None listed
Conditions
Brief summary
Surgical site infection is a common problem in General Surgical patients with a large burden placed on the healthcare system. This study is a prospective, randomized controlled trial to be conducted at a single site (Palmerston North Hospital) comparing the use of PICO (negative pressure wound dressings) with regular dressings in patients undergoing a bowel resection. This study aims to determine if the use of PICO dressings reduces surgical site infections.
Interventions
A PICO dressing is a type of negative pressure wound therapy dressing. The intervention will involve the application of a PICO dressing to the main surgical wound with reinforcement of the wound edges using adhesive tape supplied with dressing. Dressing should be left on for 5 days. Then replaced with simple dressings. If a PICO loses suction and cannot be reinforced to regain suction prior to 5 days, it can be replaced with another PICO dressing. The PICO can be replaced once, thereafter regula
A PICO dressing is a type of negative pressure wound therapy dressing. The intervention will involve the application of a PICO dressing to the main surgical wound with reinforcement of the wound edges using adhesive tape supplied with dressing. Dressing should be left on for 5 days. Then replaced with simple dressings. If a PICO loses suction and cannot be reinforced to regain suction prior to 5 days, it can be replaced with another PICO dressing. The PICO can be replaced once, thereafter regular dressing will be used (patients will be analysed with an intention to treat analysis) All surgeons will be educated with the proper application of the PICO dressing prior to commencement of the study. Adherence to the use of PICO dressings will be monitored by the researchers involved with the study by daily checks of the notes and interaction with patients.
Sponsors
Palmerston North Hospital
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
• All adults (aged 18 and over) undergoing elective or emergency small or large bowel resection • No restrictions are made on the basis of wound classification • Incision type – abdominal midline laparotomy, hybrid (laparoscopically-assisted) with an extra-corporeal anastamosis, laparoscopic converted to open
Exclusion criteria
• Pregnancy • Sensitivity or allergy to adhesive materials • Inability to give informed consent • Upper gastrointestinal surgery (pancreaticoduodenectomy, Ivor lewis oesophagectomy, bariatric surgery) • Open abdomen • Patients undergoing category “P1” emergency surgery
Outcome results
None listed