Clinical trials: Emergency Laparotomy
Colorectal Cancer, Wound Infection
Comparing PP and PVDF Meshes in Midline Laparotomy Closure for High-risk Colorectal Surgery. Impact on Incisional Hernia and Surgical Wound Infection.
In the latest guidelines for abdominal wall closure in emergency surgery published in the World Journal of Emergency Surgery (WJES) in 2023, no specific recommendations are made in this regard.
- Conditions
- Colorectal Cancer, Wound Infection, Hernia Incisional
- Trial name
- PROFIMESH (NCT06220045)
- Testing
- Polyvinylidene fluoride mesh, Prophylactic polypropylene mesh
- Where
- Spain
- Volunteers
- 60 people
- Sponsor
- Institut d'Investigació Biomèdica de Girona Dr. Josep Trueta
Peritonitis, Surgical Site Infection
Continuous Glucose Monitoring for Emergency Laparotomy
CLUE trial aims to determine the feasibility and predictive value for surgical site infection (SSI) of continuous glucose monitoring (CGM) in emergency laparotomy patients with diffuse peritonitis.
- Conditions
- Peritonitis, Surgical Site Infection, Infections, Hyperglycemia
- Trial name
- CLUE (NCT05641792)
- Testing
- CGM (Dexcom G6)
- Where
- Poland
- Volunteers
- 50 people
- Sponsor
- Medical University of Gdansk
Acute Abdomen, Emergency Surgery
Primary Cecal Pathologies Presenting as Acute Abdomen
Background: The importance of cecal pathologies lie in the fact that being the first part of large intestine, any disease involving the cecum affects overall functioning of the large bowel.
- Conditions
- Acute Abdomen, Emergency Surgery, Laparotomy, Amoebic Colitis
- Trial name
- NCT03262025
- Testing
- Operated
- Volunteers
- 43 people
- Sponsor
- Jawaharlal Nehru Medical College
Open Abdomen
An Adhesion Reduction Plan in the Management of the Surgical Open Abdomen
The purpose of this study is to determine whether an adhesion reduction plan, consisting of early adhesion prevention and application of a bioresorbable membrane is effective in reducing the severity of adhesions and the…
- Trial name
- NCT01010464
- Testing
- Adhesion Reduction Plan
- Where
- United States
- Sponsor
- University of Maryland, Baltimore
Frailty, Surgery
An Investigation of Frailty Markers and Outcomes in Patients Requiring Emergency Laparotomy
Over 30,000 emergency abdominal operations (laparotomy, EmLAP) are performed in the UK annually and they are usually performed in adults over the age of 65.
- Conditions
- Frailty, Surgery, Sarcopenia
- Trial name
- NCT05416047
- Where
- United Kingdom
- Volunteers
- 150 people, healthy volunteers welcome
- Sponsor
- NHS Greater Glasgow and Clyde
Ventilator Lung
Individualized Perioperative Open Lung Ventilatory Approach in Emergency Abdominal Laparotomy. A Prospective Multicenter Randomized Controlled Trial.
Prospective multicenter randomized controlled trial. Individualized perioperative open lung ventilatory approach in emergency abdominal laparotomy.
- Trial name
- NCT04229810
- Testing
- STD-02, iOLA-iHFNC
- Volunteers
- 732 people
- Sponsor
- Hospital Clinic of Barcelona
Abdomen, Acute, Surgery--Complications
Survival After Emergency Laparotomy in Octogenarians
In this single-center retrospective study we wanted to investigate mortality and postoperative complications after emergency laparotomy performed in patients aged 80 years or above.
- Conditions
- Abdomen, Acute, Surgery--Complications, Postoperative Complications, Frailty
- Trial name
- NCT04176432
- Testing
- No intervention
- Volunteers
- 106 people
- Sponsor
- Haukeland University Hospital
Mortality Rate
Machine Learning Platforms to Predict 30-day Mortality After Emergency Laparotomy
This study seeks to utilise retrospective patient data to train machine learning algorithms to predict the short term mortality and morbidity after an emergency laparotomy.
- Trial name
- NCT05828914
- Where
- China
- Volunteers
- 5,000 people
- Sponsor
- The University of Hong Kong
External Causes of Morbidity and Mortality
Comparative Analysis of APACHE II and P-POSSUM
To compare APACHE II and P-POSSUM scoring system in emergency laparotomy.
- Trial name
- NCT02471612
- Where
- India
- Volunteers
- 159 people
- Sponsor
- Tata Main Hospital
Emergencies, Frail Older Adult
Emergency Laparotomy and Frailty Study
Patients aged over 65 comprise more than half the emergency general surgical workload, however, available risk-prediction tools for such patients are extrapolated from younger cohorts.
- Conditions
- Emergencies, Frail Older Adult, Laparotomy
- Trial name
- ELF (NCT02952430)
- Testing
- Emergency laparotomy
- Volunteers
- 500 people
- Sponsor
- North Western Research Collaborative
Surgical Procedures, Operative
Determining Universal Processes Related to Best Outcome in Emergency Gastrointestinal Surgery: an International Evaluation
A multicentre, international evaluation of emergency abdominal surgery to establish surgical outcomes and identify common, modifiable best practice processes.
