Closure of Abdominal Wall
Conditions
Keywords
Abdominal wall closure
Brief summary
Implementing guidelines of EHS for abdominal wall closure in all specialities of a General Hospital. Migrating from large stitch technique to short stitch technique.
Detailed description
Surgeons will receive instruction about new techniques of closure of the abdomen and will practice in models and receive a certification previously to implement in their surgical practice the new technique. Results will be monitorised and compared with previous cohort of patients. A protocol of closure will be implemented. Patients without risk factors will receive a laparotomy closure with short stitch technique and patients with risk factor for developing incisional hernia or burst abdomen and aditional profilactic suprafascial mesh.
Interventions
PROCEDUREShort stitch
Surgeons will receive instructions to change the technique of abdominal wall closure
Sponsors
Hospital del Mar
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients operated on by laparotomy
Exclusion criteria
* Previous mesh * Concomitant hernia repair
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incisional hernia and burst abdomen rate | One year | Analysis of the number of incisional hernia and burst abdomen after one year follow-up |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rate of fulfillment of the protocol | One year | Analysis of results related with the fulfillment of the protocol |
| Complication rate | One month | Analysis of complications related with the closure technique |
| Mesh complications rate | One year | Analysis of mesh related complications in patients with a prophylactic mesh |
Countries
Spain
Outcome results
None listed