Actively Recruiting
Comparison of the Risk of Surgical Site Infections Between Dressings Stopped at Postoperative Day 1 vs Dressings Stopped at Postoperative Day 6+/-1 After Elective Abdominal Surgery
Led by Assistance Publique - Hôpitaux de Paris · Updated on 2026-01-15
1288
Participants Needed
1
Research Sites
107 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
The daily changing of postoperative dressings is a widespread practice, often continuing until the 5th-7th day after surgery. In theory, dressings aim to reduce the risk of superficial surgical site infections (SSIs). However, several studies have suggested that early removal of the dressing does not significantly impact the rate of superficial SSIs, and this approach is now applied in clinical practice by several teams. A Cochrane review indicated that the absence of dressing does not appear to be harmful, though it emphasized the very low level of evidence provided and the need for high-quality randomized controlled trials. In this study, the investigators aim to provide high-level evidence on the effect of stopping dressings from the 1st postoperative day and the lack of impact on the risk of SSIs, to standardize practices and enable recommendations.
CONDITIONS
Official Title
Comparison of the Risk of Surgical Site Infections Between Dressings Stopped at Postoperative Day 1 vs Dressings Stopped at Postoperative Day 6+/-1 After Elective Abdominal Surgery
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patient of legal age (≥18 years)
- Scheduled for elective abdominal surgery requiring a skin incision at least 4 cm long, including pancreatectomies, hepatectomies, splenectomies, adrenalectomies, bariatric surgeries, gastric surgeries, parietal surgeries, small bowel resections, laparotomy cholecystectomies, duodenal surgeries, colectomies, and proctectomy without stoma
- Surgery classified as Class I or II (clean or clean-contaminated) according to ALTEMEIER classification
- Affiliated with a Social Security scheme (beneficiary or entitled person, excluding AME)
- Signed informed consent form
You will not qualify if you...
- Presence or creation of a stoma
- Previous abdominal surgery within 1 month prior to inclusion
- Emergency surgery
- Outpatient surgery
- Closure by biological glue
- Active bacterial infection at time of surgery or recent antibiotic therapy within 15 days before surgery
- Neutrophil count < 500/mm3 at time of surgery
- Grade B or C cirrhosis (Child-Pugh classification)
- Pregnancy
- Breast-feeding
- Patient under guardianship or curatorship
- Patient deprived of liberty by judicial or administrative decision
- Patient unable to perform perioperative care
AI-Screening
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Trial Site Locations
Total: 1 location
1
Hôpital de la Pitié-Salpêtriere - APHP
Paris, France, 75013
Actively Recruiting
Research Team
S
Sebastien GAUJOUX, Prof
CONTACT
S
Stéphanie LE BOT, Mme
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
OTHER
Number of Arms
2
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