A comparison of skin closure techniques (standard skin closure with staples versus a continuous (subcuticular) absorbable suture), to determine if this changes the rate of post operative wound infections in elective colorectal surgery patients.
In colorectal surgery, there has been a growing interest in the study of Surgical Site Infections (SSI), with an outstanding variability of reported incidence, ranging from 3% up to 30% depending on the series. Although general risk factors for infection have been identified, there is still a need to identify specific risk factors for colorectal surgery patients, to try to reduce these numbers. The technique and materials used for wound closure have been considered as interesting variables for study. Main question of our study: is subcuticular (reabsorbable, continuous) suture better than skin staples for reducing wound SSIs in colorectal surgery? The study is sponsored by the Surgical Infection Society Europe, and was awarded the SIS-E Fellowship for young investigators (2013)
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
400
Hospital Fundacion Jimenez Diaz
Madrid, Madrid, Spain
RECRUITINGHospital Universitario La Paz
Madrid, Madrid, Spain
RECRUITINGincidence of surgical site infection
The primary endpoint is the incidence of wound infection, measured from the moment of surgery up to 30 days postoperatively.
Time frame: 30 days, as by CDC definition
prolongation of hospitalization
Length of hospital stay, and if it is prolonged as a consequence of infection
Time frame: 30 days
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