Implementing guidelines of EHS for abdominal wall closure in all specialities of a General Hospital. Migrating from large stitch technique to short stitch technique.
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.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
1,164
Surgeons will receive instructions to change the technique of abdominal wall closure
José A. Pereira
Barcelona, Spain
Incisional hernia and burst abdomen rate
Analysis of the number of incisional hernia and burst abdomen after one year follow-up
Time frame: One year
Rate of fulfillment of the protocol
Analysis of results related with the fulfillment of the protocol
Time frame: One year
Complication rate
Analysis of complications related with the closure technique
Time frame: One month
Mesh complications rate
Analysis of mesh related complications in patients with a prophylactic mesh
Time frame: One year
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