Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Small Bite closure of laparotomy incision: . Patients randomized to receive small bites technique, wound closure will be done by placement of at least twice as many stitches as the inci
Sponsors
All India Institute of Medical Sciences,Bhubaneswar
Eligibility
Inclusion criteria
Inclusion criteria: Patients aged 18 years or older and scheduled to undergo emergency ab-dominal surgery through a midline incision. (Patients managed with damage control surgery and abdomen closed after 48-72 hours, once stable will be in-cluded)
Exclusion criteria
Exclusion criteria: Patients with history of incisional Hernia Patients with previous abdominal incisions/scar H/O Chronic cough ASA (American society of Anaesthesiology) grade 3 & 4 Refractory hypotension Septic shock Patients with active malignancy Pregnancy Patients who have undergone stoma creation during the emergency surgery, except loop ileostomy or loop colostomy. Patients expected to undergo a second laparotomy within a period of 1 year. Patient could not extubated after surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incisional herniaTimepoint: One year | — |
Secondary
| Measure | Time frame |
|---|---|
| Burst abdomen Timepoint: 30 days;Surgical Site InfectionTimepoint: 30 days | — |
Countries
India
Contacts
Public ContactPankaj Kumar
All India Institute of Medical sciences Bhubaneswar
Outcome results
None listed