Multi-center Study to Evaluate the Safety and Efficacy of Aesculap MonoMax® for Abdominal Wall Closure

NCT ID: NCT00572507

Last Updated: 2015-05-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-12-31

Study Completion Date

2009-07-31

Brief Summary

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MonoMax will be used for a continuous all-layer (except skin) suture to close abdominal wall after midline incision. The primary objective of this trial is to demonstrate that the frequency of wound infection and the frequency of reoperation due to burst-abdomen after primary median laparotomy for elective surgical intervention are equal or lower than in the INSECT trial. The secondary objectives are to demonstrate that the length of postoperative hospital stay and the frequency of abdominal hernias 12 months after the surgery are equal or lower than in the INSECT trial. \[Knaebel HP et al., 2005\]

Detailed Description

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Conditions

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Primary Median Laparotomy

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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MonoMax

MonoMax is used for abdominal wall closure

Group Type EXPERIMENTAL

MonoMax®

Intervention Type DEVICE

Abdominal wall closure with ultra-longterm absorbable monofilament suture after primary median laparotomy

Interventions

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MonoMax®

Abdominal wall closure with ultra-longterm absorbable monofilament suture after primary median laparotomy

Intervention Type DEVICE

Other Intervention Names

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ultra-longterm-absorbable monofilament suture Aesculap MonoMax®

Eligibility Criteria

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Inclusion Criteria

* Age equal or greater than 18 years
* Expected survival time \> 12 months
* Patient undergoing elective and primary median laparotomy
* BMI \< 35
* Expected length of skin incision \> 15 cm

Exclusion Criteria

* Peritonitis
* Emergency surgery
* Coagulopathy
* Current immunosuppressive therapy (\> 40 mg of a Corticoid per day or Azathioprin)
* Chemotherapy within 2 weeks before operation
* Radiotherapy of the abdomen completed less than 8 weeks before operation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Aesculap AG

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Markus W Buechler, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

Universitaetsklinikum Heidelberg; Chirugische Klinik

Karl-Walter Jauch, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

Klinikum der Universitaet Muenchen, Grosshadern; Chirurgische Klinik und Poliklinik

Annette Franck, Dr.

Role: PRINCIPAL_INVESTIGATOR

Universitaets-Klinikum Giessen-Marburg; Klinik fuer Viszeral-, Thorax- und Gefaesschirurgie

Christoph Seidlmayer, Dr.

Role: PRINCIPAL_INVESTIGATOR

St. Bonifatius Hospital, Lingen

Locations

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Universitaetsklinikum Heidelberg

Heidelberg, , Germany

Site Status

St. Bonifatius-Hospital; Chirurgische Klinik

Lingen, , Germany

Site Status

Universitaetsklinikum Giessen-Marburg, Klinik fuer Viszeral-, Thorax- und Gefaesschirurgie

Marburg, , Germany

Site Status

Universitaetsklinikum Muenchen Grosshadern

München, , Germany

Site Status

Countries

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Germany

References

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Amgwerd M, Decurtins M, Largiader F. [Hernia of the surgical scar--predisposition or inadequate suture technique?]. Helv Chir Acta. 1992 Aug;59(2):345-8. No abstract available. German.

Reference Type BACKGROUND
PMID: 1428925 (View on PubMed)

Eisner L, Harder F. [Incisional hernias]. Chirurg. 1997 Apr;68(4):304-9. doi: 10.1007/s001040050193. German.

Reference Type BACKGROUND
PMID: 9206624 (View on PubMed)

Zimmermann G, Muller G, Haid A. [Surgical therapy of incisional hernias]. Chirurg. 1991 Sep;62(9):656-62. No abstract available. German.

Reference Type BACKGROUND
PMID: 1748022 (View on PubMed)

Luijendijk RW, Lemmen MH, Hop WC, Wereldsma JC. Incisional hernia recurrence following "vest-over-pants" or vertical Mayo repair of primary hernias of the midline. World J Surg. 1997 Jan;21(1):62-5; discussion 66. doi: 10.1007/s002689900194.

