Influence of Suture Type on Emergency Midline Laparotomy Closure

Not Applicable

Recruiting

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

• Registration Number: NCT06865807
• Lead Sponsor: Hospital San Juan de Dios Tenerife

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2025-02-10
• Status Verified: 2025-03
• Study First Submitted: 2025-03-04
• Study First Submitted QC: 2025-03-04
• Last Update Submitted: 2025-03-07
• Study First Posted: 2025-03-10
• Last Update Posted: 2025-03-11
• Primary Completion: 2026-02-10
• Study Completion: 2026-12-10

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

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

Exclusion Criteria

• <18 years old, previous midline laparotomy

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Evisceration	1 month	Rate of evisceration

Secondary Outcome Measures

Name	Time	Method
Wound complication	1 month	Seroma, hematoma, infection
Incisional hernia	1 year	Evaluate the rate of incisional hernia during follow-up in outpatient consultations.

Trial Locations

Locations (1)

University Hospital Nuestra Señora de Candelaria; 🇪🇸 Santa Cruz De Tenerife, Spain