The clinical consequences of burst abdomen after emergency midline laparotomy: a prospective, observational cohort study.
Madeline Kvist, Thomas Korgaard Jensen, Christian Snitkjær...
https://pubmed.ncbi.nlm.nih.gov/39031235Actively Recruiting
Age: 18Years - 100Years
All Genders
ID06815822
Prevention of Postoperative Hernias in Emergency Surgery
Led by Jan Kochanowski University · Updated on 2025-06-15
500
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
This research aims to understand the risk factors and frequency of postoperative hernias in patients undergoing emergency surgeries such as acute appendicitis, acute cholecystitis, incarcerated hernia, gastrointestinal perforation, and obstruction. It focuses on identifying how often these hernias occur after surgery and what contributes to their development, with the goal of improving preventive strategies and treatment outcomes for this patient group. The study is an observational, multicenter cohort conducted nationwide from June 2025 to December 2026. Participants will undergo emergency or urgent surgery by laparotomy, laparoscopy, or robotic surgery. Researchers will analyze surgical techniques, including fascial closure methods, use of drains, and postoperative care like abdominal binders and activity resumption timing. They will also assess preventive measures for surgical site infections and wound healing complications. Participants will be followed up one year after surgery through a brief telephone interview to check for hernia development. If a hernia is suspected, patients will be invited for a clinic visit where imaging tests like ultrasound or CT scans will confirm the diagnosis. The study will collect medical history, laboratory tests, surgical details, and postoperative management data. Outcomes include the incidence of different types of hernias and complications such as surgical site infections and wound dehiscence.
CONDITIONS
Brief Title
Prevention of Postoperative Hernias in Emergency Surgery
Who Can Participate
Age: 18Years - 100Years
All Genders
Eligibility Criteria
You may qualify if you...
- Patient age over 18 years
- Undergoing emergency or urgent surgery
- Surgery for acute appendicitis, acute cholecystitis, incarcerated hernia, gastrointestinal perforation, or obstruction
You will not qualify if you...
- Lack of patient consent
- Use of open abdomen technique during surgery
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 screening and enrollment visit (in-person)
Monitoring
Duration - Up to 1 year after surgery
Participants who undergo emergency surgery are observed to assess the incidence of postoperative hernias and related complications.
Brief telephone medical interview 12 months after hospital discharge; outpatient examination if hernia is suspected
Surveillance
Duration - Up to 1 year after surgery
If a postoperative hernia is suspected, participants undergo outpatient examinations and imaging to confirm diagnosis.
1 or more outpatient visits for ultrasound or CT scan if needed
Trial Site Locations
Total: 1 location
1
Department of General Surgery, St Alexander Hospital
Kielce, Poland, 25-316
Actively Recruiting
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Research Team
B
Bartosz Molasy, MD, PhD
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
2
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Published Research Related To This Trial
Updated guideline for closure of abdominal wall incisions from the European and American Hernia Societies.
Eva B Deerenberg, Nadia A Henriksen, George A Antoniou...
https://pubmed.ncbi.nlm.nih.gov/36026550Meta-analysis on Materials and Techniques for Laparotomy Closure: The MATCH Review.
N A Henriksen, E B Deerenberg, L Venclauskas...
https://pubmed.ncbi.nlm.nih.gov/29322212Development and validation of a risk stratification score for ventral incisional hernia after abdominal surgery: hernia expectation rates in intra-abdominal surgery (the HERNIA Project).
Christopher J Goodenough, Tien C Ko, Lillian S Kao...
https://pubmed.ncbi.nlm.nih.gov/25690673Adverse Events after Ventral Hernia Repair: The Vicious Cycle of Complications.
Julie L Holihan, Zeinab Alawadi, Robert G Martindale...
https://pubmed.ncbi.nlm.nih.gov/26206646European Hernia Society guidelines on prevention and treatment of parastomal hernias.
S A Antoniou, F Agresta, J M Garcia Alamino...
https://pubmed.ncbi.nlm.nih.gov/29134456Thoughts on Trocar Site Hernia Prevention. A Narrative Review.
A C de Beaux, B East
https://pubmed.ncbi.nlm.nih.gov/38314166Systematic Review and Meta-Regression of Factors Affecting Midline Incisional Hernia Rates: Analysis of 14,618 Patients.
David C Bosanquet, James Ansell, Tarig Abdelrahman...
https://pubmed.ncbi.nlm.nih.gov/26389785Midline incisional hernia guidelines: the European Hernia Society.
David L Sanders, Maciej M Pawlak, Maarten P Simons...
https://pubmed.ncbi.nlm.nih.gov/37727928ECLAPTE: Effective Closure of LAParoTomy in Emergency-2023 World Society of Emergency Surgery guidelines for the closure of laparotomy in emergency settings.
Simone Frassini, Lorenzo Cobianchi, Paola Fugazzola...
https://pubmed.ncbi.nlm.nih.gov/37496068