Circular pOlyethylene Drape in preVention of Surgical Site infEction: A Randomized Controlled Trial

NCT ID: NCT03170843

Last Updated: 2023-05-10

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

457 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-07-12

Study Completion Date

2022-09-30

Brief Summary

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This study is to evaluate the effectiveness of the plastic ring wound retractor to reduce the rate of surgical site infection in patients who undergo open abdomen surgery for gastrointestinal tract.

Detailed Description

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Participants who are determined to undergo open abdomen surgery will be screening for the eligibility first. If eligible and agreed to participate, each participant will be assigned to either the experimental group or control group based on the electronic randomization. The experimental group will use the plastic ring wound retractor, while the control group will use a conventional surgical pad for wound protection method. Each participant will be blind to the randomization result because he/she will be under general anesthesia. Once the surgery is finished, the patient will be assessed on the surgical wound at postoperative day 1, 7, 14, 30. Two groups will be compared for the surgical wound infection rate.

Conditions

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Surgical Wound Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The experimental group will be using the plastic wound retractor, while the control group will use a conventional surgical pad for wound protection.
Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants
Each participant will be under the general anesthesia without knowing which group is assigned to.

Study Groups

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O-Trac

The experimental group will use the plastic ring wound retractor for wound protection during the surgery.

Group Type EXPERIMENTAL

use of plastic ring wound retractor

Intervention Type DEVICE

the experimental arm will use the plastic ring wound retractor for wound protection.

Surgical pad

The control group will use a conventional surgical pad for wound protection during the surgery.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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use of plastic ring wound retractor

the experimental arm will use the plastic ring wound retractor for wound protection.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* age older than 18 years or less than 75 years
* either elective or emergent surgery for upper GI, small intestine, or colorectal disease
* open laparotomy
* the patient who agrees to participate in this trial

Exclusion Criteria

* concurrent abdominal wall infection
* open conversion from laparoscopy
* poor nutritional status, NRS 2002 score 3
* combined hepatobiliary operation
* pregnant or breast-feeding state
* severe immunosuppression
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Saint Vincent's Hospital, Korea

OTHER

Sponsor Role lead

Responsible Party

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Hyung Jin Kim

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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HyungJin Kim, MD

Role: PRINCIPAL_INVESTIGATOR

Eunpyeong St. Mary's Hospital, The Catholic University of Korea

Locations

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Chonnam National University Hospital

Gwangju, Chonnam, South Korea

Site Status

Hallym University Chuncheon Sacred Heart Hospital

Chuncheon, Gangwondo, South Korea

Site Status

National Health Insurance Service Ilsan Hospital

Goyang-si, Gyeonggi-do, South Korea

Site Status

Seoul National University Bundang Hospital

Seongnam-si, Gyeonggi-do, South Korea

Site Status

St. Vincent's Hospital

Suwon, Gyeonggi-do, South Korea

Site Status

Ajou University of Hospital

Suwon, Gyeonggi-do, South Korea

Site Status

Ujeongbu St Mary's Hospital, The Catholic University of Korea

Uijeongbu-si, Gyeonggi-do, South Korea

Site Status

Keimyung University Dongsan Medical Center

Daegu, Gyeongsangbukdo, South Korea

Site Status

Kyung Hee University Hospital at Gangdong

Seoul, , South Korea

Site Status

Seoul St. Mary's Hospital, The Catholic University of Korea

Seoul, , South Korea

Site Status

Chung-Ang University Hospital

Seoul, , South Korea

Site Status

Eunpyeong St. Mary's hospital

Seoul, , South Korea

Site Status

Yeouido St. Mary's hospital, The Catholic University of Korea

Seoul, , South Korea

Site Status

Countries

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South Korea

References

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Mihaljevic AL, Michalski CW, Erkan M, Reiser-Erkan C, Jager C, Schuster T, Schuhmacher C, Kleeff J, Friess H. Standard abdominal wound edge protection with surgical dressings vs coverage with a sterile circular polyethylene drape for prevention of surgical site infections (BaFO): study protocol for a randomized controlled trial. Trials. 2012 May 15;13:57. doi: 10.1186/1745-6215-13-57.

Reference Type BACKGROUND
PMID: 22587425 (View on PubMed)

Mihaljevic AL, Schirren R, Ozer M, Ottl S, Grun S, Michalski CW, Erkan M, Jager C, Reiser-Erkan C, Kehl V, Schuster T, Roder J, Clauer U, Orlitsch C, Hoffmann TF, Lange R, Harzenetter T, Steiner P, Michalski M, Henkel K, Stadler J, Pistorius GA, Jahn A, Obermaier R, Unger R, Strunk R, Willeke F, Vogelsang H, Halve B, Dietl KH, Hilgenstock H, Meyer A, Kramling HJ, Wagner M, Schoenberg MH, Zeller F, Schmidt J, Friess H, Kleeff J. Multicenter double-blinded randomized controlled trial of standard abdominal wound edge protection with surgical dressings versus coverage with a sterile circular polyethylene drape for prevention of surgical site infections: a CHIR-Net trial (BaFO; NCT01181206). Ann Surg. 2014 Nov;260(5):730-7; discussion 737-9. doi: 10.1097/SLA.0000000000000954.

Reference Type RESULT
PMID: 25379844 (View on PubMed)

Pinkney TD, Calvert M, Bartlett DC, Gheorghe A, Redman V, Dowswell G, Hawkins W, Mak T, Youssef H, Richardson C, Hornby S, Magill L, Haslop R, Wilson S, Morton D; West Midlands Research Collaborative; ROSSINI Trial Investigators. Impact of wound edge protection devices on surgical site infection after laparotomy: multicentre randomised controlled trial (ROSSINI Trial). BMJ. 2013 Jul 31;347:f4305. doi: 10.1136/bmj.f4305.

Reference Type RESULT
PMID: 23903454 (View on PubMed)

Yoo N, Mun JY, Kye BH, Kim CW, Lee JI, Park YY, Kang BM, Park BK, Kwak HD, Kang WK, Bae SU, Oh HK, Hong Y, Kim HJ. Plastic Wound Protector vs Surgical Gauze for Surgical Site Infection Reduction in Open GI Surgery: A Randomized Clinical Trial. JAMA Surg. 2024 Jul 1;159(7):737-746. doi: 10.1001/jamasurg.2024.0765.

Reference Type DERIVED
PMID: 38656413 (View on PubMed)

Yoo RN, Kim HJ, Lee JI, Kang WK, Kye BH, Kim CW, Bae SU, Nam S, Kang BM. Circular pOlyethylene drape in preVEntion of suRgical site infection (COVER trial): study protocol for a randomised controlled trial. BMJ Open. 2020 Jan 22;10(1):e034687. doi: 10.1136/bmjopen-2019-034687.

Reference Type DERIVED
PMID: 31974091 (View on PubMed)

Other Identifiers

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OTracSSI

Identifier Type: -

Identifier Source: org_study_id

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