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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Issue Date
2017-04-28
Authors
Holick, Megan
Simmons, Lauren
Young, Calder
Advisor
Nyberg, Sue M.
Berg, Gina M.
Gates, Clint
Citation
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
Abstract
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.
Table of Content
Description
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
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