Assessment of Prophylactic Retention Suture in Preventing Dehiscence in Midline Laparotomy in High Risk Patient

Assessment of Prophylactic Retention Suture in Preventing Dehisence in Midline Laparotomy in High Risk Patient in Dr. Shariati Hospital in 2008-2010

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

IRCT

Registry ID

IRCT201105082982N3

Enrollment

300

Registered

2011-07-21

Start date

2008-08-22

Completion date

Unknown

Last updated

2018-02-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Dehiscence. Disruption of operation wound, not elsewhere classified

Interventions

Intervention 1: In control group, the fascia was sutured using a 0-1 nylon loop string continuously, 1 cm from edge of linea alba. Gigyli tie is applied each 5 cm. Fascia is closed with at least two t

Treatment - Surgery

In control group, the fascia was sutured using a 0-1 nylon loop string continuously, 1 cm from edge of linea alba. Gigyli tie is applied each 5 cm. Fascia is closed with at least two thread from each

In intervention group, the fascia is sutured by the same technique in control group while retention suture is added by using a 0-1 nylon string each 10 cm containing all the skins, subcutaneous tissue

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Inclusion criteria: undergoing midline laparotomy, being high risk for dehiscence or any other risk factors, informed consent for enrolling in the study, incision more than 10 cm Exclusion criteria: age under 18, no informed consent, incision length for less than 10 cm

Exclusion criteria

Exclusion criteria:

Design outcomes

Primary

Measure	Time frame
Wound Dehiscence. Timepoint: Daily. Method of measurement: Clinical Examination.	—

Secondary

Measure	Time frame
Wound Infection. Timepoint: Daily. Method of measurement: Clinical Examination.;Postoperative hospital stay. Timepoint: while discharge. Method of measurement: Based on hospital record.;Postoperative pain. Timepoint: Daily. Method of measurement: Visual analogue score.;Incisional Hernia. Timepoint: each 2 months till 6 month. Method of measurement: Clinical Examination.;Evisceration. Timepoint: Daily. Method of measurement: Clinical Examination.;Reoperation due to wound dehiscence. Timepoint: until 30 days postoperative. Method of measurement: Based on hospital record.;Mortality due to dehiscence. Timepoint: until 30 days postoperative. Method of measurement: Based on hospital record.	—

Measure

Time frame

Wound Infection. Timepoint: Daily. Method of measurement: Clinical Examination.;Postoperative hospital stay. Timepoint: while discharge. Method of measurement: Based on hospital record.;Postoperative pain. Timepoint: Daily. Method of measurement: Visual analogue score.;Incisional Hernia. Timepoint: each 2 months till 6 month. Method of measurement: Clinical Examination.;Evisceration. Timepoint: Daily. Method of measurement: Clinical Examination.;Reoperation due to wound dehiscence. Timepoint: until 30 days postoperative. Method of measurement: Based on hospital record.;Mortality due to dehiscence. Timepoint: until 30 days postoperative. Method of measurement: Based on hospital record.

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Countries

Iran (Islamic Republic of)

Contacts

Public ContactZhamak Khorgami

Tehran University of Medical Sciences

khorgami@gmail.com+98 21 8490 2450

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026