (PHACPA)

Hospital del Mar

Status: Completed

Conditions: Closure of Abdominal Wall

Treatments: Procedure: Short stitch

Study type: Interventional

Funder types: Other

Identifiers

NCT02658955

HMar

Details and patient eligibility

About

Implementing guidelines of EHS for abdominal wall closure in all specialities of a General Hospital. Migrating from large stitch technique to short stitch technique.

Full 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.

Enrollment: 1,164 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients operated on by laparotomy

Exclusion criteria

• Previous mesh
• Concomitant hernia repair

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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1,164 participants in 2 patient groups

Short stitch

Experimental group

Description:

Patients in which abdominal wall is closed by short stitch technique

Treatment:

Procedure: Short stitch

Large stitch

No Intervention group

Description:

Patients who didn't receive properly closure according with the protocol