Unique ID issued by UMIN | UMIN000048442 |
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Receipt number | R000055205 |
Scientific Title | The development of a midline abdominal wall incision closure technique to reduce the incidence of wound complications after elective gastroenterological surgery |
Date of disclosure of the study information | 2022/08/01 |
Last modified on | 2024/01/23 12:39:31 |
The development of a midline abdominal wall incision closure technique to reduce the incidence of wound complications after elective gastroenterological surgery
The development of a midline abdominal wall incision closure technique to reduce the incidence of wound complications after elective gastroenterological surgery
The development of a midline abdominal wall incision closure technique to reduce the incidence of wound complications after elective gastroenterological surgery
The development of a midline abdominal wall incision closure technique to reduce the incidence of wound complications after elective gastroenterological surgery
Japan |
The patients who undergo elective gastroenterological surgery with a class II (clean-contaminated) surgical wound
Gastrointestinal surgery | Hepato-biliary-pancreatic surgery |
Malignancy
NO
The evaluation of the superiority of the combination of continuous sutures of fascia without peritoneum closure and continuous sutures of subcutaneous tissue over that of interrupted sutures for fascia together with peritoneum and interrupted sutures of subcutaneous tissue for reducing the incidence of wound complications of midline abdominal wall incision after elective gastroenterological surgery
Efficacy
The incidence of postoperative wound complications, including wound bleeding, hematoma, surgical site infection, seroma and wound dehiscence within 30 days after surgery, and incisional hernia within 1 year after surgery
Duration of abdominal wall closure and wound pain seven days after surgery
Interventional
Parallel
Randomized
Individual
Single blind -participants are blinded
Active
2
Treatment
Maneuver |
Midline abdominal wall incision closure with continuous sutures of fascia without peritoneum closure and continuous sutures of subcuticular tissue
Midline abdominal wall incision closure with interrupted sutures for fascia together with peritoneum and interrupted sutures of subcuticular tissue
18 | years-old | <= |
Not applicable |
Male and Female
1 Scheduled to undergo elective surgery for esophagus, stomach, duodenum, jejunum, ileum, colorectal, pancreas, liver or biliary tract with a class II (clean-contaminated) surgical wound
2 Age >= 18 years old at the time of consent being obtained by non-blinded investigators.
3 Scheduled to undergo computed tomography one year after surgery
4 Written informed consent provided
1 Emergency surgery
2 Under 18 years old
3 A history of midline abdominal wall incision
4 A history of abdominal incisional hernia or fascial tear
5 Identification of bacterial infection in the surgical field or the use antibiotic therapy prior to the operation.
6 Presence of a contaminated abdominal cavity due to stoma, intestinal fistula or drainage tube.
7 Open wound management for prior operation.
8 Synchronous operation for more than two targeted organs.
9 Current immunotherapy (>= 40 mg of a corticosteroid per day or azathioprine)
10 Chemotherapy within 14 days prior to surgery
11 A history of radiotherapy of the abdomen
12 Pregnancy
13 Registered for another clinical trial
14 Conditions that make the patient unsuitable for inclusion according to the judgement of non-blinded investigators.
284
1st name | Toshiki |
Middle name | |
Last name | Rikiyama |
Saitama Medical Center, Jichi Medical University
Department of Surgery
330-8503
1-847, Amanuma-cho, Omiya-ku, Saitama
0486472111
trikiyama@jichi.ac.jp
1st name | Yuki |
Middle name | |
Last name | Mizusawa |
Saitama Medical Center, Jichi Medical University
Department of Surgery
330-8503
1-847, Amanuma-cho, Omiya-ku, Saitama
0486472111
yuki.afterdark@gmail.com
Saitama Medical Center, Jichi Medical University
None
Other
The Bioethics Committee for Clinical Research, Saitama Medical Center, Jichi Medical University
1-847, Amanuma-cho, Omiya-ku, Saitama
0486472111
s-suishin@jichi.ac.jp
NO
2022 | Year | 08 | Month | 01 | Day |
Unpublished
Yes
Immediately after the publication of the primary results, de-identified individual participant data that underlie the results reported in the article(s) and other documents (study protocol and statistical analysis plan) will be available for any purpose, only if approved by the Bioethics Committee for Clinical Research, Saitama Medical Center, Jichi Medical University. Anyone who wishes to access the data should submit a proposal to s08.086sf@jichi.ac.jp. If approved, data requestors will need to sign a data access agreement. After that, the principal investigator will transfer the data and other documents to data requestors.
Enrolling by invitation
2022 | Year | 06 | Month | 23 | Day |
2022 | Year | 06 | Month | 30 | Day |
2022 | Year | 08 | Month | 01 | Day |
2026 | Year | 03 | Month | 31 | Day |
2022 | Year | 07 | Month | 23 | Day |
2024 | Year | 01 | Month | 23 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000055205
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