Comparing two suturing techniques for closing abdominal surgery wounds
The Comparison of Interrupted Modified Smead-Jones Versus Conventional Continuous Suturing Technique for Closure of Rectus Sheath in Patients Undergoing Laparotomy for Hollow Viscus Perforation.
This study is testing whether a new way of stitching up surgery wounds works better than the traditional method for patients having emergency surgery for a perforated organ.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 108 (estimated) |
| Ages | 18 Years to 60 Years |
| Sex | All |
| Sponsor | King Edward Medical University Academic / other |
| Locations | 1 site (Lahore, Punjab Province) |
| Trial ID | NCT06697067 on ClinicalTrials.gov |
What this trial studies
This clinical trial aims to compare the effectiveness of the interrupted modified Smead-Jones suturing technique against the conventional continuous suturing technique for closing the rectus sheath in patients undergoing emergency laparotomy for hollow viscus perforation. A total of 108 patients aged 18 to 60 will be randomly assigned to one of the two suturing methods after undergoing necessary pre-operative assessments. The study will monitor outcomes related to wound dehiscence, a common complication that can lead to increased morbidity and prolonged hospital stays. The trial is conducted at King Edward Medical University and Mayo Hospital Lahore.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18 to 60 who require emergency laparotomy for hollow viscus perforation.
Not a fit: Patients with a history of previous laparotomy or those presenting with abdominal wall injuries may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved surgical outcomes and reduced complications for patients undergoing emergency laparotomy.
How similar studies have performed: Previous studies have shown varying success with different suturing techniques, but this specific comparison is novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria:All patients of both genders with age greater than 18 to 60 years, undergoing emergency laparotomy through midline incision for hollow viscus perforation. ASA grade III - Exclusion Criteria:Patients who had undergone a previous laparotomy for any condition or had an incisional hernia or burst abdomen at presentation. Patients undergoing laparotomy with anterior abdominal wall injury in the form of muscle, hematoma, disruption or abdominal wall laceration. \-
Where this trial is running
Lahore, Punjab Province
- Department of Surgery, King Edward Medical University — Lahore, Punjab Province, Pakistan (Recruiting)
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.