Evisceration; Operation Wound, Linea Alba Hernia, Suture; Complications, Mechanical
Conditions
Brief summary
There is no clear recommendation in international guidelines regarding the type of suture to be used for closing emergency midline laparotomies. It is recommended to follow the same principles as in elective surgery, thus performing the closure with a continuous suture of slowly absorbable monofilament 2-0 with small-bites technique. Currently, there are several slowly absorbable sutures available on the market, and our center uses two: PDS® and Monomax®. These two sutures are currently used interchangeably at our institution based on the preferences of each surgeon. Objective: study whether there are differences between these two sutures in the closure of emergency midline laparotomy.
Interventions
PROCEDUREPDS 2/0 vs Monomax 2/0
We will include in the study patients who require an emergency midline laparotomy by the General and Digestive Surgery Department of the University Hospital Nuestra Señora de Candelaria. Patients will be randomized based on their medical record number: those with an even number will undergo laparotomy closure using PDS 2/0, and those with an odd number will receive Monomax 2/0.
Sponsors
Hospital San Juan de Dios Tenerife
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* \>18 years old, patients undergoing emergency midline laparotomy by the General Surgery Department.
Exclusion criteria
* \<18 years old, previous midline laparotomy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evisceration | 1 month | Rate of evisceration |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Wound complication | 1 month | Seroma, hematoma, infection |
| Incisional hernia | 1 year | Evaluate the rate of incisional hernia during follow-up in outpatient consultations. |
Countries
Spain
Outcome results
None listed