PICO Above Incisions After Vascular Surgery

ConditionsWoundInfection
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorStefan Acosta

About this trial

The wound infection rate in the groin after vascular surgery has been denoted to be high since the wound surveillance register started in 2005. The current wound infection rate based on a validation study was 22.9% (24/105 patients with groin incision(s) between 1 March to 30 June in 2012). This randomized controlled trial aims to evaluate if negative pressure wound therapy on closed inguinal incisions (INPWT) after vascular surgical procedures can reduce the risk for surgical site infections and other wound complications.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients 18 years of age and above

Elective vascular surgery

Inguinal incision (transverse or longitudinal)

Capable of understanding the study information and giving written informed consent

Disqualifiers

Emergency surgery

Ongoing infection in inguinal area

Trial design

Design model

Parallel

Treatments tested in this trial

  • Negative pressure wound therapy with PICO (Smith & Nephew)

    Device

    Negative wound pressure therapy

Treatment groups

644 Participants
are divided into 4 treatment groups
Group A: Standard wound dressing OPENNo intervention 0 interventions
Group B: PICO dressing OPENExperimental treatment 1 intervention
Group C: Standard dressing EVARNo intervention 0 interventions
Group D: PICO dressing EVARExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Wound infection rate

ASEPSIS (Additional treatment, the presence of Serous discharge, Erythema, Purulent exudate, and Separation of the Deep tissues, the isolation of bacteria, and the duration of inpatient stay) score. Min 0 p, max \> 40 p, higher values worse outcome

Time frame
Wounds will be checked at 3 month follow-up

Secondary outcomes

1

Overall Costs of treatment

Systematic assessment of overall costs

Time frame
Costs will be checked at 3 months of follow-up

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Stefan Acosta

Lead sponsor

Skane University Hospital

Sponsor institution