In daily practice, midline laparotomy is an incision frequently performed by surgeons to achieve a rapid and wide access to the abdomen. However, incisional hernia stands as the most common complication following this type of incision, with an incidence reaching up to 20% and even higher in the case of emergency laparotomy. A recent randomized controlled trial compared small bite sutures and large bite closure of elective midline laparotomy and reported a significant decrease of incisional hernia rate from 18% to 5.6% in favor of small-bite technique. These promising results were subsequently confirmed in a wide-scale multicenter double-blinded randomized trial, the STITCH study. The investigators will conduct this randomized controlled trial to compare the small tissue bite (SB) technique and the large bite (LB) technique for closure of emergency midline laparotomy. The main outcome of the study will be the incidence of incisional hernia within one year after surgery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
160
the bites will be applied with a bite width of 5 mm and inter-suture spacing of 5 mm
the bites will be applied with a width of 10 mm and inter-suture spacing of 10 mm
Mansoura university hospital
Al Mansurah, Dakahlia Governorate, Egypt
RECRUITINGIncidence of incisional hernia
Diagnosis of incisional hernia within 12 months after surgery by clinical examination or by ultrasound
Time frame: 12 months after surgery
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