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Implementing guidelines of EHS for abdominal wall closure in all specialities of a General Hospital. Migrating from large stitch technique to short stitch technique.
Surgeons will receive instruction about new techniques of closure of the abdomen and will practice in models and receive a certification previously to implement in their surgical practice the new technique.
Results will be monitorised and compared with previous cohort of patients. A protocol of closure will be implemented. Patients without risk factors will receive a laparotomy closure with "short stitch" technique and patients with risk factor for developing incisional hernia or burst abdomen and aditional profilactic suprafascial mesh.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Short stitch | Experimental | Patients in which abdominal wall is closed by short stitch technique |
|
| Large stitch | No Intervention | Patients who didn't receive properly closure according with the protocol |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Short stitch | Procedure | Surgeons will receive instructions to change the technique of abdominal wall closure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incisional hernia and burst abdomen rate | Analysis of the number of incisional hernia and burst abdomen after one year follow-up | One year |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of fulfillment of the protocol | Analysis of results related with the fulfillment of the protocol | One year |
| Complication rate | Analysis of complications related with the closure technique |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| José A. Pereira, MD | Surgeon | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| José A. Pereira | Barcelona | 08003 | Spain |
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| One month |
| Mesh complications rate | Analysis of mesh related complications in patients with a prophylactic mesh | One year |