Laparotomy Clinical Trial
Official title:
Professor and Head of Department of Surgery Dow University Hospital DUHS
NCT number | NCT04065607 |
Other study ID # | DIMC 233 |
Secondary ID | |
Status | Completed |
Phase | |
First received | |
Last updated | |
Start date | May 1, 2014 |
Est. completion date | May 31, 2018 |
Verified date | August 2019 |
Source | Dow University of Health Sciences |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
Brief study Introduction/background Laparostomy is defined is a surgical procedure in which
abdominal cavity is opened and left opened deliberately because of difficult primary closure
or when primary closure is avoided due to severe intraabdominal sepsis, trauma and risk of
abdominal compartment syndrome.
Patients and methods Retrospective Proforma based study conducted from 1st May 2014-31st May
2018. All patients admitted through emergency diagnosed clinically with peritonitis,
intraabdominal sepsis and abdominal trauma managed with laparotomy and laparostomy were
included in the study. On laparotomy primary cause was identified and controlled with damaged
control surgery to save the lives and abdomen was left open with temporary abdominal wall
cover of urine bag stitched all around either with skin or external oblique aponeurosis
temporarily for second relook laparotomy after 24-48 hours. On second relook of abdomen
haemostasis secured and abdomen was washed with normal saline, any missed pathology
identified and controlled and abdomen was closed in some patient when there was no need to
recheck the abdomen while in other patients abdominal content were covered again temporarily
with urine bag. All patients were managed by the team of surgery and ICU. Finally abdomen was
closed by deep tension suture DTS or direct layered closure of abdominal wall.
Status | Completed |
Enrollment | 40 |
Est. completion date | May 31, 2018 |
Est. primary completion date | May 31, 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 20 Years to 70 Years |
Eligibility |
Inclusion Criteria: - Patients admitted through emergency surgery, diagnosed with fecal peritonitis - Intraabdominal sepsis due to tuberculosis & typhoid perforation - Trauma managed with damaged control surgery need a relook laparotomy Exclusion Criteria: - Patients diagnosed clinically with peritonitis and traumas, managed by primary abdominal wall closure were excluded from the study. - Age below 20 years - Age above 70 years |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Dow University of Health Sciences |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Indications of Laparostomy | Conditions or disease for which laparostomy performed | Duration of study: 1st May 2014-31st May 2018. | |
Primary | Mortality | Mortality happen during hospital stay | Two months | |
Secondary | Chest infection | Chest infection during the admission in hospital | Two months | |
Secondary | Abdominal wall surgical site infection | Infection of abdominal wall during hospital admission or after discharge | Four months |
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