Influence of Suture Type on Emergency Midline Laparotomy Closure

Hospital San Juan de Dios Tenerife

Status: Enrolling

Conditions: Linea Alba Hernia; Evisceration; Operation Wound; Suture; Complications, Mechanical

Treatments: Procedure: PDS 2/0 vs Monomax 2/0

Study type: Interventional

Funder types: Other

Identifiers

NCT06865807

52/24

Details and patient eligibility

About

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.

Enrollment: 100 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

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

Exclusion criteria

• <18 years old, previous midline laparotomy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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100 participants in 2 patient groups

PDS

Active Comparator group

Description:

Closure emergency laparotomy using PDS 2/0 small bites

Treatment:

Procedure: PDS 2/0 vs Monomax 2/0

Monomax

Experimental group

Description:

Closure emergency laparotomy using Monomax 2/0 small bites

Treatment:

Procedure: PDS 2/0 vs Monomax 2/0