Clinical trials: Emergency Laparotomy
Emergency Laparotomy, Intestinal Obstruction
Enhanced Recovery Versus Standard Care After Emergency Abdominal Surgery in Patients Requiring Emergency Laparotomy
This study aims to compare an Enhanced Recovery After Surgery (ERAS) protocol with conventional postoperative care in adults undergoing emergency laparotomy for intestinal obstruction or intestinal perforation.
- Conditions
- Emergency Laparotomy, Intestinal Obstruction, Intestinal Perforation, Enhanced Recovery After Surgery (ERAS) Protocol
- Trial name
- NCT07650461
- Testing
- Enhanced Recovery After Surgery, Conventional Postoperative Care
- Where
- Pakistan
- Volunteers
- 102 people
- Sponsor
- Recep Tayyip Erdogan Hospital Pakistan - Muzaffargarh
Incisional Hernia, Emergency Midline Laparotomy
Risk Factors of Incisional Hernias After Emergency Midline Laparotomy
The aim of this study is to identify risk factors for the development of incisional hernias in emergency midline laparotomies.
- Trial name
- INCISE (NCT05509452)
- Where
- Denmark
- Sponsor
- Herlev Hospital
Laparotomy, Bowel Obstruction
Early vs Postponed Parenteral Nutrition After Emergency Abdominal Surgery
The aim of this study is to investigate the effect of early, supplementary parenteral nutrition following emergency laparotomy. Currently, parenteral nutrition is used in postoperative patients if or when oral or enteral…
- Conditions
- Laparotomy, Bowel Obstruction, Ischemia, Mesenteric
- Trial name
- EATERS (NCT06089551)
- Testing
- SmofKabiven
- Where
- Denmark
- Volunteers
- 342 people
- Sponsor
- Copenhagen University Hospital at Herlev
Hernia, Ventral
Small Versus Large Bite Closure of Emergency Midline Laparotomy
In daily practice, midline laparotomy is an incision frequently performed by surgeons to achieve a rapid and wide access to the abdomen.
- Trial name
- E-STITCH (NCT04098380)
- Testing
- Small Bite, Larger bite
- Where
- Egypt
- Volunteers
- 160 people
- Sponsor
- Mansoura University
Hernia, Incisional Hernia
"Nanotechnologies Applied to General Surgery and Emergency Surgery: Buckypaper as a New Fixing Method for Prosthetic Materials for the Treatment of Hernia and Incisional Hernia in Laparotomy and Laparoscopic
"Nanotechnologies applied to General Surgery and Emergency Surgery: The Buckypaper as a new fixing method for prosthetic materials in the treatment of abdominal wall hernias, diaphragmatic hernias, diaphragmatic rupture…
- Trial name
- 36P (NCT02137018)
- Testing
- PPL fixation by BP, PPL mesh
- Where
- Italy
- Volunteers
- 30 people, healthy volunteers welcome
- Sponsor
- University of Roma La Sapienza
Intestinal Obstruction, Intestinal Perforation
Pathophysiology of Perioperative Fluid Management in Emergency Laparotomy
Pathophysiology of perioperative fluid management in patients undergoing emergency laparotomy.
- Conditions
- Intestinal Obstruction, Intestinal Perforation, Anastomotic Leak, Fluid Overload
- Trial name
- NCT03997721
- Where
- Denmark
- Volunteers
- 73 people
- Sponsor
- Copenhagen University Hospital, Hvidovre
Postoperative Pain, Laparotomy
Transversus Abdominis Plane Block Versus Erector Spinae Plane Block
The TAP block, first described by Rafi in 2001, is comprised of deposition of a local anesthetic into the anatomical plane between the internal oblique and transverses abdominis muscles, where thess thoracoabdominal nerves…
- Trial name
- NCT03989570
- Testing
- transversus abdominis plane block, erector spinae plane block, control group
- Where
- Egypt
- Volunteers
- 100 people, healthy volunteers welcome
- Sponsor
- Hassan Mokhtar Elshorbagy Hetta
Duodenal Perforation, Bowel Perforated
COMPARISON OF CONTINUOUS VERSUS INTERRUPTED-X SUTURING TECHNIQUE FOR CLOSURE OF RECTUS SHEATH IN PATIENTS UNDERGOING EMERGENCY LAPAROTOMY FOR HOLLOW VISCUS PERFORATION
THIS STUDY IS GOING TO COMPARE THE INCIDENCE OF BURST ABDOMEN IN PATIENTS UNDERGOING LAPAROTOMY WOUND CLOSURE IN CONTINUOUS VERSUS INTERRRUPTED-X MANNER
- Trial name
- NCT05632146
- Testing
- Continuous suturing, Interrupted X suturing
- Where
- Pakistan
- Volunteers
- 86 people
- Sponsor
- King Edward Medical University
Mortality, Pediatric
Operative Duration as a Predictor of Mortality in Pediatric Emergency Surgery
Introduction Operative duration is an important but under-studied predictor of mortality in emergency laparotomies. Aims \& Objectives The objective of this study was to quantify the effect of duration of emergency laparotomy in…
- Conditions
- Mortality, Pediatric, Laparotomy, Emergencies
- Trial name
- NCT03270930
- Testing
- Emergency laparotomy
- Volunteers
- 213 people
- Sponsor
- Jawaharlal Nehru Medical College
Surgical Wound
Comparison of Interrupted Suturing Versus Continuous Suturing in Laparotomy Wound Closed.
