Fascial Closure Clinical Trial
Official title:
Optimal Method of Fascial Closure in High Risk Patients Undergoing Laparotomy: A Prospective Randomized Study
Verified date | March 2016 |
Source | Massachusetts General Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | United States: Institutional Review Board |
Study type | Interventional |
The primary objective of this study is to identify the optimal method of fascial closure of a laparotomy incision in high risk patients for intra-abdominal complications. The investigators hypothesize that interrupted closure is associated with decreased complication rates when compared with running/continuous closure. Secondary objectives are to determine the rate of dehiscence in continuous and interrupted suture technique, and to determine the rate of wound infection, hernia formation, and mortality associated with suture technique.
Status | Active, not recruiting |
Enrollment | 388 |
Est. completion date | July 2016 |
Est. primary completion date | July 2016 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: 1. Adult patients >18 years of age, undergoing urgent laparotomy, admitted to the Division of Trauma, Emergency Surgery, and Surgical Critical Care. Exclusion Criteria: 1. Pregnant patients 2. All elective patients 3. Patients with pre-morbid condition not expected to survive >48 hours 4. Patients unable to communicate in English 5. Patients with primary ventral hernia or recent (within 1 month) abdominal operation. 6. Patients with mesh in place 7. Trauma patients |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
United States | Massachusetts General Hospital | Boston | Massachusetts |
Lead Sponsor | Collaborator |
---|---|
Massachusetts General Hospital |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Dehiscence | Dehiscence will be defined as more than 1cm horizontal defect in the fascia along the suture lines. | 1 year | No |
Secondary | Wound infection | Surgical site infections must fulfill the following criteria: Must occur within 30 days of surgery. Must involve only the skin and subcutaneous tissue. Must involve at least one of the following: a) Purulent discharge from a superficial infection; b) Organisms isolated from aseptically obtained wound culture Must involve at least one of the following signs of infection: a) Pain or tenderness; b) Localized swelling; c) Redness or heat |
30 days | No |
Secondary | Incisional Hernia | Incisional hernia will be identified by following up patients at 6 months, 1 year, and 5 years post surgery. | 6 months, 1 year, 5 years | No |
Secondary | Mortality | 30-day mortality is a secondary end-point. | 30 days | No |
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