Post-Operative Cesarean Section Cosmesis

NCT ID: NCT06412978

Last Updated: 2025-04-03

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

RECRUITING

Clinical Phase

NA

Total Enrollment

52 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-09-05

Study Completion Date

2026-10-31

Brief Summary

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Given the high numbers of cesarean deliveries being performed today, there has been interest in optimizing surgical techniques. Several recent reviews have summarized the evidence for various steps of cesarean delivery, but surprisingly in many cases there is little scientific evidence on which to base the choice of surgical technique.

Detailed Description

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Cesarean delivery is the most common surgical procedure performed in the United States, with over 1 million procedures performed per year. Based on recent Center for Disease Control (CDC) National Vital Statistics Report (2021) 32.1% of all births in the United States were via cesarean delivery. Given the high numbers of cesarean deliveries being performed today, there has been interest in optimizing surgical techniques. Absorbable staples, made from a combination of polylactic and polyglycolic acid, are a relatively new option for skin closure at the time of surgery. This study is a randomized trial that will investigates two cesarean skin closure techniques-subcuticular, polyglecaprone suture (Monocryl), and absorbable subcuticular polyglycolic acid staples (INSORB)-to determine if one is associated with better scar cosmesis.

Conditions

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Cesarean Delivery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

trial comparing skin closure with absorbable subcuticular staples with subcuticular suture
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Outcome Assessors
Scars will be digitally photographed by study staff and scored by 2 independent judges. The judges will be blinded to the closure method at time of scar evaluation.

Study Groups

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subcuticular absorbable polyglycolic acid (INSORB) staples

Insorb absorbable staples are used for skin closure

Group Type ACTIVE_COMPARATOR

absorbable subcuticular polyglycolic acid staples (INSORB)

Intervention Type PROCEDURE

Insorb absorbable staples are used for skin closure

subcuticular absorbable polyglecaprone suture (Monocryl)

Monocryl absorbable staples are used for skin closure

Group Type ACTIVE_COMPARATOR

subcuticular, polyglecaprone suture (Monocryl)

Intervention Type PROCEDURE

Monocryl absorbable staples are used for skin closure

Interventions

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absorbable subcuticular polyglycolic acid staples (INSORB)

Insorb absorbable staples are used for skin closure

Intervention Type PROCEDURE

subcuticular, polyglecaprone suture (Monocryl)

Monocryl absorbable staples are used for skin closure

Intervention Type PROCEDURE

Other Intervention Names

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INSORB Monocryl

Eligibility Criteria

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Inclusion Criteria

* Age 18-44
* Any race
* Any parity
* Scheduled cesarean section
* Neuraxial analgesia

Exclusion Criteria

* Non-English Speaking
* Incarcerated
* Maternal Connective Tissue Disorder
* Systemic maternal steroid use
* Three prior cesarean deliveries
* Body Mass Index (BMI) \>40
Minimum Eligible Age

18 Years

Maximum Eligible Age

44 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Wake Forest University Health Sciences

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Joshua F Nitsche, MD

Role: PRINCIPAL_INVESTIGATOR

Wake Forest University Health Sciences

Locations

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Wake Forest University Health Sciences

Winston-Salem, North Carolina, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Christina Tulbert

Role: CONTACT

336.716.2383

Facility Contacts

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Christina Tulbert

Role: primary

336-716-2383

Other Identifiers

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IRB00109639

Identifier Type: -

Identifier Source: org_study_id

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