Optimizing Closed Incision Negative Pressure Wound Therapy in Emergency Laparotomy

NCT ID: NCT05716490

Last Updated: 2023-11-13

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

Clinical Phase

NA

Total Enrollment

114 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-07-01

Study Completion Date

2023-09-01

Brief Summary

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The purpose of this study is to find differences in rates of surgical site infections following emergency laparotomy with the use of two different incisional negative pressure wound therapy (iNPWT)devices.

Detailed Description

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A multi-arm, randomized, single institution trial was conducted. All patients proposed for emergency laparotomy for different etiologies where considered eligible. Patients were enrolled following signature of informed consent.

Excluded from this group were patients with recent previous interventions (laparotomy or minimally invasive surgery), patients not wishing a iNPWT device or patients with specific contraindications to any device.

Later where excluded from the study patients on laparostomy, Intraoperative diagnosis of irreversible disease (Ex: Extensive mesenteric ischemia).

Following enrollment patients were randomized to 3 groups - control group with standard dressings; PICO group with Pico® (Smith \& Nephew Inc, Andover, MA) dressing and Prevena group using Prevena® (KCI USA, Inc., San Antonio, TX) dressing.

Following admission the patients were monitored for surgical site occurrences and other complications by the investigation team until discharge. Subsequent 2 week post-operative evaluation (if patient had been discharged) was carried out in outpatient.

A final consultation was made 30 days postoperatively.

Conditions

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Surgical Site Infection Surgical Wound Surgical Wound Infection Surgical Complication Surgical Wound Dehiscence Surgical Wound Haemorrhage Surgical Wound, Healed

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Patients are enrolled chronologically at the time of surgery into a slot of a previously randomized table with the 3 interventional arms
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Standard

Control group which will cover surgical wound with conventional wound dressing

Group Type ACTIVE_COMPARATOR

Control group - standard wound dressing

Intervention Type OTHER

Covering of surgical wound with standard wound dressing

PICO

Group that will use Pico® device for wound dressing

Group Type EXPERIMENTAL

Incisional negative pressure wound therapy

Intervention Type DEVICE

Application of negative pressure wound therapy for prophylaxis of surgical site occurrences

PREVENA

Group that will use Prevena® device for wound dressing

Group Type EXPERIMENTAL

Incisional negative pressure wound therapy

Intervention Type DEVICE

Application of negative pressure wound therapy for prophylaxis of surgical site occurrences

Interventions

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Incisional negative pressure wound therapy

Application of negative pressure wound therapy for prophylaxis of surgical site occurrences

Intervention Type DEVICE

Control group - standard wound dressing

Covering of surgical wound with standard wound dressing

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* All patients proposed for emergency laparotomy

Exclusion Criteria

* Contra-indication for iNPWT
* Irreversible disease diagnosis with expected short term mortality
* Need for a staged procedure
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centro Hospitalar do Tâmega e Sousa

OTHER

Sponsor Role lead

Responsible Party

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Marcelo José Maia Azevedo Costa

Principal investigator, general surgery resident

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Marcelo J Costa, MD

Role: PRINCIPAL_INVESTIGATOR

Centro Hospitalar do Tâmega e Sousa

Locations

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Centro Hospitalar do Tâmega e Sousa

Penafiel, Porto District, Portugal

Site Status

Countries

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Portugal

Other Identifiers

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29/2022

Identifier Type: -

Identifier Source: org_study_id

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