PROPEL-2: Prophylactic Negative Pressure Wound Therapy in Laparotomy Wounds

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorRoyal College of Surgeons, Ireland

About this trial

Post-operative wound issues in abdominal surgery have a significant impact on patient outcomes. This study is taking place to investigate if Negative Pressure Wound Therapy (NPWT) dressings reduces Surgical Site Infections, post surgical complications and improves scar appearance compared to standard dressings.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Aged 18 years or older

Patient requires visceral abdominal surgery via a midline laparotomy

Patients who can complete questionnaires

Disqualifiers

None

Trial design

Design model

Parallel

Treatments tested in this trial

  • Negative Pressure Wound Therapy

    Device

    Application of a negative wound pressure therapy dressing to the wound post laparotomy

  • Standard wound dressing

    Other intervention

    Application of a standard wound dressing to the wound post laparotomy

Treatment groups

2,000 Participants
are divided into 2 treatment groups
Group A: Negative Pressure Wound TherapyExperimental treatment 1 intervention
Group B: Standard Wound dressingActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Rate of Surgical Site Infection (SSI)

To compare the rate of surgical site infections within 1 month of the surgical procedure, using Negative Pressure Wound Therapy compared to standard dressings. SSIs will be classified according to Centre for Disease Control (CDC) criteria.

Time frame
1 month following surgery
2

Rate of Surgical Site Infection (SSI)

To compare the rate of surgical site infections within 3 months of the surgical procedure, using Negative Pressure Wound Therapy compared to standard dressings. SSIs will be classified according to Centre for Disease Control (CDC) criteria.

Time frame
3 months following surgery
3

Rate of Surgical Site Infection (SSI)

To compare the rate of surgical site infections within 6 months of the surgical procedure, using Negative Pressure Wound Therapy compared to standard dressings. SSIs will be classified according to Centre for Disease Control (CDC) criteria.

Time frame
6 months following surgery

Secondary outcomes

1

Health-related quality of life with the EuroQol-5 dimensions five level index questionnaire (EQ-5D-5L)

The questionnaire covers five dimensions of health: mobility, self-care, usual activities, pain or discomfort, and anxiety or depression. Each dimension has 5 levels: no problems (1), slight problems (2), moderate problems (3), severe problems (4) and extreme problems (5). The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. The raw scores are also converted to an EQ-5D index value using a scoring algorithm (British tariff) ranging from -0.594 (worst perceived health state) to 1.00 (best perceived health state)

Time frame
Baseline
2

Health-related quality of life with the EuroQol-5 dimensions five level index questionnaire (EQ-5D-5L)

The questionnaire covers five dimensions of health: mobility, self-care, usual activities, pain or discomfort, and anxiety or depression. Each dimension has 5 levels: no problems (1), slight problems (2), moderate problems (3), severe problems (4) and extreme problems (5). The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. The raw scores are also converted to an EQ-5D index value using a scoring algorithm (British tariff) ranging from -0.594 (worst perceived health state) to 1.00 (best perceived health state)

Time frame
1 month following surgery
3

Health-related quality of life with the EuroQol-5 dimensions five level index questionnaire (EQ-5D-5L)

The questionnaire covers five dimensions of health: mobility, self-care, usual activities, pain or discomfort, and anxiety or depression. Each dimension has 5 levels: no problems (1), slight problems (2), moderate problems (3), severe problems (4) and extreme problems (5). The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. The raw scores are also converted to an EQ-5D index value using a scoring algorithm (British tariff) ranging from -0.594 (worst perceived health state) to 1.00 (best perceived health state)

Time frame
3 months following surgery
4

Health-related quality of life with the EuroQol-5 dimensions five level index questionnaire (EQ-5D-5L)

The questionnaire covers five dimensions of health: mobility, self-care, usual activities, pain or discomfort, and anxiety or depression. Each dimension has 5 levels: no problems (1), slight problems (2), moderate problems (3), severe problems (4) and extreme problems (5). The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. The raw scores are also converted to an EQ-5D index value using a scoring algorithm (British tariff) ranging from -0.594 (worst perceived health state) to 1.00 (best perceived health state)

Time frame
6 months following surgery

Other outcomes

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