A Study Comparing Two Different Techniques for Closing the Skin After a Cesarean Delivery
Cesarean Delivery Skin Closure: A Randomized Controlled Trial of Standard Staples Versus Absorbable Staples
1 other identifier
interventional
120
1 country
1
Brief Summary
We hypothesize that the use of absorbable staples to close cesarean skin incisions will cause less pain, have better long-term cosmetic results, and result in improved patient satisfaction over standard metal staples. We expect to see no difference in wound complication rates with these two cesarean skin closure techniques.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Dec 2004
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2004
CompletedFirst Submitted
Initial submission to the registry
February 16, 2006
CompletedFirst Posted
Study publicly available on registry
February 17, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2014
CompletedJuly 29, 2014
July 1, 2014
9.8 years
February 16, 2006
July 28, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Post operative pain
Secondary Outcomes (6)
Length of time of skin closure
Costs
Cosmetic outcome
Wound disruption rate
Infection rate
- +1 more secondary outcomes
Interventions
Eligibility Criteria
You may qualify if:
- Patients at TJUH undergoing primary cesarean delivery via Pfannenstiel incision
- Surgeon willing to adhere to randomized skin staple category
You may not qualify if:
- Known allergy to staples or suture
- Vertical skin incision
- Repeat cesarean deliveries
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, 19107, United States
Related Publications (6)
Frishman GN, Schwartz T, Hogan JW. Closure of Pfannenstiel skin incisions. Staples vs. subcuticular suture. J Reprod Med. 1997 Oct;42(10):627-30.
PMID: 9350017BACKGROUNDRanaboldo CJ, Rowe-Jones DC. Closure of laparotomy wounds: skin staples versus sutures. Br J Surg. 1992 Nov;79(11):1172-3. doi: 10.1002/bjs.1800791122.
PMID: 1467895BACKGROUNDAlderdice F, McKenna D, Dornan J. Techniques and materials for skin closure in caesarean section. Cochrane Database Syst Rev. 2003;(2):CD003577. doi: 10.1002/14651858.CD003577.
PMID: 12804476BACKGROUNDFick JL, Novo RE, Kirchhof N. Comparison of gross and histologic tissue responses of skin incisions closed by use of absorbable subcuticular staples, cutaneous metal staples, and polyglactin 910 suture in pigs. Am J Vet Res. 2005 Nov;66(11):1975-84. doi: 10.2460/ajvr.2005.66.1975.
PMID: 16334959BACKGROUNDPickford IR, Brennan SS, Evans M, Pollock AV. Two methods of skin closure in abdominal operations: a controlled clinical trial. Br J Surg. 1983 Apr;70(4):226-8. doi: 10.1002/bjs.1800700414.
PMID: 6338996BACKGROUNDZwart HJ, de Ruiter P. Subcuticular, continuous and mechanical skin closure: cosmetic results of a prospective randomized trial. Neth J Surg. 1989 Jun;41(3):57-60. No abstract available.
PMID: 2501713BACKGROUND
Study Officials
- PRINCIPAL INVESTIGATOR
Jason K. Baxter, MD, MSCP
Thomas Jefferson University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 16, 2006
First Posted
February 17, 2006
Study Start
December 1, 2004
Primary Completion
October 1, 2014
Study Completion
December 1, 2014
Last Updated
July 29, 2014
Record last verified: 2014-07