Clinical trials: Midline Laparotomy
Surgery, Pain Postoperative
Efficacy of Rectal Sheath Analgesia After Midline Laparotomy
Midline laparotomy is commonly used in emergency and elective cancer surgery and patients need effective and safe pain treatment after this type of surgery.
- Trial name
- Rektus-puu (NCT02869841)
- Testing
- Levobupivacaine continuous infusion, levobupivacaine bolus dosing, single bolus of levobupivacaine
- Where
- Finland
- Volunteers
- 57 people
- Sponsor
- Kuopio University Hospital
Incisional Hernia
ProGripTM Self-Gripping Polyester Mesh in Incisional Hernia Prevention
Interventional, prospective, multicenter, post-marketing clinical follow-up study. After midline laparotomy, the probability to develop an incisional hernia ranges from 10% to 50% depending on the complexity of the surgery and…
- Trial name
- POETRY (NCT03912662)
- Testing
- Mesh augmented reinforcement
- Where
- 11 sites in France
- Volunteers
- 32 people
- Sponsor
- Medtronic - MITG
Postoperative Pain, Abdominal Surgery by Laparotomy
Rectus Sheath Block as an Adjunct to General Anesthesia for Midline Laparotomy Pain
This study evaluates whether adding an ultrasound-guided rectus sheath block (RSB) to general anesthesia can improve pain control after midline laparotomy.
- Trial name
- RSB-MIDLINE (NCT07393763)
- Testing
- Ultrasound-guided rectus sheath block
- Where
- Indonesia
- Volunteers
- 46 people
- Sponsor
- Udayana University
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
Pain, Postoperative
Comparison of Post-operative Pain in Short Versus Long Stitch for Laparotomy Closure
Laparotomy is a surgical procedure where an incision is made through the abdominal wall in order to gain access to the peritoneal cavity. Midline laparotomy incisions were the main type of abdominal access.
- Trial name
- Shortstitch (NCT03828409)
- Testing
- Short stitch, Long stitch
- Volunteers
- 86 people, healthy volunteers welcome
- Sponsor
- University of Malaya
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
Incisional Hernia After Midline Laparotomy
Safety and Efficacy of Prophylactic Re-sorbable Biosynthetic Mesh Following Midline Laparotomy in Clean/Contaminated Field.
The aim of the present study is to analyse the feasibility, safety and IH rate using a prophylactic sublay biosynthetic BIO-A (GORE) mesh in order to prevent incisional hernia following midline laparotomy in clean-contaminated…
- Trial name
- Parthenope (NCT04471311)
- Testing
- Sub-lay mesh supported closure, BIO-A (GORE) mesh
- Where
- Italy
- Volunteers
- 151 people
- Sponsor
- Azienda Sanitaria Locale Napoli 2 Nord
Laparotomy
Influence of Analgesic Technique on Post Operative Rehabilitation After Median Laparotomy
Randomized controlled trial (1:1) in two parallel groups, multicentric, open-label, comparing two locoregional anesthesia (LRA) techniques as integral parts of multimodal analgesia: the control group will benefit from epidural…
- Trial name
- QORRECTCATH (NCT04985695)
- Testing
- Epidural analgesia, Bilateral rectus sheath block, Laparotomy
- Where
- 2 sites in France
- Volunteers
- 110 people
- Sponsor
- Centre Hospitalier Régional Metz-Thionville
Postoperative Pain, Midline Laparotomy
Efficacy of Adding Intrathecal Morphine to Erector Spinae Plane Block for Postoperative Analgesia After Midline Laparotomy
This study evaluates whether combining two distinct pain-relief techniques-a peripheral nerve block called the Erector Spinae Plane Block (ESPB) and a low-dose spinal medication injection called Intrathecal Morphine…
- Trial name
- NCT07720739
- Testing
- Intrathecal Morphine, Erector Spinae Plane Block
- Where
- Egypt
- Volunteers
- 75 people
- Sponsor
- Sohag University
Postoperative Pain, Laparotomy
S-TAP vs RSB in Midline Abdominal Incision Laparotomy
The aim is to compare the postoperative analgesic effects of Subcostal Transversus Abdominis Plane Block (S-TAP) versus Rectus Sheath Block (RSB) in patients undergoing laparotomy with midline abdominal incision.
