Effect of Barbed Suture Fascia Closure on Incisional Hernia in Midline Laparotomy for Gynecological Diseases (BARBHER)

NCT ID: NCT04643197

Last Updated: 2020-11-25

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

174 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-01

Study Completion Date

2023-05-31

Brief Summary

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Investigators will compare the incidence of incisional hernia in women who underwent midline laparotomy whose abdominal fascia was closed with barbed suture vs. conventional non-barbed suture.

Detailed Description

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Conditions

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Gynecologic Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

2\*2 factorial design Primary randomization: Barbed suture vs. Non-barbed suture in fascia closure Secondary randomization: subcutaneous drain insertion vs. non-insertion The effect of secondary randomization is one of secondary objectives.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Experimental arm

Abdominal fascia will be closed with barbed suture.

Group Type EXPERIMENTAL

Barbed PDS suture (STRATAFIX Symmetric PDS Plus)

Intervention Type DEVICE

STRATAFIX Symmetric PDS Plus is a barbed suture.

Control

Abdominal fascia will be closed with non-barbed suture.

Group Type ACTIVE_COMPARATOR

Non-barbed PDS suture (PDS Plus)

Intervention Type DEVICE

Non-barbed suture

Interventions

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Barbed PDS suture (STRATAFIX Symmetric PDS Plus)

STRATAFIX Symmetric PDS Plus is a barbed suture.

Intervention Type DEVICE

Non-barbed PDS suture (PDS Plus)

Non-barbed suture

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Anticipating midline laparotomy for gynecologic diseases
* ECOG performance status 0 - 2

Exclusion Criteria

* Previous or current abdominal incisional hernia
* Pregnant
* Previous radiation on abdomen area
* Allergy to PDS or irgacare MP
* Having disease affecting wound healing such as uncontrolled DM, autoimmune vasculitis, liver cirrhosis, coagulopathy
* BMI \> 35
* Current or anticipated use of drugs affecting wound healing such as bevacizumab (with 4 week drug free period, bevacizumab user is eligible)
* Abdominal midline laparotomy within 6 months
* Surgery for infection control
Minimum Eligible Age

19 Years

Maximum Eligible Age

85 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Kidong Kim

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Kidong Kim

Role: CONTACT

Phone: 82 31 787 7262

Email: [email protected]

References

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Choi CH, Kim NK, Kim K, Lee YJ, Lee KH, Lee JM, Lee KB, Suh DH, Kim S, Kim MK, Seong SJ, Lim MC. Effects of subcutaneous drain on wound dehiscence and infection in gynecological midline laparotomy: Secondary analysis of a Korean Gynecologic Oncology Group study (KGOG 4001). Eur J Surg Oncol. 2024 Sep;50(9):108484. doi: 10.1016/j.ejso.2024.108484. Epub 2024 Jun 12.

Reference Type DERIVED
PMID: 38901293 (View on PubMed)

Other Identifiers

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KGOG 4001

Identifier Type: -

Identifier Source: org_study_id