Effect of Barbed Suture and Triclosan-coated Monofilament in Emergency Surgery
Suture of the Abdominal Wall With Triclosan-coated Polydioxanone Barbed Suture vs Triclosan-coated Polydioxanone Monofilament vs Polydioxanone Monofilament in Emergency Surgery
1 other identifier
interventional
150
1 country
1
Brief Summary
Patients will be randomized 3 groups: Group 1: Abdominal fascial closure will be performed with Triclosan-coated barbed Polydioxanone suture Group 2:Abdominal fascial closure will be performed with Triclosan-coated monofilament Polydioxanone suture Group 3: Abdominal fascial closure will be performed with monofilament Polydioxanone suture Incisional surgical.site infection and evisceration will be recorded.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Nov 2018
Shorter than P25 for phase_3
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
First Submitted
Initial submission to the registry
November 30, 2018
CompletedStudy Start
First participant enrolled
November 30, 2018
CompletedFirst Posted
Study publicly available on registry
December 4, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 31, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
March 31, 2019
CompletedSeptember 16, 2019
September 1, 2019
4 months
November 30, 2018
September 12, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Rate of incisional surgical-site infection
Diagnosis of incisional surgical-site infection during the postoperative course
30 days postoperatively
Secondary Outcomes (1)
Rate of Evisceration
30 days postoperatively
Study Arms (3)
Triclosan-coated barbed suture
EXPERIMENTALAbdominal wall closure will be performed using a Triclosan-coated Polydioxanone barbed suture
Triclosan-coated monofilament suture
EXPERIMENTALAbdominal wall closure will be performed using a Triclosan-coated Polydioxanone monofilament suture
Monofilament suture
SHAM COMPARATORAbdominal wall closure will be performed using a monofilament suture
Interventions
Use of Triclosan-coated Polydioxanone barbed suture
Use of Triclosan-coated Polydioxanone monofilament suture
Eligibility Criteria
You may qualify if:
- Contaminated and Dirty surgery
- Emergency surgery performed by midline laparotomic approach
- The following diagnosis will be included:
- Anastomotic leak of previous digestive surgery (colon, small bowel or gastric surgery)
- Colonic or bowel perforations
- Appendicitis with purulent of fecal peritonitis, undergoing midline laparotomy
- Perforation of gastric or duodenal ulcer
- Intestinal ischemia requiring bowel resection
You may not qualify if:
- Emergency surgery undergoing laparoscopic approach
- Appendicitis operated by McBurney incision
- Intestinal isquemia without requiring bowel resection
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
General Hospital Elche
Elche, Alicante, 03203, Spain
Related Publications (1)
Ruiz-Tovar J, Llavero C, Jimenez-Fuertes M, Duran M, Perez-Lopez M, Garcia-Marin A. Incisional Surgical Site Infection after Abdominal Fascial Closure with Triclosan-Coated Barbed Suture vs Triclosan-Coated Polydioxanone Loop Suture vs Polydioxanone Loop Suture in Emergent Abdominal Surgery: A Randomized Clinical Trial. J Am Coll Surg. 2020 May;230(5):766-774. doi: 10.1016/j.jamcollsurg.2020.02.031. Epub 2020 Feb 27.
PMID: 32113031DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Andres Garcia-Marin
Hospital de San Juan
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Masking Details
- The patient and the epidemiology nurse, who will assess the presence of SSI, will be blinded to the treatment assigned. The surgeon is masked to the assignment prior to consenting and enrolling the patient and initiating the surgery.
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor of Surgery
Study Record Dates
First Submitted
November 30, 2018
First Posted
December 4, 2018
Study Start
November 30, 2018
Primary Completion
March 31, 2019
Study Completion
March 31, 2019
Last Updated
September 16, 2019
Record last verified: 2019-09