Incisional Hernia After Midline Laparotomy
Conditions
Brief summary
The aim of this study is to evaluate the safety and efficacy of using Stratafix (a type of symmetric, barbed, and coated suture) for abdominal wall closure in oncologic patients undergoing elective midline laparotomy, compared to the use of a monofilament suture following the Small Stitch technique.
Interventions
Midline laparotomy closure using Stratafix vs PDS plus.
Midline laparotomy closure using PDS plus.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients over 18 years of age who will undergo midline laparotomy for oncologic resection of a retroperitoneal tumor or cytoreductive surgery for carcinomatosis of any origin.
Exclusion criteria
* Diagnosed incisional hernia. * When the planned midline laparotomy is expected to be less than 20 cm. * Patients with a BMI \> 45 kg/m². * Patients with abdominal aortic aneurysm. * Patients with coagulopathy: previously diagnosed with von Willebrand disease, hemophilia, or idiopathic thrombocytopenic purpura. * Patients with collagen disorders: previously diagnosed with Marfan syndrome, Ehlers-Danlos syndrome, homocystinuria, or scleroderma.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incisional hernia | 12 months | Incisional hernia rate after midline laparotomy closure. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Wound infection | 12 months. | Compare the wound infection rate after midline laparotomy closure with Stratafix vs PDS plus. |
| Wound seroma | 12 months | Compare the wound seroma rate after midline laparotomy closure with Stratafix vs PDS plus. |
| Hematoma | 12 months | Compare the hematoma rate after midline laparotomy closure with Stratafix vs PDS plus. |
| Evisceration | 1 month | Compare the evisceration rate after midline laparotomy closure with Stratafix vs PDS plus. |
Countries
Spain