Prevena™ vs Dermabond in Groin Wound Infections in Vascular Surgery

NCT ID: NCT02836990

Last Updated: 2020-12-28

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

105 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-07-31

Study Completion Date

2019-09-30

Brief Summary

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This study evaluates the clinical efficacy and cost effectiveness of Prevena Incision Management System versus Dermabond in preventing groin wound infections in patients who undergo vascular surgery requiring a groin wound. Half of the patients will receive Dermabond and the other half will receive the Prevena Incision Management System for their groin wounds.

Detailed Description

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Dermabond and the Prevena Incision Management System are both FDA approved wound care products. Prevena is a negative pressure system which holds the wound together and removes exudate and debris from the site to prevent infection. Dermabond is a surgical glue which holds the wound together to prevents infection. Prevena is more expensive to apply. However, the hypothesis is that the Prevena System will decrease infection rates and therefore, decrease the ultimate cost of the health care needed after surgery.

Conditions

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Wound Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Prevena

Prevena Incision Management System for vascular surgical groin wounds

Group Type ACTIVE_COMPARATOR

Prevena Incision Management System

Intervention Type DEVICE

A negative pressure system which holds incision edges together and removes exudate and debris from site to prevent surgical wound infections

Dermabond

Dermabond for vascular surgical groin wounds

Group Type ACTIVE_COMPARATOR

Dermabond

Intervention Type DEVICE

A surgical skin adhesive used to prevent surgical wound infections

Interventions

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Prevena Incision Management System

A negative pressure system which holds incision edges together and removes exudate and debris from site to prevent surgical wound infections

Intervention Type DEVICE

Dermabond

A surgical skin adhesive used to prevent surgical wound infections

Intervention Type DEVICE

Other Intervention Names

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Prevena

Eligibility Criteria

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Inclusion Criteria

1. In need of elective vascular procedure requiring ≥8 cm groin incision.
2. Able to provide consent
3. Able to care for wound or have support person to complete wound care
4. Willing to comply with follow-up

Exclusion Criteria

None
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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KCI USA, Inc

INDUSTRY

Sponsor Role collaborator

State University of New York at Buffalo

OTHER

Sponsor Role lead

Responsible Party

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Linda Harris

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Linda Harris, MD

Role: PRINCIPAL_INVESTIGATOR

State University of New York at Buffalo

Locations

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Kaleida Health, Gates Vascular Institute

Buffalo, New York, United States

Site Status

State University of New York at Buffalo

Buffalo, New York, United States

Site Status

Countries

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United States

References

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Ploeg AJ, Lardenoye JW, Peeters MP, Hamming JF, Breslau PJ. Wound complications at the groin after peripheral arterial surgery sparing the lymphatic tissue: a double-blind randomized clinical trial. Am J Surg. 2009 Jun;197(6):747-51. doi: 10.1016/j.amjsurg.2008.04.014. Epub 2008 Oct 17.

Reference Type BACKGROUND
PMID: 18929355 (View on PubMed)

Lee ES, Santilli SM, Olson MM, Kuskowski MA, Lee JT. Wound infection after infrainguinal bypass operations: multivariate analysis of putative risk factors. Surg Infect (Larchmt). 2000 Winter;1(4):257-63. doi: 10.1089/109629600750067183.

Reference Type BACKGROUND
PMID: 12594881 (View on PubMed)

Lawlor DK, Derose G, Harris KA, Lovell MB, Novick TV, Forbes TL. The role of platelet-rich plasma in inguinal wound healing in vascular surgery patients. Vasc Endovascular Surg. 2011 Apr;45(3):241-5. doi: 10.1177/1538574411399157.

Reference Type BACKGROUND
PMID: 21478245 (View on PubMed)

Exton RJ, Galland RB. Major groin complications following the use of synthetic grafts. Eur J Vasc Endovasc Surg. 2007 Aug;34(2):188-90. doi: 10.1016/j.ejvs.2007.03.012. Epub 2007 May 18.

Reference Type BACKGROUND
PMID: 17512763 (View on PubMed)

Engin C, Posacioglu H, Ayik F, Apaydin AZ. Management of vascular infection in the groin. Tex Heart Inst J. 2005;32(4):529-34.

