UnknownNot Applicable

Impact of Abdominal Drains on the ERAS Pathway in Peptic Perforation

India92 participantsStarted 2022-06-15

Plain-language summary

This study plans to assess the effect of placement of abdominal drains on the outcomes of ERAS (Enhanced recovery after surgery) protocol in the perioperative management of peptic perforation. In the study arm ERAS protocol will be implemented avoiding use of abdominal drain. In the control arm abdominal drains will be placed in the early post operative period while using the ERAS protocol. The effect of drains on duration of post operative stay and other return to physiological parameter like onset of ambulation, oral intake, passing flatus and feces etc. will be studied. The investigators hypothesize that the non-placement of abdominal drain postoperatively will not have worse outcomes than in cases where it is used postoperatively, in terms of length of hospital stay. .

Who can participate

Age range18 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Patient of peptic ulcer perforation peritonitis ( when confirmed intraoperatively) * Perforation of size less than or equal to 1 cm. * Patient age more than 18 years age * American society of anesthesiologists score of I or II Exclusion Criteria: * Refractory septic shock at presentation * Known Chronic kidney disease (CKD)/Chronic liver disease (CLD) patients * Deranged LFT, RFT or active respiratory illness pneumonia or COPD ( Spo2 below 94 on room air) * Pregnant patients * History of chronic steroid abuse * INTRAOPERATIVELY detected coexistent bleeding peptic ulcer, perforation requiring operation other than omental patch repair, spontaneously sealed peptic perforation, malignant perforation * Patient requiring positive pressure ventilatory support post-operatively for more than 6 hours. * Patient refusing consent. * Co-existent neurological or psychiatric illness or unable to understand the study

What they're measuring

Length of hospital stay (in days)

Timeframe: Post operative period up-to one month.

Trial details

NCT IDNCT05368233

SponsorAll India Institute of Medical Sciences, Bhubaneswar

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2023-12

Contact for this trial

TUSHAR S MISHRA, MBBS,MS,FACS

+91 9438884251 surg_tushar@aiimsbhubaneswar.edu.in