Wound Healing, Prevena, Dirty Abdominal Surgery, Contaminated Abdominal Surgery, Emergency Abdominal Surgery, Negative-Pressure Wound Therapy
Conditions
Brief summary
Comparison in abdominal wound healing after contaminated or dirty surgery with incisional negative pressure wound therapy versus standard dressing.
Detailed description
All patients submitted to contaminated or dirty abdominal surgery have more risk of surgical site infections. The investigators intend to randomize this kind of patients and comparison wound healing after dressed with incisional negative pressure wound therapy or standard dressing. In the study group INPWT (Prevena) is positioned immediately next surgery and dressed for six days. Every patients will be medicate in sixth, ninth, fifteenth and thirtieth day after surgery and will be valued wound healing with a scale score. Moreover for each patient it will be assessed risk developing wound complications through possum score and comorbidities.
Interventions
positioning incisional negative pressure therapy over closed wound.
positioning conventional dressing
Sponsors
Study design
Eligibility
Inclusion criteria
* abdominal surgery * open surgery * contaminated or dirty surgery
Exclusion criteria
* not abdominal surgery * mininvasive surgery * clean surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Surgical Site Infection (SSI) reduction | 7 months | quantify SSI decrease after incisional negative pressure wound therapy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Surgical Site Infection (SSI) and risk factors as diabetis, obesity and cancer | 2 years | check connection between wound complications and risk factors and showing if Incisional Negative Pressure Wound Therapy (INPWT) could reduce effects of these risk factors |
Countries
Italy