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Clinical Trials/NCT07218679
NCT07218679Active, not recruitingNot Applicable

Clinical Trial on the Use of Stratafix Symmetric vs. Resorbable Monofilament for Closure of Large Median Laparotomy in Oncological Patients

Fundación Pública Andaluza para la gestión de la Investigación en Sevilla1 site in 1 country140 target enrollmentStarted: May 21, 2025Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Not Applicable
Status
Active, not recruiting
Enrollment
140
Locations
1
Primary Endpoint
Incisional hernia

Study Overview

Brief Summary

The aim of this study is to evaluate the safety and efficacy of using Stratafix (a type of symmetric, barbed, and coated suture) for abdominal wall closure in oncologic patients undergoing elective midline laparotomy, compared to the use of a monofilament suture following the Small Stitch technique.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Prevention
Masking
Double (Participant, Investigator)

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • •Patients over 18 years of age who will undergo midline laparotomy for oncologic resection of a retroperitoneal tumor or cytoreductive surgery for carcinomatosis of any origin.

Exclusion Criteria

  • •Diagnosed incisional hernia.
  • •When the planned midline laparotomy is expected to be less than 20 cm.
  • •Patients with a BMI > 45 kg/m².
  • •Patients with abdominal aortic aneurysm.
  • •Patients with coagulopathy: previously diagnosed with von Willebrand disease, hemophilia, or idiopathic thrombocytopenic purpura.
  • •Patients with collagen disorders: previously diagnosed with Marfan syndrome, Ehlers-Danlos syndrome, homocystinuria, or scleroderma.

Arms & Interventions

Stratafix

Experimental

Midline laparotomy closure with Stratafix suture.

Intervention: Stratafix Suture (Device)

PDS plus

Active Comparator

Midline laparotomy closure with PDS plus suture

Intervention: PDS plus suture (Device)

Outcomes

Primary Outcomes

Incisional hernia

Time Frame: 12 months

Incisional hernia rate after midline laparotomy closure.

Secondary Outcomes

  • Wound infection(12 months.)
  • Wound seroma(12 months)
  • Hematoma(12 months)
  • Evisceration(1 month)

Investigators

Study Sites (1)

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