Reference Type BACKGROUND
PMID: 16429897 (View on PubMed)

Bandyk DF. Vascular surgical site infection: risk factors and preventive measures. Semin Vasc Surg. 2008 Sep;21(3):119-23. doi: 10.1053/j.semvascsurg.2008.05.008.

Reference Type BACKGROUND
PMID: 18774446 (View on PubMed)

Swinnen J, Chao A, Tiwari A, Crozier J, Vicaretti M, Fletcher J. Vertical or transverse incisions for access to the femoral artery: a randomized control study. Ann Vasc Surg. 2010 Apr;24(3):336-41. doi: 10.1016/j.avsg.2009.07.020. Epub 2009 Dec 4.

Reference Type BACKGROUND
PMID: 19962270 (View on PubMed)

Dosluoglu HH, Loghmanee C, Lall P, Cherr GS, Harris LM, Dryjski ML. Management of early (<30 day) vascular groin infections using vacuum-assisted closure alone without muscle flap coverage in a consecutive patient series. J Vasc Surg. 2010 May;51(5):1160-6. doi: 10.1016/j.jvs.2009.11.053. Epub 2010 Mar 31.

Reference Type BACKGROUND
PMID: 20356703 (View on PubMed)

Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for prevention of surgical site infection, 1999. Hospital Infection Control Practices Advisory Committee. Infect Control Hosp Epidemiol. 1999 Apr;20(4):250-78; quiz 279-80. doi: 10.1086/501620. No abstract available.

Reference Type BACKGROUND
PMID: 10219875 (View on PubMed)

Easterlin B, Bromberg W, Linscott J. A Novel Technique of Vacuum-assisted Wound Closure That Functions as a Delayed Primary Closure. Wounds. 2007 Dec;19(12):331-3.

Reference Type BACKGROUND
PMID: 25942681 (View on PubMed)

de Lissovoy G, Fraeman K, Hutchins V, Murphy D, Song D, Vaughn BB. Surgical site infection: incidence and impact on hospital utilization and treatment costs. Am J Infect Control. 2009 Jun;37(5):387-397. doi: 10.1016/j.ajic.2008.12.010. Epub 2009 Apr 23.

Reference Type BACKGROUND
PMID: 19398246 (View on PubMed)

Weir G. The use of a surgical incision management system on vascular surgery incisions: a pilot study. Int Wound J. 2014 Jun;11 Suppl 1(Suppl 1):10-2. doi: 10.1111/iwj.12261.

Reference Type BACKGROUND
PMID: 24851730 (View on PubMed)

Matatov T, Reddy KN, Doucet LD, Zhao CX, Zhang WW. Experience with a new negative pressure incision management system in prevention of groin wound infection in vascular surgery patients. J Vasc Surg. 2013 Mar;57(3):791-5. doi: 10.1016/j.jvs.2012.09.037. Epub 2013 Jan 9.

Reference Type BACKGROUND
PMID: 23312938 (View on PubMed)

Bruns TB, Worthington JM. Using tissue adhesive for wound repair: a practical guide to dermabond. Am Fam Physician. 2000 Mar 1;61(5):1383-8.

Reference Type BACKGROUND
PMID: 10735344 (View on PubMed)

Correia RM, Nakano LC, Vasconcelos V, Cristino MA, Flumignan RL. Prevention of infection in peripheral arterial reconstruction of the lower limb. Cochrane Database Syst Rev. 2025 Oct 29;10:CD015022. doi: 10.1002/14651858.CD015022.pub2.

Reference Type DERIVED
PMID: 41159585 (View on PubMed)

Cristino MA, Nakano LC, Vasconcelos V, Correia RM, Flumignan RL. Prevention of infection in aortic or aortoiliac peripheral arterial reconstruction. Cochrane Database Syst Rev. 2025 Apr 22;4(4):CD015192. doi: 10.1002/14651858.CD015192.pub2.

Reference Type DERIVED
PMID: 40260835 (View on PubMed)

Provided Documents

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Document Type: Informed Consent Form

View Document

Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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Prevena

Identifier Type: -

Identifier Source: org_study_id