Burst Abdomen in Emergency Midline Laparotomy: Incidence and Risk

NCT03684902 | Completed DMC

• 1 other identifier: 43
• Study Type: interventional
• Target: 250
• Locations: 1 country
• Sites: 1

Brief Summary

The study was conducted in 250 patients who underwent midline Laparotomy at Kasr Al-Ainy emergency department, Cairo University from August 2017 until March 2018. Factors such as age ,sex, body mass index, substance abuse, previous laparotomy, malignancy, diabetes mellitus , ascites, albumin, renal functions, bilirubin, hemoglobin, intra-abdominal pathology, suture material, creation of stoma, post-operative chest infection, , post-operative paralytic ileus, leakage and wound infection were observed and analyzed with odds ratio and P value

Conditions

Wound Dehiscence

Outcome Measures

Primary Outcomes (1)

• wound infection

  redness, hotness, swelling of the wound

  4 weeks after surgery

Study Arms (1)

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EXPERIMENTAL

women who underwent emergency midline laprotomy

Procedure: emergency midline exploratory laparotomy

Interventions

emergency midline exploratory laparotomy PROCEDURE

Once an adequate level of anesthesia has been reached, the initial incision into the skin may be made. A scalpel is first used to cut into the superficial layers of the skin.with the diathermy The incision is then continued through the subcutaneous fat, the abdominal muscles, and finally, the peritoneum. (Morris J ;2017) For all the patients, closure of midline laparotomy wound was en-mass closure done with non-absorbable No. 1 (Polypropylene) or slowly absorbable (PDS) (double loop). sutures in continuous single layer fashion with 1 cm interval. (Morris J ;2017) The operative details were recorded with special consideration to the operative diagnosis, presence and types of adhesions, duration of surgery, the need for diversion and stoma formation, the use of intraperitoneal drain and the suture material to close the rectus sheath.

Also known as: midline exploratory laparotomy

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Eligibility Criteria

• Age: 19 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• All participants were subjected to emergency midline exploration.
• All participants at any age
• both sexes were included

You may not qualify if:

• those who arrested on table or at the immediate postoperative period

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Kasr Alainy medical school

Cairo, 12111, Egypt

Location

Study Officials

• Ahmed maged, MD

  Professor

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SCREENING
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: professor

Study Record Dates

• First Submitted: September 24, 2018
• First Posted: September 26, 2018
• Study Start: August 5, 2017
• Primary Completion: August 30, 2018
• Study Completion: September 20, 2018
• Last Updated: September 26, 2018

Record last verified: 2018-09

Locations

EG (1)