- Trial name
- GlobalSurg-1 (NCT02179112)
- Testing
- Emergency Abdominal Surgery
- Where
- United Kingdom
- Volunteers
- 10,745 people, healthy volunteers welcome
- Sponsor
- University of Edinburgh
Surgical Site Infection
PICO Dressings for Emergency Laparotomy
SSI (Surgical Site Infection) rate is an important consideration after emergency laparotomy. SSIs carry a high financial burden for health institutes with the cost of major SSIs after emergency laparotomy to add an additional…
- Trial name
- NCT05090462
- Testing
- PICO dressing
- Where
- United Kingdom
- Volunteers
- 100 people, healthy volunteers welcome
- Sponsor
- North Middlesex University Hospital NHS Trust
Incisional Hernia, Emergency Laparotomy
Preemer Trial - Prophylactic Mesh Versus no Mesh in the Midline Emergency Laparotomy Closure for Prevention of Incisional Hernia: a Multi Center, Double-blind, Randomized Controlled Trial
244 patients, who have an emergency midline laparotomy for any gastrointestinal reason, will be randomized in a 1:1 ratio either to mesh group with a retrorectus prophylactic self-gripping mesh or to control group with 4:1 small…
- Conditions
- Incisional Hernia, Emergency Laparotomy, Midline Laparotomy, Hernia Prevention
- Trial name
- NCT04311788
- Testing
- Prophylactic self gripping mesh, Slowly absorbable continuous monofilament suture
- Where
- 7 sites in Finland
- Volunteers
- 109 people
- Sponsor
- University of Oulu
Frailty, Surgery--Complications
Protocol for Patients Above 75 Years Undergoing Emergency Laparotomy
In the ProPEL study the effect of a protocol designed for elderly patients about to undergo emergency abdominal surgery will be investigated. The protocol addresses issues of both frailty and ceiling-of -care decisions.
- Conditions
- Frailty, Surgery--Complications, Outcome, Fatal, Frail Elderly Syndrome
- Trial name
- (ProPEL) (NCT04293653)
- Testing
- Protocol for patients above 75 undergoing emergency laparotomy or laparoscopy
- Where
- Norway
- Volunteers
- 156 people, healthy volunteers welcome
- Sponsor
- Haukeland University Hospital
Acute Abdomen, Abdominal Trauma
Enhanced Recovery After Surgery (ERAS) in Patients Undergoing Emergency Laparotomy
The goal of this clinical trial is to test the safety and effectiveness of the ERAS protocols compared to a conventional care protocols in patients who received emergency laparotomy.
- Conditions
- Acute Abdomen, Abdominal Trauma, Emergency Surgery
- Trial name
- ERAS (NCT06182488)
- Testing
- ERAS protocols, Conventional protocols
- Where
- China
- Volunteers
- 160 people
- Sponsor
- Tianjin Medical University
Surgical Site Infection (SSI), Emergency Laparotomies
The Spotlight Study: Early Identification of Post-Surgical Infections Using Bedside Ultrasound.
Introduction: The goal of this observational study is to learn whether point-of-care ultrasound (POCUS) can help detect early fluid build-up under the skin after open abdominal surgery (laparotomy) and whether these findings can…
- Conditions
- Surgical Site Infection (SSI), Emergency Laparotomies, Point of Care Ultrasound (POCUS)
- Trial name
- SPOTLIGHT (NCT07549880)
- Testing
- Point-of-Care Ultrasound (POCUS), Microbiological Wound Swab, ASEPSIS Wound Assessment
- Where
- 3 sites in Denmark
- Volunteers
- 100 people
- Sponsor
- Slagelse Hospital
Surgical Wound Dehiscence
Prevention of Fascial Dehiscence With Prophylactic Onlay Mesh in Emergency Laparotomies
Facial dehiscence elicit high morbidity and mortality. This complication may arise in more than 8.5% of high-risk patients. Addressing risk factors and optimizing surgical technique are guarded as mainstay measures for…
- Trial name
- NCT03293862
- Testing
- prophylactic polypropilene mesh, Midline Fascial Closure, vacuum drainage system
- Where
- Brazil
- Volunteers
- 145 people
- Sponsor
- University of Sao Paulo General Hospital
Incisional Hernia
Does the Use of Prophylactic Mesh Reduce Incisional Hernia?
Incisional hernia is a common condition after abdominal surgery. Because linea alba has less vascularity, incisional hernia more common in midline incisions. It is seen in the general population between 11-20%.
- Trial name
- NCT04700956
- Testing
- primary abdominal closure, abdominal closure with prophylactic mesh
- Where
- Turkey (Türkiye)
- Volunteers
- 104 people
- Sponsor
- Konya City Hospital
Abdominal Sepsis, Acute Respiratory Failure
Evaluation of Regional Ventilation Distribution in Patients Affected by Abdominal Sepsis After Emergent Laparotomy
The goal of this clinical trial is to evaluate regional ventilation distribution in patients admitted to the intensive care unit after emergent laparotomy due to abdominal sepsis.
- Conditions
- Abdominal Sepsis, Acute Respiratory Failure, Ventilation Therapy; Complications, Emergencies
- Trial name
- CHESTOMY (NCT05726500)
- Testing
- Arterial blood gas analysis, Venous blood gas analysis, Esophageal pressure monitoring
- Where
- Italy
- Volunteers
- 30 people
- Sponsor
- Università degli Studi di Ferrara
Incisional Hernia of Midline of Abdomen
Algorithm for Prophylactic Mesh Use in Emergency Laparotomy.
Use of informed algorithm for patients selection of prophylactic mesh aplication after midline laparotomy in emergency surgery.
- Trial name
- NCT04808063
- Testing
- Prophylactic mesh implantation
- Where
- Spain
- Volunteers
- 100 people
- Sponsor
- Hospital del Mar