Emergency Laparotomy Surgical Practices Survey
1.
How many years have you been practicing post-qualification?
<5
5-9
10-15
>15
2.
In which country do you currently practice?
Please write the country in the comment box
Other (please specify)
3.
Do you undertake emergency abdominal surgery?
Yes
No
4.
Which of the following elements are in your wound bundle?
Timed and dose adjusted prophylactic antibiotics?
Skin prep with chlorhexidine and alcohol
Use of a wound protector
New closure tray
New gown, gloves and drapes
Other (please specify)
5.
Do you use small bites to close the midline in a laparotomy closure?
No
Yes 5 mm wide and 5 mm deep
Yes 5 mm wide and 10mm deep
Yes 10 mm wide and 10 deep
other
Other (please specify)
6.
How many centimeters of anterior fascial clearance do you make?
<2 cm
2-4 cm
>4 cm
7.
Do you measure the suture to wound ratio with a ruler?
Yes
No
8.
What type of suture do you use to close the fascia?
2/0 PDS
2/0 Prolene
0/0 PDS
1/0 Nylon
Looped PDS
Other
Other (please specify)
9.
DO you use a self locking suture during fascial closure
Yes
NO
10.
Do you use antiseptic coated sutures
No
Yes
11.
Do you use prophylactic wound irrigation?
No
Yes with antiseptic
Yes with antibiotic
Other (please specify)
12.
Do you use mesh reinforcement of the fascial closure?
Yes
No
13.
If you use a mesh for incisional hernia repair, what type of mesh do you use?
Synthetic permanent
Absorbable
Long Acting Resorbable
Biologic
other
Other (please specify)
14.
What is the position of the mesh for incisional hernia prevention?
IPOM
preperitoneal
retromuscular
onlay
Other (please specify)
15.
When undertaking an
open
emergency strangulated large incisional hernia repair (>10cm) which would best describe your mesh technique?
IPOM
Pre-peritoneal
retromuscular
inlay
onlay
sandwich mesh both Sublay and onlay
Other (please specify)
16.
Do you use a subcutaneous drain?
Routinely
Selectively
Never
17.
Do you close the subcutaneous space?
Yes
No
18.
If you close the subcutaneous space how do you this?
Don't close generally
Suture
Glue
other
19.
How do you close the skin?
Staples
Subcuticular stitch
Nylon
other
Other (please specify)
20.
Do you use incisional negative pressure?
Routinely
Selectively
Never