Study Stopped
Slow accrual
Secondary Versus Tertiary Wound Closure in High Risk Gynecologic Abdominal Surgical Incisions
4 other identifiers
interventional
8
1 country
1
Brief Summary
The purpose of this research study is to determine if closing a surgical wound differently is better than the procedure that is currently used. The wound will be closed with what is considered "tertiary intent." This means, rather than leaving the wound open, the wound will be partially closed after surgery, and then completely closed 4-7 days after surgery. The investigators also want to see how this new wound closure process affects your quality of life.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Feb 2019
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
February 25, 2019
CompletedStudy Start
First participant enrolled
February 27, 2019
CompletedFirst Posted
Study publicly available on registry
March 4, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 26, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
November 26, 2020
CompletedResults Posted
Study results publicly available
April 17, 2026
CompletedApril 17, 2026
March 1, 2026
1.7 years
February 25, 2019
February 19, 2026
March 30, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Number of Participants With Wound Closures Comparing Tertiary Wound Closure Versus Historical Controls Postoperative Day 30
The number of surgical wounds that remained closed at postoperative day #30 after tertiary wound closure as compared to historical controls receiving a secondary wound closure.
30 days after tertiary wound closure
Secondary Outcomes (4)
Number of Participants With Surgical Site Infections (SSI) for Tertiary Technique Versus Historical Controls
30 days after tertiary wound closure
Length of Hospital Stay
Up to 3 months after surgery
Proportion of Patients Returning After Surgery
Up to 30 days after surgery
Quality of Life Questionnaire SF-36 (Version 1)
Up to 3 months after tertiary wound closure
Study Arms (2)
Tertiary Wound Closure
EXPERIMENTALIn the alternative tertiary wound closure, the wound will be partially closed rather than being left open. Sutures in the skin will be placed but not closed. A vacuum assisted closure device will be placed over the wound to help healing. After 4-7 days, the vacuum device will be removed, and the participant's doctor will close the wound.
Historical Wound Closure
ACTIVE COMPARATORThe standard approach to your wound would be to leave it partially open and let it heal over a period of 3-6 months ("secondary closure").
Interventions
The wound will be closed with what is considered tertiary wound closure. This means, rather than leaving the wound open, the wound will be partially closed after surgery, and then completely closed 4-7 days after surgery.
Participants wounds are left partially open to heal.
Eligibility Criteria
You may qualify if:
- Patients with high risk class II, class III, class IV abdominal wounds
- Undergoing laparotomy for gynecologic related disorders
- Patients undergoing laparotomy for both benign and malignant diagnoses will be included in this study
You may not qualify if:
- Pregnancy
- Allergy to triclosan
- Patients undergoing HIPEC
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Comprehensive Cancer Center of Wake Forest University
Winston-Salem, North Carolina, 27157, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Study Nurse
- Organization
- Wake Forest Baptist Comprehensive Cancer Center
Study Officials
- PRINCIPAL INVESTIGATOR
Michael G Kelly, MD
Wake Forest University Health Sciences
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 25, 2019
First Posted
March 4, 2019
Study Start
February 27, 2019
Primary Completion
November 26, 2020
Study Completion
November 26, 2020
Last Updated
April 17, 2026
Results First Posted
April 17, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will not share