Changing the Surgical Team for Wound Closure and Surgical Site Infection

NCT ID: NCT04503642

Last Updated: 2024-11-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

1160 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-03-01

Study Completion Date

2019-02-28

Brief Summary

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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.

Detailed Description

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Conditions

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Incidence of Surgical Site Infection Morality Fascial Hernia

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Intervention Group

The intervention consisted in the closure of the abdominal wall and skin by a second surgical team which included a board-certified surgeon and a resident.

Changing the surgical team for wound closure

Intervention Type PROCEDURE

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.

Baseline Group

During the baseline period, closure of the abdominal wall was performed by the main surgical team, the same team that performed the whole surgery.

No interventions assigned to this group

Interventions

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Changing 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.

Intervention Type PROCEDURE

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Insel Gruppe AG, University Hospital Bern

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Guido Beldi, MD

Role: PRINCIPAL_INVESTIGATOR

Visceral and transplant sugery, university hospital Berne

Locations

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Dep. of Visceral and transplant surgery, Berne University Hospital

Bern, , Switzerland

Site Status

Countries

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Switzerland

References

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Salm L, Chapalley D, Perrodin SF, Tschan F, Candinas D, Beldi G. Impact of changing the surgical team for wound closure on surgical site infection: A matched case-control study. PLoS One. 2020 Nov 5;15(11):e0241712. doi: 10.1371/journal.pone.0241712. eCollection 2020.

Reference Type DERIVED
PMID: 33151978 (View on PubMed)

Other Identifiers

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CLOT-T trial

Identifier Type: -

Identifier Source: org_study_id

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