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Changing Technique of Abdominal Wall Closure (PHACPA) (PHACPA)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT02658955
Recruitment Status : Completed
First Posted : January 20, 2016
Last Update Posted : October 10, 2019
Information provided by (Responsible Party):
José A. Pereira, Hospital del Mar

Brief Summary:
Implementing guidelines of EHS for abdominal wall closure in all specialities of a General Hospital. Migrating from large stitch technique to short stitch technique.

Condition or disease Intervention/treatment Phase
Closure of Abdominal Wall Procedure: Short stitch Not Applicable

Detailed Description:

Surgeons will receive instruction about new techniques of closure of the abdomen and will practice in models and receive a certification previously to implement in their surgical practice the new technique.

Results will be monitorised and compared with previous cohort of patients. A protocol of closure will be implemented. Patients without risk factors will receive a laparotomy closure with "short stitch" technique and patients with risk factor for developing incisional hernia or burst abdomen and aditional profilactic suprafascial mesh.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 1164 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Changing Technique of Abdominal Wall Closure According to European Hernia Society (EHS) Guidelines in a General Hospital
Actual Study Start Date : June 2016
Actual Primary Completion Date : July 2018
Actual Study Completion Date : July 2018

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Hernia

Arm Intervention/treatment
Experimental: Short stitch
Patients in which abdominal wall is closed by short stitch technique
Procedure: Short stitch
Surgeons will receive instructions to change the technique of abdominal wall closure

No Intervention: Large stitch
Patients who didn't receive properly closure according with the protocol

Primary Outcome Measures :
  1. Incisional hernia and burst abdomen rate [ Time Frame: One year ]
    Analysis of the number of incisional hernia and burst abdomen after one year follow-up

Secondary Outcome Measures :
  1. Rate of fulfillment of the protocol [ Time Frame: One year ]
    Analysis of results related with the fulfillment of the protocol

  2. Complication rate [ Time Frame: One month ]
    Analysis of complications related with the closure technique

  3. Mesh complications rate [ Time Frame: One year ]
    Analysis of mesh related complications in patients with a prophylactic mesh

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Patients operated on by laparotomy

Exclusion Criteria:

  • Previous mesh
  • Concomitant hernia repair

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT02658955

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José A. Pereira
Barcelona, Spain, 08003
Sponsors and Collaborators
Hospital del Mar
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Principal Investigator: José A. Pereira, MD Surgeon
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Responsible Party: José A. Pereira, MD, Hospital del Mar Identifier: NCT02658955    
Other Study ID Numbers: HMar
First Posted: January 20, 2016    Key Record Dates
Last Update Posted: October 10, 2019
Last Verified: October 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Keywords provided by José A. Pereira, Hospital del Mar:
Abdominal wall closure