Fascial Hernia, Incidence of Surgical Site Infection, Morality
Conditions
Keywords
Surgical Site Infection, Changing the surgical team
Brief summary
Surgical site infection is a frequent complication after abdominal surgery. The wound closure is done at the end of the procedure when the attention of the entire team may be affected because of tiredness and reduced attention of the surgical team. With this study, the investigators aim to test if an exchange of the surgical team by a specialised wound closure team may reduce the impact of surgical site infection.
Interventions
PROCEDUREChanging the surgical team for wound closure
The intervention consists of the exchange of the primary surgical team with a second surgical team that consists of one surgeon and one student. The first surgical team then may leave the operation theatre but is continuously accessible for questions.
Sponsors
Insel Gruppe AG, University Hospital Bern
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* General Consent as documented by signature * Patients undergoing elective or emergency abdominal surgery from Monday to Friday with wound closure from 8:00 until 17:30 and duration of operation. * Age over 18 years
Exclusion criteria
* Patients \< 18 years of age * Patients with preexisting SSI
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients with SSIs | 30 days postoperative | SSI that occur after surgery will be assessed according to the criteria developed by the Centers for Disease Control and Prevention. Infections will be categorized as incisional (superficial or deep) infections or organ-space infections. Superficial SSI (type 1) involve only skin and subcutaneous tissue and exclude stitch abscesses. Deep SSI (type 2) involve deeper soft tissues, like fascia and muscle, at the site of incision. Organ-space SSI (type 3) involve any organ or body cavity |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative Mortality at 30 days | 30 days postoperative | Observer receives the information during the follow-up phone call that the patient died. If patients do not respond to follow-up phone calls, five documented attempts to contact the patients followed by rapid contacts with the subject's general practitioner or other medical staff involved in the medical treatment of the patients, will be performed before loss to follow-up is documented. In addition, the Zivilstandsamt will be contacted once 3 months after surgery. |
| Numbers of patients with fascial dehiscence at 30 days postoperative | 30 days postoperative | — |
| Numbers of patients with complications | 30 days postoperative | Assessment according to Clavien-Dindo grading |
Countries
Switzerland
Outcome results
None listed