Reference Type BACKGROUND
PMID: 8943179 (View on PubMed)

Manninen MJ, Lavonius M, Perhoniemi VJ. Results of incisional hernia repair. A retrospective study of 172 unselected hernioplasties. Eur J Surg. 1991 Jan;157(1):29-31.

Reference Type BACKGROUND
PMID: 1675878 (View on PubMed)

Paul A, Lefering R, Kohler L, Eypasch E. [Current practice of incisional hernia reconstruction in Germany]. Zentralbl Chir. 1997;122(10):859-61. German.

Reference Type BACKGROUND
PMID: 9446447 (View on PubMed)

Paul A, Korenkov M, Peters S, Fischer S, Holthausen U, Kohler L, Eypasch E. [Mayo duplication in treatment of incisional hernia of the abdominal wall after conventional laparotomy. Results of a retrospective analysis and comparison with the literature]. Zentralbl Chir. 1997;122(10):862-70. German.

Reference Type BACKGROUND
PMID: 9446448 (View on PubMed)

Cassar K, Munro A. Surgical treatment of incisional hernia. Br J Surg. 2002 May;89(5):534-45. doi: 10.1046/j.1365-2168.2002.02083.x.

Reference Type BACKGROUND
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Klinge U, Conze J, Limberg W, Brucker C, Ottinger AP, Schumpelick V. [Pathophysiology of the abdominal wall]. Chirurg. 1996 Mar;67(3):229-33. German.

Reference Type BACKGROUND
PMID: 8681695 (View on PubMed)

Irvin TT, Stoddard CJ, Greaney MG, Duthie HL. Abdominal wound healing: a prospective clinical study. Br Med J. 1977 Aug 6;2(6083):351-2. doi: 10.1136/bmj.2.6083.351.

Reference Type BACKGROUND
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Osther PJ, Gjode P, Mortensen BB, Mortensen PB, Bartholin J, Gottrup F. Randomized comparison of polyglycolic acid and polyglyconate sutures for abdominal fascial closure after laparotomy in patients with suspected impaired wound healing. Br J Surg. 1995 Aug;82(8):1080-2. doi: 10.1002/bjs.1800820824.

Reference Type BACKGROUND
PMID: 7648158 (View on PubMed)

Gys T, Hubens A. A prospective comparative clinical study between monofilament absorbable and non-absorbable sutures for abdominal wall closure. Acta Chir Belg. 1989 Sep-Oct;89(5):265-70.

Reference Type BACKGROUND
PMID: 2530745 (View on PubMed)

Bucknall TE, Ellis H. Abdominal wound closure--a comparison of monofilament nylon and polyglycolic acid. Surgery. 1981 Jun;89(6):672-7.

Reference Type BACKGROUND
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Israelsson LA, Jonsson T, Knutsson A. Suture technique and wound healing in midline laparotomy incisions. Eur J Surg. 1996 Aug;162(8):605-9.

Reference Type BACKGROUND
PMID: 8891617 (View on PubMed)

Leaper DJ, Allan A, May RE, Corfield AP, Kennedy RH. Abdominal wound closure: a controlled trial of polyamide (nylon) and polydioxanone suture (PDS). Ann R Coll Surg Engl. 1985 Sep;67(5):273-5.

Reference Type BACKGROUND
PMID: 3931536 (View on PubMed)

Wissing J, van Vroonhoven TJ, Schattenkerk ME, Veen HF, Ponsen RJ, Jeekel J. Fascia closure after midline laparotomy: results of a randomized trial. Br J Surg. 1987 Aug;74(8):738-41. doi: 10.1002/bjs.1800740831.

Reference Type BACKGROUND
PMID: 3307992 (View on PubMed)

Cameron AE, Parker CJ, Field ES, Gray RC, Wyatt AP. A randomised comparison of polydioxanone (PDS) and polypropylene (Prolene) for abdominal wound closure. Ann R Coll Surg Engl. 1987 May;69(3):113-5.

