RecruitingNot ApplicableNCT06957964

Prophylactic Negative Pressure Wound Therapy in Laparotomy Wounds: A Randomized Clinical Trial


Sponsor

Dr Hamail Khanum

Enrollment

70 participants

Start Date

Mar 25, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

Total 70 participants meeting selection criteria will be enrolled in the study from operational theatre. They will be randomly divided in two groups by using lottery method. In group A, Negative Pressure Wound Therapy will be applied at end of procedure. In group B, no Negative Pressure Wound Therapy will be placed. They will be shifted to post-surgical wad for 72 hours and then will be discharged with prescription of standard antibiotics and will be followed-up in OPD for 30 days. If patient will develop surgical site wound infection, then it will be noted. If infection will not be cured with antibiotics course, then re-operation will be done. Patients complications will be managed as per hospital protocol. All this information will be recorded in proforma.


Eligibility

Min Age: 20 YearsMax Age: 70 Years

Inclusion Criteria3

  • Patients of age between 20 to 70 years, both genders
  • Undergoing laparotomy under general anaesthesia
  • ASA I-II

Exclusion Criteria3

  • Patients who did not complete the follow up instructions
  • Pregnant patients
  • Patients already undergone a relook laparotomy, if their abdomen is left open or if unable to adhere

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Interventions

OTHERNegative Pressure Wound Therapy

Negative Pressure Wound Therapy is an intervention in which a suction is applied at applied thus creating a negative pressure which not only removes any exudate but also aids in formation of granulation tissue. NPWT is provided along with empirical prophylactic antibiotics

DRUGStandard Antibiotic Treatment

According to hospital antibiogram, empirical antibiotics are given prophylactically


Locations(1)

Gulab Devi Hospital Lahore

Lahore, Punjab Province, Pakistan

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NCT06957964


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