- Trial name
- NCT07233603
- Testing
- Subcostal Transversus Abdominis Plane Block, Rectus Sheath Block
- Where
- Turkey (Türkiye)
- Volunteers
- 60 people
- Sponsor
- Cumhuriyet University
Laparotomy Closure After Abdominal Surgery, Suture Materials
Comparison of Vicryl Versus Prolene for Midline Rectus Sheath Closure After Elective Laparotomy
This randomized controlled trial compared two commonly used suture materials, Prolene and Vicryl, for closing the midline rectus sheath after elective laparotomy.
- Conditions
- Laparotomy Closure After Abdominal Surgery, Suture Materials, Complications Wounds
- Trial name
- NCT07451990
- Testing
- Vicryl (Polyglactin 910) Suture, Prolene (Polypropylene) Suture
- Where
- Pakistan
- Volunteers
- 152 people
- Sponsor
- Hayatabad Medical Complex
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
Surgery, Incisional Hernia
Suture Techniques to Reduce the Incidence of Incisional Hernia: LTFU STITCH Trial
Rationale: Incisional hernias (IH) are a frequent complication after abdominal surgery. Prevalence of an IH varies depending on the previous abdominal procedure but could be as high as 70% in high-risk patients after open…
- Conditions
- Surgery, Incisional Hernia, Wound Infection, Fascial Dehiscence
- Trial name
- LTFU-STITCH (NCT06066385)
- Testing
- Small bites technique, Conventional large bites closure
- Where
- 9 sites in Netherlands
- Volunteers
- 560 people
- Sponsor
- Erasmus Medical Center
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
Incisional Hernia, Abdominal Aortic Aneurysm
Aneurysma Hernia Study - Incidence of Incisional Hernias After Abdominal Aortic Aneurysm Repair
Principles= Prevention of incision hernias by primary closure of mid line laparotomies with the best-evidenced suture techniques.
- Trial name
- АНЕУРИЗМА (NCT02012270)
- Testing
- PRINCIPLES technique, Conventional group
- Where
- 2 sites in Poland, Serbia
- Volunteers
- 240 people
- Sponsor
- Igor Koncar
Acute Abdomen, Ileus
Rectus Sheath Catheters Following Midline Laparotomy
Rectus sheath catheters (RSC) are used for postoperative analgesia following midline laparotomies. Local anesthetics are applied to the posterior rectus sheath via the RSC.
- Conditions
- Acute Abdomen, Ileus, Colorectal Carcinoma
- Trial name
- NCT07099924
- Testing
- Ropivacaine 0.2%, Saline 0.9%
- Where
- Germany
- Volunteers
- 40 people
- Sponsor
- Asklepios Kliniken Hamburg GmbH
Laparotomy
PDS vs Polyamide for Midline Abdominal Closure
Within the last decade the customary trend of using non absorbable sutures has changed, with numerous studies and meta-analyses advocating the use of slowly absorbable sutures, claiming comparable wound strength with…
- Trial name
- PPMAC (NCT00514566)
- Testing
- Suture for midline abdominal closure
- Where
- India
- Volunteers
- 64 people
- Sponsor
- Christian Medical College and Hospital, Ludhiana, India
Gangrenous Postoperative Ventral Hernia (Diagnosis), Dehiscence of Laparotomy Wound
Prevention of Postoperative Ventral Hernias
The research is aimed at identifying factors of herniation after median laparotomy and developing surgical methods for preventing postoperative ventral hernias and eventrations.
- Trial name
- NCT04562363
- Testing
- Suturing of a laparotomic wound with modified methods
- Where
- 2 sites in Russia
- Volunteers
- 700 people
- Sponsor
- Ryazan State Medical University
Infection, Pneumonia
Perioperative Respiratory Care and Outcomes for Patients Undergoing High Risk Abdominal Surgery
PENGUIN is a pragmatic multi-center trial investigating the effects of pre-operative mouthwash and perioperative oxygen on the incidences of pneumonia and surgical site infection (SSI) following major abdominal surgery.
- Conditions
- Infection, Pneumonia, Surgical Site Infection, Wound Infection
- Trial name
- PENGUIN (NCT04256798)
- Testing
- Chlorhexidine mouthwash, Oxygen
- Where
- 37 sites in Brazil, India and 3 more
- Volunteers
- 12,942 people
- Sponsor
- University of Birmingham
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