Antiseptic Sutures and Wound Infection

NCT ID: NCT00932503

Last Updated: 2012-06-14

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

839 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-10-31

Study Completion Date

2007-10-31

Brief Summary

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The aim of this study was to ascertain if the use of Vicryl plus® reduced the number of wound infections after transverse laparotomy comparing to polydioxanon suture.

Detailed Description

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All patients are treated using clinical pathways (CP) to standardise surgical procedures in our high volume centre. Part of the clinical process management was the standardisation of wound incision and abdominal wall closure.

Wound closure is achieved by a two-layer technique using continuous absorbable loop suture. The suture length to incision length ratio is at least 4:1. The running sutures are 1 cm apart and at least 1.5 cm from the wound edge 14. In the first timeperiod (TP1), the CP step for fascia closure foresees a PDS loop suture (PDS II®, 150 cm, Ethicon GmbH, Norderstedt, Germany). After the recruitment of 400 patients, that CP step is altered to the use of a triclosan-coated polyglactin 910 loop suture (Vicryl plus®, 150 cm, Ethicon GmbH, Norderstedt, Germany). The primary outcome is the number of wound infections. Patients demographic and disease as well as procedure related data are collected in a clinical information system (ISHmed on SAP platform, GSD, Berlin, Germany) prospectively. Risk factors for poor wound healing, such as operation time, patients age, sex, body mass index, blood loss, peritonitis, antibiotics, and performance level classified according to the American Society of Anesthesiologists (ASA), are collected prospectively to compare the two groups.

Conditions

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Wound Infection

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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PDS II

PDS II® loop suture was used for abdominal wall closure

Group Type NO_INTERVENTION

No interventions assigned to this group

Vicryl plus

antiseptic coated "Vicryl plus" was used for abdominal wall closure

Group Type ACTIVE_COMPARATOR

Vicryl plus

Intervention Type DEVICE

triclosan-coated polyglactin 910 suture materials with antiseptic activity (Vicryl plus®, Ethicon GmbH, Norderstedt, Germany)

Interventions

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Vicryl plus

triclosan-coated polyglactin 910 suture materials with antiseptic activity (Vicryl plus®, Ethicon GmbH, Norderstedt, Germany)

Intervention Type DEVICE

Other Intervention Names

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Vicryl plus®

Eligibility Criteria

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Inclusion Criteria

* surgical pathologies accessed via transverse abdominal incision
* primary fascial closure

Exclusion Criteria

* pregnancy
* age under 18 years
* open abdominal treatment
* known hypersensitivity agains PDS/Vicryl/Triclosan
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Saarland

OTHER

Sponsor Role lead

Responsible Party

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Christoph Justinger

Christoph Justinger, MDDepartment of General, Visceral, Vascular, and Pediatric Surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Christoph Justinger, M.D.

Role: PRINCIPAL_INVESTIGATOR

Department of General, Visceral, Vascular and Pediatric Surgery, University of Saarland, D-66421 Homburg/Saar, Germany

Martin K Schilling, M.D.

Role: STUDY_DIRECTOR

Department of General, Visceral, Vascular and Pediatric Surgery, University of Saarland, D-66421 Homburg/Saar, Germany

Locations

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Department of General, Visceral, Vascular and Pediatric Surgery, University of Saarland, D-66421 Homburg/Saar, Germany

Homburg/Saar, , Germany

Site Status

Countries

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Germany

References

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Justinger C, Moussavian MR, Schlueter C, Kopp B, Kollmar O, Schilling MK. Antibacterial [corrected] coating of abdominal closure sutures and wound infection. Surgery. 2009 Mar;145(3):330-4. doi: 10.1016/j.surg.2008.11.007. Epub 2009 Jan 25.

Reference Type RESULT
PMID: 19231586 (View on PubMed)

Other Identifiers

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Vicryl plus 1

Identifier Type: -

Identifier Source: org_study_id

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