Using Vaccum Assisted Closure of Wound Instead of Primary Closure As Prophylactic Way Against Burst Abdomen

Launched by ASSIUT UNIVERSITY · Dec 10, 2024

Keywords

ClinConnect Summary

This clinical trial is studying a new way to help patients heal from surgery, specifically after a procedure called laparotomy, where an incision is made in the abdomen. The research focuses on using a vacuum-assisted closure (VAC) device instead of traditional stitches to close the wound. The VAC device works by applying gentle suction to the wound, which helps reduce swelling, fight infection, and speed up healing. The goal is to see if this method is better for patients who are at higher risk of complications, such as those with infections or other health issues.

To be eligible for this trial, participants should be adults aged 65 to 74 who have signs of a serious abdominal infection or other risk factors, such as malnutrition or chronic diseases like diabetes. The study will compare patients who receive the VAC treatment with those who have their wounds closed with stitches right away. Participants can expect close monitoring during their recovery and will receive guidance from healthcare professionals to ensure their safety and the best possible healing outcomes. This trial is not yet recruiting, but it aims to provide valuable insights into better wound care for high-risk patients.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • intraabdominal sepsis (wbc:\>12000,HR\>90,T\>38,tachypnea and proven infection) Malnutrition including anaemia and hypoproteinemia Chronic diseases including diabetes and uremia Increased intra abdominal pressure including persistent coughing ,diffuse gaseous distention Smoking Previous abdominal surgery Old age Steroid use
• • operation : Emergency not elective ones Dirty or contaminated Those involving colostomy and ileostomy that is close to wound
• Exclusion Criteria:
• • Patients having elective surgery Absence of intra abdominal sepsis Negative exploration