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Small Bites Vs Large Bites Abdominal Midline Incisional Closure
Sponsor: Dow University of Health Sciences
Summary
The goal of this trial is to compare the effectiveness of small bite versus large bite abdominal incision closure in emergency settings. It will also evaluate the safety and outcomes of each technique. The main questions it aims to answer are: Does small bite closure reduce the incidence of superficial surgical site infections (SSI), wound dehiscence, and incisional hernia compared to large bite closure? What are the associated complications of each closure technique? Participants will: Undergo either a small bite or large bite abdominal incision closure during emergency laparotomy Visit the clinic for follow-up assessments at 7 days, 15 days, 1 month, 3 months, and 6 months post-operatively Have their wound healing and complications documented and analyzed during respective visits.
Official title: Abdominal Midline Incisional Closure With Small Bites Vs Large Bites in Emergency Settings
Key Details
Gender
All
Age Range
18 Years - 60 Years
Study Type
INTERVENTIONAL
Enrollment
200
Start Date
2023-11-23
Completion Date
2025-12-24
Last Updated
2025-09-04
Healthy Volunteers
No
Conditions
Interventions
Small bite closure
Small bite suturing is small tissue bite of 0.5cm depth x 0.5cm travel x 0.5cm apart, on the aponeurosis away from midline using Prolene 2/0
Large bite closure
Large bite closure is defined as tissue bite of 1cm depth x 1 cm travel x 1cm apart, on the aponeurosis away from midline using Prolene 0
Locations (1)
Dr. Ruth K. M. Pfau Civil Hospital Karachi
Karachi, Sindh, Pakistan