Clinical Trials Logo

Clinical Trial Summary

Urgency surgeries are often performed in a stressful setting with critical patient involved. In this context, laparotomy closure can sometimes be the most neglected part of the procedure. Barbed sutures, frequently used in laparoscopic procedures, have proven to be effective in maintaining traction. The aim of this study is to describe the incisional hernia rate after emergency midline laparotomy, according to the suture utilized, evaluated at one month and one year postoperative.


Clinical Trial Description

A retrospective cohort study was performed including patients with urgency midline laparotomy during 2018-2019. Group A was represented by patients with slowly absorbable monofilament continuous suture, while Group B included patients with barbed suture closure. Main variables were hernia rates one month and one year after surgery, diagnosed by physical exploration and/or imaging. Demographic characteristics, risk factors, among other descriptive determinations were registered. A total of 128 patients were performed an emergency midline laparotomies, and 110 meet all inclusion criteria. There was equality between sex and median age was 65 years old. Significative differences were observed regarding incisional hernia at 30 days, being less frequent when barbed suture was utilized. These differences were not present at the long-term reevaluation (one year). In conclusion, midline laparotomy closure must be performed within quality standards. The lack of studies regarding emergency laparotomy closure, the European Hernia Society stated that no recommendations can be given on this patients. Barbed suture appears as a promising option for closure in these specific circumstances, but needs further study. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT05351970
Study type Observational
Source Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana
Contact
Status Completed
Phase
Start date January 1, 2021
Completion date June 15, 2023

See also
  Status Clinical Trial Phase
Recruiting NCT05424484 - Mesh Augmented Reinforcement of Abdominal Wall Suture Line to Limit the Rate of Incisional Hernia Occurrence N/A
Not yet recruiting NCT06195332 - Open vs. Endoscopic Transversus Abdominis Release Trial N/A
Recruiting NCT04808063 - Algorithm for Prophylactic Mesh Use in Emergency Laparotomy. N/A
Recruiting NCT04358159 - RCT Ventralex vs Onlay Mesh in Incisional Hernias N/A
Completed NCT04166201 - Double Mesh Modification of Incisional Hernia Can be Effective Without Severe Local Complications N/A
Recruiting NCT05528107 - Laparoscopic IPOM Plus vs. eTEP Trial N/A
Not yet recruiting NCT06286124 - Midline Restoration After HYbriD Hernia RepAir Surgery (HYDRA)