Clinical trial NCT06865807: Influence of Suture Type on Emergency Midline Laparotomy Closure
Official title: Influence of Suture Type on Emergency Midline Laparotomy Closure
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Linea Alba Hernia
Evisceration; Operation Wound
Suture; Complications, Mechanical
Lead sponsor: Hospital San Juan de Dios Tenerife
Sponsor class: OTHER
First posted: 2025-03-10
Enrollment: 100
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: There is no clear recommendation in international guidelines regarding the type of suture to be used for closing emergency midline laparotomies. It is recommended to follow the same principles as in elective surgery, thus performing the closure with a continuous suture of slowly absorbable monofilament 2-0 with small-bites technique. Currently, there are several slowly absorbable sutures available on the market, and our center uses two: PDS® and Monomax®. These two sutures are currently used interchangeably at our institution based on the preferences of each surgeon.

Objective: study whether there are differences between these two sutures in the closure of emergency midline laparotomy.


Eligibility criteria: Inclusion Criteria:

* \>18 years old, patients undergoing emergency midline laparotomy by the General Surgery Department.

Exclusion Criteria:

* \<18 years old, previous midline laparotomy

Primary outcomes:
measure: Evisceration
timeFrame: 1 month
Secondary outcomes:
measure: Wound complication
timeFrame: 1 month
measure: Incisional hernia
timeFrame: 1 year
Other outcomes:
Locations:
city: Santa Cruz De Tenerife
country: Spain
facility: University Hospital Nuestra Señora de Candelaria
Study officials:
References:
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