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At present, open-type abdominal surgery is routine access into the abdomen. Median incision is the common choice with open-type abdominal surgery. Layered abdomen-closing is often used at the end-time of the surgery. There are some common postoperative complications, such as incision pain, surgical site infection, surgical incision dehiscence and incisional hernia. The key to reduce the incidence of postoperative complications depends on safe and reliable technology of abdomen-closing.
It's usually difficult to close the abdomen after the incisional hernia surgery, and the recurrence of incisional hernia is high. But the recurrence fell off observably when component separation technology was applied to abdomen-closing of incisional hernia.
Based on this, we hypothesis that modified-CST applied to abdomen-closing in routine abdominal surgery may improve the quality of wound-healing.
In this prospective single-blind randomized controlled trial, traditional abdomen-closing technology and modified-CST will be used to gastric cancer surgery, and the quality of wound-healing will be evaluated to confirm which kind of abdomen-closing technology better.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Routine Abdominal Closure | No Intervention | ||
| New Abdominal Closure | Experimental | modified component separation technique is used to abdomen closing. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| modified component separation technique | Procedure | a new abdomen closure technique based on component separation technique |
|
| Measure | Description | Time Frame |
|---|---|---|
| Class A healing rate of the surgical incision | Class A healing rate of the surgical incision after operation | 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| the incidence rate of incisional complications | the incidence rate of any incisional complications after the surgery | 1 month |
| the time of suture to clear | the time of suture to clear after the surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xiaonan Liu, Ph.D | Contact | 86-029-84771533 | liuxnxjh@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Xiaonan Liu, Ph.D | Xijing Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Xijing Hospital | Xi’an | Shanxi | 710032 | China |
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| 1 month |
| hospitalization time after operation | hospitalization time after operation | 1 year |
| the incidence rate of unplanned second operation | the incidence rate of unplanned second operation after the surgery | 1 month |
| the incidence rate of unplanned readmission | the incidence rate of unplanned readmission after the surgery | 1 month |
| the incidence rate of acute pain | the incidence rate of acute pain after the surgery | 1 month |
| the mortality | the mortality after the surgery with any reason | 1 month |
| the incidence rate of incisional hernia | the incidence rate of incisional hernia after the surgery | 3 years |
| hospitalization costs | hospitalization costs for the surgery and its complications | 3 years |