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Absorbable or Non Absorbable Sutures in Hand Surgery

NCT ID: NCT04812275

Last Updated: 2023-12-15

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

270 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-04-19

Study Completion Date

2023-11-11

Brief Summary

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After all surgical procedures, the skin must be closed with some form of stitch, in healthcare called suture. According to the tradition of hand surgery, sutures that must be removed by caregivers, ie non-resorbable thread, have been used extensively, and the frequency of complications in the form of wound rupture and infection is low. For many procedures, however, it can be an advantage to avoid removing the stitches, as it is both painful for the patient and time-consuming and resource-consuming for both the patient and the healthcare system. You can then use a thread that the body itself breaks down and absorbs, ie resorbable suture. In the project, we will compare resorbable and non-resorbable suture with the primary outcome of superficial infection in the surgical area sometime day 1-20 after surgery. Secondary outcomes are the occurrence of wound rupture, pain VAS (Visual Analog Scale) when changing 2 weeks postoperatively, patient satisfaction VAS at 2 weeks and time spent in minutes for changing at 2 weeks postoperatively. The project will include all consecutive patients\> 18 years of age who are operated on at the hand surgery clinic Södersjukhuset for elective or emergency surgery that do not meet the exclusion criteria. The project will include 270 patients.

Detailed Description

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Conditions

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Wound Complication Hand Surgery

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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Non absorbable suture

Wound closure with non absorbale suture. Dimension and brand at the discretion of the surgeon.

Group Type ACTIVE_COMPARATOR

Skin closure

Intervention Type PROCEDURE

Skin closure

Absorbable suture

Wound closure with absorbale suture. Dimension and brand at the discretion of the surgeon.

Group Type EXPERIMENTAL

Skin closure

Intervention Type PROCEDURE

Skin closure

Interventions

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Skin closure

Skin closure

Intervention Type PROCEDURE

Eligibility Criteria

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Exclusion Criteria

* -The researcher has an age \<18 years.
* Patients with known healing problems in the past, for example patients with burns or during cortisone treatment.
* Patients undergoing surgery where skin grafting occurs.
* Patients with acute injuries that include a traumatic wound-ie what is usually referred to as "open injuries" -where the risk of infection is higher from the beginning.
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Department of Hand surgery Södersjukhuset

OTHER

Sponsor Role lead

Responsible Party

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Mirjam Hägg

Resident Physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Södersjukhuset Hospital

Stockholm, , Sweden

Site Status

Countries

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Sweden

Other Identifiers

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2020-06004

Identifier Type: -

Identifier Source: org_study_id