Clinical trials: Emergency Surgery
Surgical Site Infection (SSI), Emergency Laparotomies
The Spotlight Study: Early Identification of Post-Surgical Infections Using Bedside Ultrasound.
Introduction: The goal of this observational study is to learn whether point-of-care ultrasound (POCUS) can help detect early fluid build-up under the skin after open abdominal surgery (laparotomy) and whether these findings can…
- Conditions
- Surgical Site Infection (SSI), Emergency Laparotomies, Point of Care Ultrasound (POCUS)
- Trial name
- SPOTLIGHT (NCT07549880)
- Testing
- Point-of-Care Ultrasound (POCUS), Microbiological Wound Swab, ASEPSIS Wound Assessment
- Where
- 3 sites in Denmark
- Volunteers
- 100 people
- Sponsor
- Slagelse Hospital
Quality of Life, Anesthesia
Turkish Version of the QoR-15 for Emergency Laparotomy
Patient perceived quality of recovery is an important outcome after surgery and should be measured in clinical trials. The QoR-15 was designed to measure quality of recovery postoperatively.
- Conditions
- Quality of Life, Anesthesia, Surgery, Postoperative Complications
- Trial name
- QoR-15T-EL (NCT05794269)
- Testing
- TQoR-15 questionnaire
- Where
- Turkey (Türkiye)
- Volunteers
- 100 people
- Sponsor
- Saglik Bilimleri Universitesi Gulhane Tip Fakultesi
Quality of Life (QOL), Decision Making
Peri-Operative Surgical Care Optimisation for Patients Requiring Emergency Surgery
Emergency General Surgery (EGS) is an umbrella term which describes all patients presenting to hospital with an acute abdominal problem. Patients can have various conditions requiring emergency operations.
- Conditions
- Quality of Life (QOL), Decision Making, Emergency General Surgery
- Trial name
- PERI-SCOPES (NCT06972017)
- Volunteers
- 112 people
- Sponsor
- NHS Greater Glasgow and Clyde
Peptic Ulcer Perforation, Perforated Bowel
ERAS vs Conventional Approach in Peptic Perforation-RCT
This study compares 2 different ways of perioperative management in patients of peptic perforation. Experimental arm is the ERAS arm( Enhanced recovery after surgery) and the comparative arm is Conventional arm.
- Conditions
- Peptic Ulcer Perforation, Perforated Bowel, Post-Op Complication, Emergencies
- Trial name
- ERASE (NCT04194060)
- Testing
- Enhanced Recovery after Surgery group, Conventional
- Where
- India
- Volunteers
- 60 people, healthy volunteers welcome
- Sponsor
- All India Institute of Medical Sciences, Bhubaneswar
Spontaneous Subarachnoid Hemorrhage
Nursing Risk Management in Emergency SAH Surgery Using Healthcare Failure Mode and Effect Analysis(HFMEA)
The investigators are testing whether a new nurse-led safety program (HFMEA) lowers problems during emergency brain-aneurysm surgery better than usual care.
- Trial name
- NCT07315048
- Testing
- HFMEA-based nursing-risk programme
- Where
- China
- Volunteers
- 156 people
- Sponsor
- West China Hospital
Surgical Wound, Surgical Wound Infection
Caesarean Wound Dressing Removal Study
An open labelled randomised trial on the timing of wound dressing removal for emergency caesarean delivery in labour.
- Conditions
- Surgical Wound, Surgical Wound Infection, Cesarean Section Complications
- Trial name
- Cesarean (NCT05458518)
- Testing
- Cesarean wound dressing removal
- Where
- Malaysia
- Volunteers
- 294 people, healthy volunteers welcome
- Sponsor
- Hospital Kemaman
Emergencies
Nomogram for Predicting Difficult Laparoscopic Appendectomy
No prior studies have stratified the difficulty of laparoscopic appendectomy (LA). The investigators aimed to investigate preoperative factors as indicators of difficult LAs based on the experience of surgical trainees and to…
- Trial name
- NCT06818942
- Testing
- Observations on preoperative and intraoperative factors influencing the difficulty of surgery
- Where
- China
- Volunteers
- 500 people
- Sponsor
- Shanghai 6th People's Hospital
Fournier Gangrene
Management of Fournier Gangrene at Ibn Rochd University Hospital Center
Case series with retrospective data collection of patients treated for Fournier's gangrene between January 2010 and March 2017. The main etiologies, risk factors, postoperative complications outcomes and long term follow up…
- Trial name
- NCT04983056
- Testing
- Necrotesectomy associated with cleanleness stoma
- Volunteers
- 84 people
- Sponsor
- Sylvestre KABURA
Waiting Time in Emergency Department
the Patients Journey Through Surgical Admission Ward Versus Emergency Department
Emergency departments are established in 20 hospitals in Denmark in order to improve the quality for the acute patients. A group of acute patients which require timely assessment and plan from a specialist is patients with…
- Trial name
- NCT01733511
- Volunteers
- 109 people
- Sponsor
- University of Southern Denmark
Postoperative Cognitive Dysfunction, Depressive Symptoms
Perioperative Cognitive Trajectories in Deferred Surgery (CoTELE-SURGE)
Cognition is the way people use their brains to think, understand, remember and make decisions. Cognitive changes are often seen even up to 1 year after surgery.
