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Botulinum toxin has been widely approved and utilized in the treatment of complex abdominal wall hernias. Botulinum toxin has been only randomly studied in the treatment of open abdomen.
30 consecutive patients who have open abdomen for any indication, will have 300 IU botulinum toxin injected in three spots in either sides of the abdomen within 72 hours of the start of open abdomen. The hypothesis is botulinum toxin relaxes abdominal wall musculature to ensure better and faster closure of the open abdomen.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Botox injection | 30 consecutive patients will have 300 IU of botulinum toxin injected to six spots in abdominal wall to gain abdominal wall musculature relaxation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Botulinum Toxins | Drug | Botulinum toxin injection to abdominal wall |
|
| Measure | Description | Time Frame |
|---|---|---|
| Abdominal wall closure | Duration of open abdomen treatment | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Intensive care time | Treatment time in the intensive care unit | 30 days |
| Hospitalization | Time spent in the hospital | 30 days |
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Inclusion Criteria:
Exclusion Criteria:
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30 consecutive open abdomen patients
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Elisa Mäkäräinen-Uhlbäck, M.D. | Contact | +358505794011 | elisa.makarainen-uhlback@ppshp.fi |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Oulu University Hospital | Recruiting | Oulu | Finland |
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| ID | Term |
|---|---|
| D001905 | Botulinum Toxins |
| ID | Term |
|---|---|
| D008666 | Metalloendopeptidases |
| D010450 | Endopeptidases |
| D010447 | Peptide Hydrolases |
| D006867 | Hydrolases |
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| Hernia | Incisional hernia incidence | 2 years |
| Re-laparotomies | Number of abdominal explorations | 30 days |
| Enterocutaneus fistula | Enterocutaneus fistula incidence | 30 days |
| Abdominal wall closure success rate | the rate of complite abdominal wall closure | 30 days |
| D004798 |
| Enzymes |
| D045762 | Enzymes and Coenzymes |
| D045726 | Metalloproteases |
| D001426 | Bacterial Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D001427 | Bacterial Toxins |
| D014118 | Toxins, Biological |
| D001685 | Biological Factors |