Negative Pressure Wound Therapy in Post-Operative Incision Management

NCT ID: NCT02682316

Last Updated: 2025-03-18

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

583 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-02-29

Study Completion Date

2024-01-25

Brief Summary

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The purpose of this study is to compare any good and bad effects of using the Prevena Incision Management System to using the usual standard dry gauze approach. The Prevena Incision Management System is a type of Negative Pressure Wound Therapy (NPWT). NPWT is a portable vacuum device made of a sponge-like foam that is applied over your incision to help draw fluid and debris out after surgery.

Detailed Description

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Conditions

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Negative-Pressure Wound Therapy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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usual standard dry gauze used for wound management

Patients who are randomized to the standard dry gauze arm will have the standard dry gauze placed at time of wound closure. Their dressing will be removed on post-operative day 2 as per routine departmental practice.

Group Type ACTIVE_COMPARATOR

dry gauze

Intervention Type OTHER

Prevena Negative Pressure Wound Therapy System (NPWT)

Patients who are randomized to the Prevena Therapy System arm will have the Prevena Incision Management System device placed at time of wound closure. The device will be removed on day of discharge from the hospital or post-operative day 7, whichever comes first.

Group Type EXPERIMENTAL

The Prevena Incision Management System

Intervention Type DEVICE

Interventions

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dry gauze

Intervention Type OTHER

The Prevena Incision Management System

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

Criteria for Eligibility Prior to Surgery:

* Women of any BMI undergoing a laparotomy procedure for a presumed gynecologic malignancy, or morbidly obese (BMI ≥ 40) women undergoing a laparotomy for any indication
* or women who are morbidly obese (BMI\>40) undergoing laparotomy for any indication
* Age ≥ 18

Criteria for Eligibility During Surgery:

* Women of any BMI undergoing a laparotomy procedure for a presumed gynecologic malignancy, or morbidly obese (BMI ≥ 40) women undergoing a laparotomy for any indication
* or women who are morbidly obese (BMI\>40) undergoing laparotomy for any indication
* Age ≥ 18

Exclusion Criteria

Exclusion prior to Surgery:

* Women undergoing panniculectomy at the time of laparotomy
* Women with sensitivity to silver

Exclusion during Surgery:

* Women with laparotomy incisions left open due to case classification as "contaminated" or "dirty"
* Women with laparotomy incisions unable to be closed primarily due to tissue or fascial damage
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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3M

INDUSTRY

Sponsor Role collaborator

Miami Cancer Institute

OTHER

Sponsor Role collaborator

Memorial Sloan Kettering Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mario Leitao, MD

Role: PRINCIPAL_INVESTIGATOR

Memorial Sloan Kettering Cancer Center

Locations

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Hartford Healthcare Cancer Institute @ Hartford Hospital

Hartford, Connecticut, United States

Site Status

Memorial Sloan Kettering Basking Ridge (Consent and Follow-Up only)

Basking Ridge, New Jersey, United States

Site Status

Memorial Sloan Kettering Monmouth (Consent and Follow-Up only)

Middletown, New Jersey, United States

Site Status

Memorial Sloan Kettering Bergen (Consent and Follow-Up only)

Montvale, New Jersey, United States

Site Status

Memorial Sloan Kettering Commack (Consent and Follow-Up only)

Commack, New York, United States

Site Status

Memorial Sloan Kettering Westchester (Consent and Follow-Up only)

Harrison, New York, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

Memorial Sloan Kettering Rockville (Consent and Follow-Up only)

Rockville Centre, New York, United States

Site Status

Memorial Sloan Kettering Nassau (Consent and Follow-Up only)

Uniondale, New York, United States

Site Status

Lehigh Valley Health Network

Allentown, Pennsylvania, United States

Site Status

Countries

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United States

References

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Leitao MM Jr, Zhou QC, Schiavone MB, Cowan RA, Smith ES, Iasonos A, Veith M, Rafizadeh M, Curran K, Ramesh B, Chang K, Chi DS, Sonoda Y, Brown AK, Cosin JA, Abu-Rustum NR, Martino MA, Mueller JJ, Long Roche K, Jewell EL, Broach V, Lambrou NC, Diaz JP, Zivanovic O. Prophylactic Negative Pressure Wound Therapy After Laparotomy for Gynecologic Surgery: A Randomized Controlled Trial. Obstet Gynecol. 2021 Feb 1;137(2):334-341. doi: 10.1097/AOG.0000000000004243.

Reference Type DERIVED
PMID: 33416292 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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https://www.mskcc.org/

Memorial Sloan Kettering Cancer Center

Other Identifiers

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15-309

Identifier Type: -

Identifier Source: org_study_id

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