- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06063629
Roles of Prophylactic Subcutaneous Drain in Preventing Surgical Site Infection in Surgical Wound After Abdominal Surgery
Roles of Prophylactic Subcutaneous Drain in Preventing Surgical Site Infection in Abdominal Surgery Wound Class III and IV
Surgical site infections (SSI) pose a common challenge in the field of surgery. Current evidence and literature do not provide clear consensus whether the use of subcutaneous drainage will help reduce the incidence of SSI in patients who underwent abdominal surgery, especially in wounds that are categorized as contaminated (class 3) or dirty/infected (class 4).
The objective of this clinical study is to compare the rate of surgical site infection in contaminated and dirty/infected surgical wounds among patients whose wounds are inserted with subcutaneous drainage and patients who are not inserted with subcutaneous drainage.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This study is a randomized, controlled and open study, where participants who undergo abdominal surgery will be randomly allocated into two groups: (i) patients whose wounds are inserted with subcutaneous negative pressure drain and (ii) patients whose wounds are not inserted with subcutaneous negative pressure drain.
The participants in this study will know the details about the presence of their drain placement after the operation. If the patient was assigned to the drain group, the drain will be placed for five days or until there are no content observed in the drain. The primary outcome of this study is the occurrence of SSI, which will be tracked up to 30 days post-operation. The patient in both groups will also be evaluated by the surgeons at day 3, 5, 7, 14 and 30 post-operation for signs and complications of SSI. In situation where the patients are discharged prior to the date of evaluation, the patients will be scheduled for evaluation during the follow-up visits.
If SSI is detected in the drain group prior to removal, the drain will be removed and the patient will be treated with wet dressing combined with antibiotics. Complications of SSI will also be noted. Patient's data on demographic, medical history, clinical presentation, details of operation, and other laboratory findings will also be collected to investigate for risk factors for development of SSI between each group.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age equal or over 18 years old
- Admitted to Queen Savang Vadhana Memorial Hospital
- Receive abdominal surgery and were classified as class 3 or 4 wound
Exclusion Criteria:
- Patients who undergo operation for ostomy
- Patients who do not receive appropriate antibiotics
- Patients who undergo operation before full recover of prior operation
- Patients who undergo laparoscopic operation
- Pregnant women
- Patients who had history of prior radiation therapy at abdomen
- Patient with immunocompromised status
- Patient with chronic skin disease
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Subcutaneous drain
The drain will be inserted into subcutaneous layer of the surgical wound.
Redivac drain will be used in this study.
|
The drain will be inserted into subcutaneous layer of the surgical wound.
Redivac drain will be used in this study.
|
Other: No drain
No drain will be inserted into the surgical wound in this arm.
|
No drain will be inserted into patients allocated to this group
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Rate of Surgical Site Infection (SSI)
Time Frame: Post operation day 3
|
The rate of SSI will be compared between the drain and no drain group
|
Post operation day 3
|
Rate of Surgical Site Infection (SSI)
Time Frame: Post operation day 5
|
The rate of SSI will be compared between the drain and no drain group
|
Post operation day 5
|
Rate of Surgical Site Infection (SSI)
Time Frame: Post operation day 7
|
The rate of SSI will be compared between the drain and no drain group
|
Post operation day 7
|
Rate of Surgical Site Infection (SSI)
Time Frame: Post operation day 14
|
The rate of SSI will be compared between the drain and no drain group
|
Post operation day 14
|
Rate of Surgical Site Infection (SSI)
Time Frame: Post operation day 30
|
The rate of SSI will be compared between the drain and no drain group
|
Post operation day 30
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Length of hospital stay
Time Frame: Post operation day 3
|
The length of hospital stay will be compared between drain and no drain group
|
Post operation day 3
|
Length of hospital stay
Time Frame: Post operation day 5
|
The length of hospital stay will be compared between drain and no drain group
|
Post operation day 5
|
Length of hospital stay
Time Frame: Post operation day 7
|
The length of hospital stay will be compared between drain and no drain group
|
Post operation day 7
|
Length of hospital stay
Time Frame: Post operation day 14
|
The length of hospital stay will be compared between drain and no drain group
|
Post operation day 14
|
Length of hospital stay
Time Frame: Post operation day 30
|
The length of hospital stay will be compared between drain and no drain group
|
Post operation day 30
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 030/2565
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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