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Comparison in abdominal wound healing after contaminated or dirty surgery with incisional negative pressure wound therapy versus standard dressing.
All patients submitted to contaminated or dirty abdominal surgery have more risk of surgical site infections. The investigators intend to randomize this kind of patients and comparison wound healing after dressed with incisional negative pressure wound therapy or standard dressing.
In the study group INPWT (Prevena) is positioned immediately next surgery and dressed for six days. Every patients will be medicate in sixth, ninth, fifteenth and thirtieth day after surgery and will be valued wound healing with a scale score.
Moreover for each patient it will be assessed risk developing wound complications through possum score and comorbidities.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Prevena arm | Experimental | patients underwent to contaminated/dirty surgery who positioned incisional negative pressure wound therapy and kept for six days |
|
| Control arm | Active Comparator | patients underwent to contaminated/dirty surgery who positioned conventional dressing |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| incisional negative pressure wound therapy | Device | positioning incisional negative pressure therapy over closed wound. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Surgical Site Infection (SSI) reduction | quantify SSI decrease after incisional negative pressure wound therapy | 7 months |
| Measure | Description | Time Frame |
|---|---|---|
| Surgical Site Infection (SSI) and risk factors as diabetis, obesity and cancer | check connection between wound complications and risk factors and showing if Incisional Negative Pressure Wound Therapy (INPWT) could reduce effects of these risk factors | 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Alessia Garzi, MD | Contact | 0574804612 | +39 | alessia.garzi@gmail.com |
| Marco Scatizzi, MD | Contact | 0574804612 | +39 | fferoci@usl4.toscana.it |
| Name | Affiliation | Role |
|---|---|---|
| Francesco Feroci, MD | Ospedale Santo Stefano Prato | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Misericordia e Dolce Hospital | Recruiting | Prato | Po | 59100 | Italy |
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| conventional dressing | Device | positioning conventional dressing |
|