Suture Techniques to Reduce the Incidence of The inCisional Hernia

NCT ID: NCT01132209

Last Updated: 2014-08-01

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

576 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-10-31

Study Completion Date

2013-05-31

Brief Summary

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The objective of the study is reduction of the incidence of the most frequent complication of abdominal surgery, incisional hernia. In this multi center double-blinded prospective randomized controlled trial, in which a new suture technique using small bites is compared with the traditionally applied large bites (mass closure) technique for midline incisions.

Detailed Description

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Conditions

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Hernia Wound Infection Burst Abdomen Pain Quality of Life

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Large tissue bites

As control the conventional large bites technique (mass closure) will be applied in with bites widths of 1 cm and inter-suture spacing of 1 cm with the use of PDS plus ll 1-0 double loop suture material with a 48 mm needle.

Group Type ACTIVE_COMPARATOR

Closure of the abdominal wall after midline incisions

Intervention Type PROCEDURE

Closure of the midline incision after any abdominal operation. Suturing of the fascia of the abdominal wall with two different techniques

small tissue bites

In the other group of 288 patients the small bites technique will be applied with bite widths of 0,5 cm and inter suture spacing of 0,5 cm with the use of PDS plus ll 2-0 single suture material with a 31 mm needle placed in the linea alba. In the small bites technique, twice as many stitches will be placed per sutured cm, with a smaller needle and thinner suture material.

Group Type EXPERIMENTAL

Closure of the abdominal wall after midline incisions

Intervention Type PROCEDURE

Closure of the midline incision after any abdominal operation. Suturing of the fascia of the abdominal wall with two different techniques

Interventions

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Closure of the abdominal wall after midline incisions

Closure of the midline incision after any abdominal operation. Suturing of the fascia of the abdominal wall with two different techniques

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Signed informed consent
* All laparotomies with a midline incision
* Age \> 18 years

Exclusion Criteria

* Previous incisional hernia after midline incision
* Previous surgery through a midline incision within 3 months
* Pregnancy (in women)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sint Franciscus Gasthuis

OTHER

Sponsor Role collaborator

Vlietland Ziekenhuis

OTHER

Sponsor Role collaborator

Elisabeth-TweeSteden Ziekenhuis

OTHER

Sponsor Role collaborator

Meander Medical Center

OTHER

Sponsor Role collaborator

Kennemer Gasthuis

OTHER

Sponsor Role collaborator

Rijnstate Hospital

OTHER

Sponsor Role collaborator

Groene Hart Ziekenhuis

OTHER

Sponsor Role collaborator

Havenziekenhuis

OTHER

Sponsor Role collaborator

Red Cross Hospital Beverwijk

OTHER

Sponsor Role collaborator

Erasmus Medical Center

OTHER

Sponsor Role lead

Responsible Party

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joris harlaar

Prof dr JF Lange, professor of Surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Johan Lange, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Erasmus Medical Center

Locations

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Erasmus Medical Center

Rotterdam, South Holland, Netherlands

Site Status

Countries

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Netherlands

References

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Millbourn D, Cengiz Y, Israelsson LA. Effect of stitch length on wound complications after closure of midline incisions: a randomized controlled trial. Arch Surg. 2009 Nov;144(11):1056-9. doi: 10.1001/archsurg.2009.189.

Reference Type BACKGROUND
PMID: 19917943 (View on PubMed)

Harlaar JJ, van Ramshorst GH, Nieuwenhuizen J, Ten Brinke JG, Hop WC, Kleinrensink GJ, Jeekel H, Lange JF. Small stitches with small suture distances increase laparotomy closure strength. Am J Surg. 2009 Sep;198(3):392-5. doi: 10.1016/j.amjsurg.2008.10.018. Epub 2009 Mar 12.

Reference Type BACKGROUND
PMID: 19285296 (View on PubMed)

Millbourn D, Israelsson LA. Wound complications and stitch length. Hernia. 2004 Feb;8(1):39-41. doi: 10.1007/s10029-003-0159-4. Epub 2003 Sep 6.

Reference Type BACKGROUND
PMID: 13680306 (View on PubMed)

Deerenberg EB, Harlaar JJ, Steyerberg EW, Lont HE, van Doorn HC, Heisterkamp J, Wijnhoven BP, Schouten WR, Cense HA, Stockmann HB, Berends FJ, Dijkhuizen FPH, Dwarkasing RS, Jairam AP, van Ramshorst GH, Kleinrensink GJ, Jeekel J, Lange JF. Small bites versus large bites for closure of abdominal midline incisions (STITCH): a double-blind, multicentre, randomised controlled trial. Lancet. 2015 Sep 26;386(10000):1254-1260. doi: 10.1016/S0140-6736(15)60459-7. Epub 2015 Jul 15.

Reference Type DERIVED
PMID: 26188742 (View on PubMed)

Harlaar JJ, Deerenberg EB, van Ramshorst GH, Lont HE, van der Borst EC, Schouten WR, Heisterkamp J, van Doorn HC, Cense HA, Berends F, Stockmann HB, Vrijland WW, Consten EC, Ottow RT, Go PM, Hermans JJ, Steyerberg EW, Lange JF. A multicenter randomized controlled trial evaluating the effect of small stitches on the incidence of incisional hernia in midline incisions. BMC Surg. 2011 Aug 26;11:20. doi: 10.1186/1471-2482-11-20.

Reference Type DERIVED
PMID: 21871072 (View on PubMed)

Other Identifiers

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STITCH trial MEC 2009-026

Identifier Type: -

Identifier Source: org_study_id

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