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Evaluation of the Efficacy of STRATAFIX for Neurosurgical Cranial and Spine Procedures

Not Applicable
Recruiting
Conditions
Wound Closure
Brain Tumor Adult
Spine
Neurovascular
Hemorrhagic Stroke, Intracerebral
Traumatic Brain Injury
Registration Number
NCT07225101
Lead Sponsor
University of Michigan
Brief Summary

This research is studying a device already approved by the Food and Drug Administration (FDA) to treat wound closures. Researchers are studying a large group of people to continue to learn information about the safety of the STRATAFIX suture and how people's bodies react to using it over a long period of time. This research will provide additional information about using STRATAFIX sutures to close surgical wounds.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
160
Inclusion Criteria
  • Elective or emergent surgical approaches for cranial or spine neurosurgical approaches, requiring sutures for wound closure, requiring multilayer wound closure
Exclusion Criteria
  • Patients with prior surgical wound dehiscence or infection
  • Patients with allergy to suture material

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Wound complications Bates-Jensen Wound Assessment Tool (BWAT) score1 month

The BWAT evaluates 13 categories including size, depth, edges, undermining, necrotic tissue type and amount, exudate type and amount, skin color, peripheral tissue, granulation tissue and epithelialization with a total score of 65. Minimal severity scores are 10-20 out of the total of 65 with good interrater reliability and validation in a variety of clinical environments. Wounds with scores \<10 will be considered healed.

Secondary Outcome Measures
NameTimeMethod
Wound complications Bates-Jensen Wound Assessment Tool (BWAT) score3 and 6 months

The BWAT evaluates 13 categories including size, depth, edges, undermining, necrotic tissue type and amount, exudate type and amount, skin color, peripheral tissue, granulation tissue and epithelialization with a total score of 65. Minimal severity scores are 10-20 out of the total of 65 with good interrater reliability and validation in a variety of clinical environments. Wounds with scores \<10 will be considered healed.

Scores will be separated into specific patient subgroups (e.g., spine procedures vs. cranial procedures, younger vs. older patients)

The Wound-Quality of Life (QOL) questionnaire score1, 3 and 6 months

This is a 17-point scale with 5 choices each ranging from 17-85. Higher scores indicate worse quality of life.

Intraoperative time required for wound closureImmediately following surgery

Time for intraoperative wound closure will be monitored. Wound closure technique will be video recorded.

Percent of participants positive for superficial surgical site infection (SSI)Up to six months

Assessed using a culture or polymerase chain reaction

Number of case deviations and descriptions from prescribed suturing paradigmImmediately following surgery

A quantification and description for additional suture material required for surgical procedures will be monitored.

Liker scale of patient satisfaction with wound1, 3 and 6 months

10 point subjective scale indicating patient satisfaction with wound

Wound imaging at perioperative followup1, 3 and 6 months

Wound pictures during followup period.

Wound revision strategyup to 6 months

Description of any wound revision strategies and timing

Trial Locations

Locations (1)

University of Michigan Health Sparrow

🇺🇸

Lansing, Michigan, United States

University of Michigan Health Sparrow
🇺🇸Lansing, Michigan, United States
Karen Sagher
Contact
734-232-4843
kfrisch@med.umich.edu
Michael Karsy, MD, PhD, MSc
Principal Investigator
Nasser M Yaghi, MD
Sub Investigator

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