Stopping surgical dressings on day 1 versus day 6 after elective abdominal surgery

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional study compares two postoperative dressing strategies for adults having elective abdominal operations with a skin incision of at least 4 cm. Participants will be assigned to have their surgical dressing removed on postoperative day 1 or retained until postoperative day 6 ±1, and rates of superficial surgical site infections will be recorded. The trial focuses on clean or clean-contaminated procedures across common abdominal surgeries to provide higher-quality evidence on dressing duration. Results are intended to help standardize postoperative dressing practices and guide recommendations.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Patient of legal age (≥18 years)
* Scheduled for elective abdominal surgery requiring a skin incision of at least 4 cm long listed below:

All pancreatectomies, All hepatectomies, All splenectomies, All adrenalectomies, All bariatric surgeries, All gastric surgeries, including gastrectomy and reflux surgery, All parietal surgeries; ventral hernia repairs, inguinal or femoral hernia repairs, with or without mesh placement..

All small bowel resections, Laparotomy cholecystectomies, All duodenal surgeries, Right, transverse or left colectomy, by laparotomy or laparoscopy, provided that there is a skin incision for extraction of the surgical specimen, but without the presence or creation of a stoma Proctectomy but without the presence or creation of a stoma

* Class I or II (clean or clean-contaminated) according to the ALTEMEIER classification
* Affiliated in a Social Security scheme (beneficiary or entitled person, excluding AME)
* Have signed an informed consent form

Exclusion Criteria:

* Presence or completion of a stoma
* Previous abdominal surgery in the month prior to inclusion
* Emergency surgery
* Outpatient surgery
* Closure by biological glue
* Active bacterial infection at the time of surgery or recent antibiotic therapy (up to 15 days before surgery)
* Neutrophil count \< 500/mm3 at time of surgery
* Grade B or C cirrhosis (Child-Pugh classification)
* Pregnancy
* Breast-feeding
* Patient under guardianship or curatorship
* Patient deprived of liberty by judicial or administrative decision
* Patient unable to perform perioperative care

Where it's running

• Hôpital de la Pitié-Salpêtriere - APHP
  Paris, France Recruiting

Study contacts

• Study coordinator: Sebastien GAUJOUX, Prof
• Email: sebastien.gaujoux@aphp.fr
• Phone: 0184827972

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.