Reference Type BACKGROUND
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van 't Riet M, Steyerberg EW, Nellensteyn J, Bonjer HJ, Jeekel J. Meta-analysis of techniques for closure of midline abdominal incisions. Br J Surg. 2002 Nov;89(11):1350-6. doi: 10.1046/j.1365-2168.2002.02258.x.

Reference Type BACKGROUND
PMID: 12390373 (View on PubMed)

Hsiao WC, Young KC, Wang ST, Lin PW. Incisional hernia after laparotomy: prospective randomized comparison between early-absorbable and late-absorbable suture materials. World J Surg. 2000 Jun;24(6):747-51; discussion 752. doi: 10.1007/s002689910120.

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Hodgson NC, Malthaner RA, Ostbye T. The search for an ideal method of abdominal fascial closure: a meta-analysis. Ann Surg. 2000 Mar;231(3):436-42. doi: 10.1097/00000658-200003000-00018.

Reference Type BACKGROUND
PMID: 10714638 (View on PubMed)

Weiland DE, Bay RC, Del Sordi S. Choosing the best abdominal closure by meta-analysis. Am J Surg. 1998 Dec;176(6):666-70. doi: 10.1016/s0002-9610(98)00277-3.

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PMID: 9926810 (View on PubMed)

Schumpelick V, Kingsanorth AN. Incisional Hernia. Questionnaire Survetta Meeting, March 1998: 496

Reference Type BACKGROUND

Schumpelick V, Arlt G, Klinge U. Versorgung von Nabelhernien und Narbenhernien. Dt. Aerzteblatt 94, 51-52. Dez. 1997 (35)

Reference Type BACKGROUND

Knaebel HP, Koch M, Sauerland S, Diener MK, Buchler MW, Seiler CM; INSECT Study Group of the Study Centre of the German Surgical Society. Interrupted or continuous slowly absorbable sutures - design of a multi-centre randomised trial to evaluate abdominal closure techniques INSECT-trial [ISRCTN24023541]. BMC Surg. 2005 Mar 8;5:3. doi: 10.1186/1471-2482-5-3.

Reference Type BACKGROUND
PMID: 15755324 (View on PubMed)

Fischer L, Baumann P, Husing J, Seidlmayer C, Albertsmeier M, Franck A, Luntz S, Seiler CM, Knaebel HP. A historically controlled, single-arm, multi-centre, prospective trial to evaluate the safety and efficacy of MonoMax suture material for abdominal wall closure after primary midline laparotomy. ISSAAC-Trial [NCT005725079]. BMC Surg. 2008 Jul 21;8:12. doi: 10.1186/1471-2482-8-12.

Reference Type BACKGROUND
PMID: 18644124 (View on PubMed)

Odermatt EK, Funk L, Bargon R, Martin DP, Rizk S, Williams SF. MonoMax Suture: A New Long-Term Absorbable Monofilament Suture Made from Poly-4-Hydroxybutyrate. International Journal of Polymer Science Volume 2012, Article ID 216137, 12 pages. doi:10.1155/2012/216137

Reference Type BACKGROUND

Albertsmeier M, Seiler CM, Fischer L, Baumann P, Husing J, Seidlmayer C, Franck A, Jauch KW, Knaebel HP, Buchler MW. Evaluation of the safety and efficacy of MonoMax(R) suture material for abdominal wall closure after primary midline laparotomy-a controlled prospective multicentre trial: ISSAAC [NCT005725079]. Langenbecks Arch Surg. 2012 Mar;397(3):363-71. doi: 10.1007/s00423-011-0884-6. Epub 2011 Dec 20.

Reference Type RESULT
PMID: 22183105 (View on PubMed)

Fink C, Baumann P, Wente MN, Knebel P, Bruckner T, Ulrich A, Werner J, Buchler MW, Diener MK. Incisional hernia rate 3 years after midline laparotomy. Br J Surg. 2014 Jan;101(2):51-4. doi: 10.1002/bjs.9364. Epub 2013 Nov 26.

Reference Type RESULT
PMID: 24281948 (View on PubMed)

Other Identifiers

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AAG-G-H-0701

Identifier Type: -

Identifier Source: org_study_id

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