At present, open-type abdominal surgery is routine access into the abdomen. Median incision is the common choice with open-type abdominal surgery. Layered abdomen-closing is often used at the end-time of the surgery. There are some common postoperative complications, such as incision pain, surgical site infection, surgical incision dehiscence and incisional hernia. The key to reduce the incidence of postoperative complications depends on safe and reliable technology of abdomen-closing. It's usually difficult to close the abdomen after the incisional hernia surgery, and the recurrence of incisional hernia is high. But the recurrence fell off observably when component separation technology was applied to abdomen-closing of incisional hernia. Based on this, we hypothesis that modified-CST applied to abdomen-closing in routine abdominal surgery may improve the quality of wound-healing. In this prospective single-blind randomized controlled trial, traditional abdomen-closing technology and modified-CST will be used to gastric cancer surgery, and the quality of wound-healing will be evaluated to confirm which kind of abdomen-closing technology better.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
220
a new abdomen closure technique based on component separation technique
Xijing Hospital
Xi’an, Shanxi, China
Class A healing rate of the surgical incision
Class A healing rate of the surgical incision after operation
Time frame: 1 month
the incidence rate of incisional complications
the incidence rate of any incisional complications after the surgery
Time frame: 1 month
the time of suture to clear
the time of suture to clear after the surgery
Time frame: 1 month
hospitalization time after operation
hospitalization time after operation
Time frame: 1 year
the incidence rate of unplanned second operation
the incidence rate of unplanned second operation after the surgery
Time frame: 1 month
the incidence rate of unplanned readmission
the incidence rate of unplanned readmission after the surgery
Time frame: 1 month
the incidence rate of acute pain
the incidence rate of acute pain after the surgery
Time frame: 1 month
the mortality
the mortality after the surgery with any reason
Time frame: 1 month
the incidence rate of incisional hernia
the incidence rate of incisional hernia after the surgery
Time frame: 3 years
hospitalization costs
hospitalization costs for the surgery and its complications
Time frame: 3 years
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