BITES trial: a randomized controlled pilot trial to determine the effectiveness of bite technique to decrease the development of postoperative complications
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Holick, Megan, Simmons, Lauren and Young, Calder. 2017. BITES trial: a randomized controlled pilot trial to determine the effectiveness of bite technique to decrease the development of postoperative complications--In Proceedings: 13th Annual Symposium on Graduate Research and Scholarly Projects. Wichita, KS: Wichita State University, p.81
The incidence of incisional hernia following median laparotomies ranges from 11-20%. Risk factors include surgical technique. A Netherlands study found decreased wound complications with smaller stitch width and inter-suture spacing. Our study was a preliminary analysis of a pilot study to evaluate the 6-week rate of wound complications and feasibility of a larger trial. Inclusion criteria: adults aged 18-75 scheduled for a midline abdominal operation. Patients were randomized between closure techniques: large (1.0cm) versus small (0.5cm) tissue bite. Data collected included: demographics, surgery details, complications, and outcomes. Nine patients were included (4 small bite, 5 large bite). Postoperative complications included one blood transfusion, one superficial skin dehiscence, and one ileus from the large bite group; and two ileuses from the small bite group. Comparison analysis was unable to be performed due to sample size. Issues with enrollment, data collection, and participant loss were identified. A study coordinator is recommended.
Presented to the 13th Annual Symposium on Graduate Research and Scholarly Projects (GRASP) held at the Rhatigan Student Center, Wichita State University, April 28, 2017.
Research completed in the Department of Physician Assistant, College of Health Professiions, Wichita State University, Trauma Services, Wesley Medical Center, Department of Family and Community Medicine, University of Kansas School of Medicine and the Department of Surgery, University of Kansas School of Medicine-Wichita