Health Condition 1: null- All patients operated for abdominal conditions in which the midline incision of the surgical wound falls into class 4 dirty abdominal wound according to the CDC classification
Conditions
Interventions
Intervention1: Delayed primary closure: -consent obtained and randomly allocated into this group.
-fascial closure with 1-0 prolene.
-no subcutaneous sutures.
-skin left open, packed with a sterile sa
Sponsors
JIPMER
Eligibility
Inclusion criteria
Inclusion criteria: All patients operated for abdominal conditions in general surgery in which surgical incision falls into class-IV- dirty abdominal wound according to CDC which includes -Operative wound with acute purulent bacterial inflammation or perforated viscus -Operative wound where clean tissue is transected to gain access to a collection of pus -Fecal contamination -Retained devitalized tissue -Traumatic wound with delayed treatment ( after 4 hours) -Traumatic wound from dirty source/ Operative wound dirty -Retained foreign body
Exclusion criteria
Exclusion criteria: -Patientâ??s refusal -Patient treated outside before coming to the hospital -Patients requires re-exploration in the same hospital admission -Patients in whom primary rectus closure is not possible or in whom laparostoma is warranted -patient expires before discharge -patient less than 18 years of age
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| -Incidence of surgical site infection and degree of SSI (superficial incisional/ deep incisional) as per the definition of CDC in each group .Timepoint: -during hospital stay -at discharge -at first visit | — |
Secondary
| Measure | Time frame |
|---|---|
| -Length of hospital stay in days -Postoperative pain: third and fifth postoperative day -Patient satisfaction at the time of discharge from the hospital and at the first visit and after one month following discharge -Cosmetic outcome and scar appearance of the woundTimepoint: -at third and fifth post operative days -at discharge -at first visit -at one month following discharge | — |
Countries
India
Contacts
Public ContactSuresh Kumar
JIPMER
Outcome results
None listed