Sub vs Trans-umbilical Incision: A Patient's Satisfaction-centered Trial

Université de Sherbrooke

Status: Completed

Conditions: General Surgery; Surgical Wound; Patient Satisfaction; Incision

Treatments: Procedure: Transumbilical incision; Procedure: Subumbilical incision

Study type: Interventional

Funder types: Other

Identifiers

NCT03026400

2014-688

Details and patient eligibility

About

While some studies have suggested that subumbilical and transumbilical incisions have a similar clinical efficiency and safety, no study has yet evaluated their respective impact on patient's postoperative aesthetic satisfaction.

The objective of this randomised trial is to compare patient's postoperative aesthetic satisfaction depending on the type of incision which is performed during surgeries.

Enrollment: 54 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patients 18-70 years old having a planned laparoscopic surgery with an umbilical first trocar at CHUS were included.

Exclusion criteria

• Patients with a BMI > 40 or that had previous abdominal surgeries involving the umbilicus were excluded.

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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54 participants in 2 patient groups

Subumbilical incision

Other group

Description:

The subumbilical incision was standardised. A curvilinear horizontal incision was performed to be able to reach the base of the umbilicus. The aponeurosis was incised with a scalpel and the peritoneal layer was open with a Kelly clamp. The incision was completed with the Hasson technique and a X-stitch was used for closure.

Treatment:

Procedure: Subumbilical incision

Transumbilical incision

Other group

Description:

The transumbilical incision was also standardised, inverting the umbilicus with graspers, then incising vertically the skin to reach the umbilical physiological hernia to enlarge it. The incision was also completed with the Hasson technique and a X-stitch was used for closure.

Treatment:

Procedure: Transumbilical incision