Study Comparing Polypropylene Mesh and Small Bites Technique for Closing Emergency Midline Laparotomy in Colorectal Surgery to Prevent Incisional Hernia

What this Trial Is About

Researchers are evaluating two different techniques for closing the midline laparotomy incision in emergency colorectal surgery to prevent incisional hernias. This study aims to provide evidence on the incidence of incisional hernia and related complications, addressing the lack of consensus in current guidelines and the limited quality of existing research. The study compares closure using the small bites technique alone with closure using the same technique plus a partially absorbable polypropylene mesh placed suprapubically. The small bites technique involves a specific method of suturing with a monofilament polydioxanone suture. When mesh is used, it is fixed with absorbable staples and sometimes sutures, and drainage is applied based on surgical discretion. Participants will undergo emergency colorectal surgery with either closure method randomly assigned. Researchers will monitor for incisional hernia occurrence one year after surgery and assess wound infections within 30 days and morbidity and mortality within 90 days post-operation. The study involves follow-up visits to evaluate these outcomes and ensure participant safety throughout the trial duration.

Comparing Polypropylene Mesh and "Small Bites" Technique in Emergency Colorectal Surgery's Midline Laparotomy Closure. Study for Incisional Hernia Prevention.