Emergency laparotomy is associated with high morbidity, particularly due to wound dehiscence and infection. Choosing an optimal suturing technique can significantly impact patient outcomes, but data on the comparison of…
- Trial name
- NCT07601919
- Testing
- Interrupted Closure, Continuous Closure
- Where
- Pakistan
- Volunteers
- 184 people
- Sponsor
- Muhammad Aamir Latif
Post-induction Hypotension, Lidocaine
Lidocaine-based Versus Opioid-based Induction of Anesthesia in Emergency Laparotomy
Lidocaine-based anesthesia had been recently reported as a successful regimen for induction of anesthesia in elderly population with better hemodynamic profile than opioid-based induction.
- Conditions
- Post-induction Hypotension, Lidocaine, Opioid, Emergency Laparotomy
- Trial name
- NCT06772727
- Testing
- Lidocaine, Fentanyl, Propofol
- Where
- Egypt
- Volunteers
- 149 people
- Sponsor
- Cairo University
Laparotomy, Dehiscence Wound
Barbed Suture vs Non-Barbed Closure for Emergency Exploratory Laparotomy RCT
This randomized control trial aims to compare the efficacy of triclosan-coated barbed suture (TCB) versus conventional non-barbed polydioxanone (PDS) suture in the closure of the abdominal fascia after emergency exploratory…
- Conditions
- Laparotomy, Dehiscence Wound, Surgical Site Infections, Trauma Abdomen
- Trial name
- NCT06043414
- Testing
- triclosan-coated barbed suture, triclosan-coated non-barbed suture, Non-coated non-barbed suture
- Where
- United States
- Volunteers
- 250 people
- Sponsor
- University of Southern California
Emergency Laparotomy, Intestinal Obstruction
Tissue Perfusion During Emergency Laparotomy
This study is investigating the effect of intraoperative Noradrenaline on cardiac preload and stroke volume, after initial fluid resuscitation, in order to assess whether there is a masked preload responsiveness and ultimately…
- Conditions
- Emergency Laparotomy, Intestinal Obstruction, Perforated Viscus
- Trial name
- NCT04403425
- Where
- Denmark
- Volunteers
- 20 people
- Sponsor
- Copenhagen University Hospital, Hvidovre
Surgical Incision, Wound Dehiscence
Treating Emergency Laparotomy Incisions With Negative Pressure Wound Therapy
The goal of this clinical trial is to investigate Negative Pressure Wound Therapy (NPWT) in adults undergoing emergency laparotomy.
- Conditions
- Surgical Incision, Wound Dehiscence, Surgical Site Infection, Incisional Hernia
- Trial name
- TELIN (NCT07003906)
- Testing
- Negative pressure wound therapy, Standard postoperative dressing
- Where
- 6 sites in Sweden
- Volunteers
- 720 people
- Sponsor
- Uppsala University
Emergency Laparotomy, Quality Improvement
Quality Improvement Audit of ERAS Protocol Adherence in Emergency Laparotomy
This study evaluates the implementation of Enhanced Recovery After Surgery (ERAS) protocols during emergency laparotomy procedures in a resource-limited hospital in Sudan.
- Conditions
- Emergency Laparotomy, Quality Improvement, Implementation Science, Enhanced Recovery After Surgery (ERAS) Protocol
- Trial name
- NCT06757127
- Testing
- ERAS Protocol Adaptation for Emergency Laparotomy
- Where
- Sudan
- Volunteers
- 40 people
- Sponsor
- Sudan Medical Specialization Board
Frailty, Surgery
Retrospective Analysis of Sarcopenia in Older Patients Undergoing Laparotomy
Assess the influence of sarcopenia on outcomes of emergency laparotomy in the over 65 age group
- Conditions
- Frailty, Surgery, Emergencies
- Trial name
- NCT04493710
- Testing
- Sarcopenia estimation
- Where
- United Kingdom
- Volunteers
- 200 people, healthy volunteers welcome
- Sponsor
- Wirral University Teaching Hospital NHS Trust
Intestinal Anastomosis
Emergency Intestinal Anastmosis
The goal of this clinical trial is to compare the outcomes of emergency intestinal anastomosis after stapled and handsewn anastmosis.
- Trial name
- NCT07321743
- Testing
- emergency intestinal anastmosis surgery
- Where
- Egypt
- Volunteers
- 90 people
- Sponsor
- Zagazig University
Abdomen, Acute
Clinical Outcomes and Equality in Healthcare for Emergency General Surgery Patients Undergoing Emergency Laparotomy
The goal of this observational cohort study is to evaluate the standard of care for general surgerical patients undergoing emergency laparotomy and assess factors affecting clinical outcomes, as well as evaluating the quality of…
- Trial name
- LAPTOP (NCT05623176)
- Testing
- Standardised laparotomy care
- Where
- Sweden
- Volunteers
- 2,000 people
- Sponsor
- Region Stockholm
Linea Alba Hernia, Evisceration; Operation Wound
Influence of Suture Type on Emergency Midline Laparotomy Closure
There is no clear recommendation in international guidelines regarding the type of suture to be used for closing emergency midline laparotomies.
- Conditions
- Linea Alba Hernia, Evisceration; Operation Wound, Suture; Complications, Mechanical
- Trial name
- NCT06865807
- Testing
- PDS 2/0 vs Monomax 2/0
- Where
- Spain
- Volunteers
- 100 people
- Sponsor
- Hospital San Juan de Dios Tenerife
COVID-19, Emergency General Surgery
Outcomes in Emergency Laparotomies During COVID-19 Pandemic
NLR has previously been observed to correlate with complications in upper GI (1) and colorectal (2) surgery. The investigators sought to assess if a similar correlation can be identified in emergency general surgical patients and…
- Trial name
- NCT04419571
- Testing
- Emergency Laparotomy
- Where
- United Kingdom
- Volunteers
- 94 people, healthy volunteers welcome
- Sponsor
- Barking, Havering and Redbridge University Hospitals NHS Trust