- Conditions
- Postoperative Cognitive Dysfunction, Depressive Symptoms, Postoperative Pain
- Trial name
- CoTELE-SURGE (NCT04787536)
- Testing
- Non-cardiac surgery
- Where
- Canada
- Volunteers
- 300 people
- Sponsor
- McMaster University
Incisional Hernia
Hernia-Prophylaxis in Acute Care Surgery H-PACS
Incisional hernia is a common complication in visceral surgery and varies between 11 and 26% in the general surgical population.
- Trial name
- H-PACS (NCT03090022)
- Testing
- Strattice, Single running suture of abdominal fascia
- Where
- Switzerland
- Volunteers
- 61 people
- Sponsor
- Insel Gruppe AG, University Hospital Bern
Emergencies
the Role of Laparoscopy in Lower Gastrointestinal Surgical Emergencies in Adults.
Introduction: causes of lower abdominal pain caused by various GIT emergencies, including acute appendicitis, intestinal obstruction, acute perforated diverticulitis, obstructed hernia, and iatrogenic colon perforation.
- Trial name
- NCT05584579
- Testing
- laparoscopic surgery
- Where
- Egypt
- Volunteers
- 793 people
- Sponsor
- Zagazig University
Surgical Complication, Emergencies
Implementation of an Epidemiological and Clinical Registry of Emergency Surgery Patients in a Costa Rican Hospital
A retrospective cross-sectional study was conducted in a quaternary level university hospital of the Costa Rican public health system.
- Trial name
- NCT05930574
- Testing
- Abdominal surgery
- Where
- Costa Rica
- Volunteers
- 575 people
- Sponsor
- Caja Costarricense de Seguro Social
Post-induction Hypotension
Management of Post-Induction Hypotension in Emergency Abdominal Surgery
The goal of this clinical trial is to compare the efficacy of two vasopressors (norepinephrine vs. ephedrine) in treating hypotension in adult patients (aged 18+, ASA I-III) undergoing general anesthesia for abdominal surgical…
- Trial name
- NCT07259655
- Testing
- Ephedrine (6 mg boluses), Norepinephrine (10 µg boluses)
- Where
- Tunisia
- Volunteers
- 100 people
- Sponsor
- Hopital Charles Nicolle
Perforated Viscus, Intestinal Obstruction
Acute High-risk Abdominal Surgery Study - an Optimized Perioperative Course
The objective of this study is to implement an optimized perioperative course for patients undergoing acute high-risk abdominal surgery in order to improve the outcome.
- Trial name
- AHA (NCT01899885)
- Testing
- AHA (Acute Highrisk Abdominalsurgery): Optimized Course
- Where
- Denmark
- Volunteers
- 1,200 people
- Sponsor
- Hvidovre University Hospital
Quality of Recovery, Perioperative Complication
Validation of the QoR-15 Score for Emergency Surgery
Recovery from surgery is a complex process, depending on the characteristics of the patient, the anesthesia used, and the time required for surgical management.
- Conditions
- Quality of Recovery, Perioperative Complication, Anesthesia, Patient Reported Outcome Measures
- Trial name
- FQoR-15U (NCT04845763)
- Testing
- FQoR-15 questionnaire
- Volunteers
- 375 people
- Sponsor
- University Hospital, Angers
Surgical Wound
Comparison of Interrupted Suturing Versus Continuous Suturing in Laparotomy Wound Closed.
Emergency laparotomy is associated with high morbidity, particularly due to wound dehiscence and infection. Choosing an optimal suturing technique can significantly impact patient outcomes, but data on the comparison of…
- Trial name
- NCT07601919
- Testing
- Interrupted Closure, Continuous Closure
- Where
- Pakistan
- Volunteers
- 184 people
- Sponsor
- Muhammad Aamir Latif
Colorectal Cancer, Oncologic Complications and Emergencies
Emergency Curative Resection of Colorectal Cancer
The feasibility and efficacy of emergency curative resection of complicated colorectal cancer is still controversial. This prospective study aim is to assess surgical and oncologic outcomes after emergency compared to elective…
- Trial name
- NCT04288284
- Testing
- Curative resection of colorectal cancer
- Volunteers
- 215 people
- Sponsor
- University of Alexandria
Surgical Emergencies
Impact of Implementing a National Classification of Surgical Emergencies on Postoperative Morbidity and Mortality: a Prospective Multicenter Observational Study After Implementation.
The ACUTE committee of the French Society of Anesthesia and Intensive Care (SFAR), in consultation with surgical societies, has developed a national classification of surgical emergencies to define the ideal time to surgery for…
- Trial name
- CLASSES (NCT07317635)
- Testing
- Implementation of classification of surgical emergencies
- Where
- France
- Volunteers
- 2,500 people
- Sponsor
- Société Française d'Anesthésie et de Réanimation
Acute Appendicitis, Acute Appendicitis With Rupture
Prioritisation of Acute Appendicitis Using Appendistat Score
Introduction Although non-operative management of acute appendicitis may be appropriate in selected cases, surgery remains the gold standard treatment.
- Trial name
- APEX (NCT07197489)
- Where
- 2 sites in United Kingdom
- Volunteers
- 592 people
- Sponsor
- University College, London