Comparing two ways to close the belly incision after emergency bowel surgery
Tests two belly wall closure methods in adults having emergency colorectal surgery.
Plain-language title generated from the registry record
Registry title: Comparing Polypropylene Mesh and "Small Bites" Technique in Emergency Colorectal Surgery's Midline Laparotomy Closure. Study for Incisional Hernia Prevention.
Key facts
- Where
- Girona, SpainSee the site
AI summary: who the study is looking for
From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.
The trial is looking for adults who need urgent colon or rectum surgery through a midline cut in the belly. It compares two ways of closing the cut to prevent hernia.
- Age
- Over 18 years
- Sex
- All sexes can join
- Disease stage
- Colon or rectum problem needing urgent surgery through a midline belly cut (midline laparotomy), including laparoscopic surgery changed to a midline laparotomy
Main reasons for not taking part
- Severe or decompensated chronic obstructive pulmonary disease (COPD)
- BMI of 35 kg/m2 or more
- Repeat laparotomy (re-laparotomy)
- Psychiatric illness, addiction or another condition that makes it hard to understand the informed consent
- Cannot read or understand the consent in Catalan or Spanish
Read by machine on 12 November 2026.
Where in Spain
- Colorectal Surgery Section, Department of General and Digestive Surgery, University Hospital of Girona,Girona, SpainContact: Frank Fernández, Dr.Taking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Contact the study team: see the registry record → Contacts and Locations
Print a page for my doctorTrial details
- Who runs it
- Fernandez Zamora
- Trial code
- NCT06220058
- Record updated
- 8 October 2024
- Original description
The 2023 World Journal of Emergency Surgery guidelines couldn't provide a recommendation for emergency abdominal wall closure due to insufficient consensus (>80% required). Available evidence, predominantly retrospective and heterogeneous, lacks differentiation between urgent and elective colorectal surgeries. Therefore, we advocate for a study comparing laparotomy closures in emergency colorectal surgery to contribute evidence on incisional hernia incidence and subsequent complications.Read full original descriptionShow less
Comparison Between the Use of a Prophylactic Polypropylene Mesh and the "Small Bites" Technique in Midline Laparotomy Closure for Emergency Colorectal Surgery for Incisional Hernia Prevention
The 2023 World Journal of Emergency Surgery guidelines couldn't provide a recommendation for emergency abdominal wall closure due to insufficient consensus (>80% required). Available evidence, predominantly retrospective and heterogeneous, lacks differentiation between urgent and elective colorectal surgeries. Therefore, we advocate for a study comparing laparotomy closures in emergency colorectal surgery to contribute evidence on incisional hernia incidence and subsequent complications.
Inclusion: Patients diagnosed with colorectal pathology requiring urgent surgical treatment via midline laparotomy; Patients undergoing urgent laparoscopic surgery but necessitating conversion to midline laparotomy; Urgent surgical intervention required at the level of the colon and/or rectum, even in the presence of other abdominal pathologies; Age over 18 years; Signed informed consent (IC) from the patient and the investigator.
Exclusion: Severe chronic obstructive pulmonary disease (COPD) according to the GOLD classification or decompensated COPD; Patients with psychiatric illnesses, addictions, or any disorder hindering the understanding of the Informed Consent; BMI ≥ 35 kg/m2; Re-laparotomies; Inability to read or comprehend any of the languages in the Informed Consent (Catalan, Spanish).