Fascial Closure
Conditions
Keywords
abdominal wound closure techniques, layered closure, component separation technique
Brief summary
At present, open-type abdominal surgery is routine access into the abdomen. Median incision is the common choice with open-type abdominal surgery. Layered abdomen-closing is often used at the end-time of the surgery. There are some common postoperative complications, such as incision pain, surgical site infection, surgical incision dehiscence and incisional hernia. The key to reduce the incidence of postoperative complications depends on safe and reliable technology of abdomen-closing. It's usually difficult to close the abdomen after the incisional hernia surgery, and the recurrence of incisional hernia is high. But the recurrence fell off observably when component separation technology was applied to abdomen-closing of incisional hernia. Based on this, we hypothesis that modified-CST applied to abdomen-closing in routine abdominal surgery may improve the quality of wound-healing. In this prospective single-blind randomized controlled trial, traditional abdomen-closing technology and modified-CST will be used to gastric cancer surgery, and the quality of wound-healing will be evaluated to confirm which kind of abdomen-closing technology better.
Interventions
PROCEDUREmodified component separation technique
a new abdomen closure technique based on component separation technique
Sponsors
Xijing Hospital of Digestive Diseases
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* adult patients \>18 years of age * undergoing gastric cancer surgery * undergoing abdominal surgery first time * median upper abdominal incision applied (length of incision \> 5cm) * randomly select abdominal closure technique agreed by patients and family members
Exclusion criteria
* women who pregnant * coagulation disorders * undergoing immunological therapy * undergoing chemothearphy within 2 weeks before the surgery * undergoing Abdominal radiotherapy within 8 weeks before the surgery * spirit disease patients * the expecting life span less than 48 hours * no guarantees to follow-up for 3 years * patients with poor compliance
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Class A healing rate of the surgical incision | 1 month | Class A healing rate of the surgical incision after operation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the time of suture to clear | 1 month | the time of suture to clear after the surgery |
| hospitalization time after operation | 1 year | hospitalization time after operation |
| the incidence rate of unplanned second operation | 1 month | the incidence rate of unplanned second operation after the surgery |
| the incidence rate of unplanned readmission | 1 month | the incidence rate of unplanned readmission after the surgery |
| the incidence rate of incisional complications | 1 month | the incidence rate of any incisional complications after the surgery |
| the mortality | 1 month | the mortality after the surgery with any reason |
| the incidence rate of incisional hernia | 3 years | the incidence rate of incisional hernia after the surgery |
| hospitalization costs | 3 years | hospitalization costs for the surgery and its complications |
| the incidence rate of acute pain | 1 month | the incidence rate of acute pain after the surgery |
Countries
China
Contacts
Primary ContactXiaonan Liu, Ph.D
Outcome results
None listed