New Wound-Cleaning method may let surgeons close incisions right away after severe appendicitis
NCT ID NCT07688109
First seen Jul 07, 2026 · Last updated Jul 08, 2026 · Updated 1 time
Summary
This trial tests whether closing the surgical wound immediately after cleaning it with a special high-pressure irrigation technique (HIEDI) is as good as or better than waiting a few days to close it. The study involves 200 people aged 12 and older who have open surgery for complicated appendicitis (where the appendix has burst or become gangrenous). Researchers will compare infection rates, healing, hospital stay length, and patient satisfaction over 30 days.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- High-Efficiency Incision and Drainage with Irrigation (HIEDI) technique
- What this could lead to
- If primary closure with HIEDI works as well as delayed closure, patients could avoid a second surgery and have shorter hospital stays.
- What could go wrong
- This is a single-center study in a resource-limited setting, so results may not apply elsewhere. Infection rates could still be higher with immediate closure.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jul 2026
An estimate. Start dates often move.
- Expected to finish
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Nov 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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12 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 12 years and older * Intraoperative diagnosis of complicated appendicitis (perforation or gangrene) * Undergoing open appendectomy via McBurney or Rocky-Davis incision * Ability to provide written informed consent (patient or legal guardian for minors) * Availability for 30-day follow-up Exclusion Criteria: * Generalized peritonitis requiring midline laparotomy * Immunocompromised status (e.g., chronic corticosteroid or immunosuppressive therapy, diagnosed HIV infection) * Poorly controlled diabetes mellitus (Hemoglobin A1c \[HbA1c\] greater than 8%) * Pregnancy * Concurrent malignancy * American Society of Anesthesiologists (ASA) physical status classification IV or V * Laparoscopic appendectomy
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
3 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Al-Gumhori Teaching Hospital
Sanaa, Yemen
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Al-Kuwaint University Hospital
Sanaa, Yemen
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Al-Thawra Modern General Hospital
Sanaa, Yemen
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