Optimal Method of Fascial Closure in High Risk Patients Undergoing Laparotomy

Status unconfirmed · Not applicable

Conditions studied: Fascial Closure

In brief

The primary objective of this study is to identify the optimal method of fascial closure of a laparotomy incision in high risk patients for intra-abdominal complications. The investigators hypothesize that interrupted closure is associated with decreased complication rates when compared with running/continuous closure. Secondary objectives are to determine the rate of dehiscence in continuous and interrupted suture technique, and to determine the rate of wound infection, hernia formation, and mortality associated with suture technique.

Key facts

Study ID

NCT02145052

Run by

Massachusetts General Hospital

People needed

388

Starts

2008-07-01

Expected to finish

2016-07-01

Last updated by the study team

2016-03-29

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Adult patients >18 years of age, undergoing urgent laparotomy, admitted to the Division of Trauma, Emergency Surgery, and Surgical Critical Care.

You may not qualify if…

• Pregnant patients
• All elective patients
• Patients with pre-morbid condition not expected to survive >48 hours
• Patients unable to communicate in English
• Patients with primary ventral hernia or recent (within 1 month) abdominal operation.
• Patients with mesh in place
• Trauma patients

Where it is running

• Massachusetts General Hospital — Boston, Massachusetts, United States

Full record on ClinicalTrials.gov

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