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CicatrixNCT05787171

Three Sutures With Different Absorption Rates for Lower Abdominal Incision

A study testing WE-MBVMS using suture Vicryl (Polyglactin 910; Johnson & Johnson International, USA);, WE-MBVMS using suture PDS (polydioxanone; Johnson & Johnson International, USA) and WE-MBVMS using suture Ethibond (polyester; Johnson & Johnson International, USA) in people with Cicatrix, run by First Affiliated Hospital Xi'an Jiaotong University at 1 site in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The previous studies have demonstrated that wedge excision combined modified buried vertical mattress suture (WE-MBVMS) provides better aesthetic outcomes than traditional ways. Prolonged tension reduction is crucial in WE-MBVMS suppressing scar, while suture used during WE-MBVMS decided the length of tension reducing… Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
Cicatrix
What is being tested?
WE-MBVMS using suture Vicryl (Polyglactin 910; Johnson & Johnson International, USA);, WE-MBVMS using suture PDS (polydioxanone; Johnson & Johnson International, USA) and WE-MBVMS using suture Ethibond (polyester; Johnson & Johnson International, USA)
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
35 participants
Where
1 siteChina
Study dates
1 Nov 2022to 31 Oct 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • surgical incisions need to be closed after skin gotten;
  • incisions at least 10 cm in length;
  • patients aged between18 and 60 years old.

Who cannot join

  • chronic diseases, like diabetes, chronic kidney disease, malignant neoplasms and severe malnutrition;
  • pregnancy;
  • inability to return for the follow-up visit;
  • unwillingness to provide informed consent;
  • inability to read or speak Chinese.

Trial locations and contacts

1 site in 1 country.

China1 site, 1 recruiting
  • First Affiliated Hospital of Xi'an Jiaotong University

    Xi'an, Shaanxi, 710061

    Xinxi Zhu, 0086-18127051613, zhuxinxi1998@stu.xjtu.edu.cn

    Maoguo Shu, 0086-13384962722

    Recruiting

Other trials in China

About this study

Official title: A Prospective Study to Compare the Cosmetic Results of Sutures With Different Absorption Rates for Lower Abdominal Incision

The previous studies have demonstrated that wedge excision combined modified buried vertical mattress suture (WE-MBVMS) provides better aesthetic outcomes than traditional ways. Prolonged tension reduction is crucial in WE-MBVMS suppressing scar, while suture used during WE-MBVMS decided the length of tension reducing time to a certain degree. However, presently surgeons select suture for WE-MBVMS mostly according to their personal preference and clinical experience and clinical comparative evidence exposing the best suture for desired cosmetic outcome is lacking. Here, investigators purposed to establish a feasibility trial comparing the scars left by WE-MBVMS using sutures with different tension holding time.

This is a feasibility, single-center RCT with 35 patients aiming to compare the scar of the hypogastric incision sutured by three different-absorption-rate sutures with WE-MBVMS. The incision induced by donating skin grafts is evenly divided into three segments, each segment randomly uses one of three different sutures randomly allocated by the SAS (V.9.4) statistical software. The feasibility of this study will be assessed by the primary outcomes, including patient and clinician enrolment refusal as well as their reasons, reasons for ineligibility, recruitment ratio, retention and withdrawal at each follow-up point (1, 3, and 6 months), reasons for withdrawal, integrity of collected data and adverse event rates. Secondary outcome measures of the cosmetic outcome of scar will help shape future fully powered RCT by formulating the sample size.

Read the detailed description

Data from clinical trial and the previous study have demonstrated that wedge excision combined modified buried vertical mattress suture (WE-MBVMS) provides better aesthetic outcomes than traditional ways. As an effectively tension reducing, precisely edge everting and easily performing technique, WE-MBVMS has the following characteristics distinguishing it from other methods: (1) The edge of the incision was excised in a wedge size to guarantee a fully eversion in the edges of the incision; (2) And the stitch embed in the dermis as long as possible to recruit dermal tissue as much as possible in the suture loop, from which a sufficient skin eversion accompanied with visible skin folds is formed.

After the above operation, tension of the incision is effectively reduced and reserved to antagonist the consistently existing tension for a certain time, which is the core of WE-MBVMS in inducing slight scars. Although WE-MBVMS possesses the ability of confronting tension for a long time, the absorbable suture used during the WE-MBVMS decided the length of the tension reserving time. It is known that the period of scar molding is as long as 6-12 months, during which tension reducing contributes a lot in scar suppression. Hence, selecting appropriate material for the WE-MBVMS to achieve enough support for tension reducing of the incision might consequently lead to ideal scar suppression.

Nowadays, various kinds of absorbable sutures can be used in intradermal suture, among which PDS™ (polydioxanone) and Vicryl™ (polyglactin) is most commonly used. With the tension holding time of 90 days and 30 days, respectively, it is easy to relate them to different scar suppressing ability. Considering the crucial role of reducing tension played in suppressing scar and that nonabsorbable suture, also used in intradermal suture, provide prolonged dermal support, the researchers also employed polyester nonabsorbable suture in the WE-MBVMS . Although the ability of polyester suture in reducing tension will not be disturbed by its broken down by the body, tissue cutting and displacement will happen under the continuous action of external force over time. It follows that the efficiency of tension reduction and tissue eversion brought by polyester is prolonged but not permanent.

In this study, the lower abdominal incision will be selected which induced by harvesting autogenous skin grafts for wound repair to perform the comparison of the above three sutures. Because the donation causes incision, which leaves scar in the donor site that is mostly neglected by surgeons but concerned by patients. Besides, the hypogastrium is one of the important aesthetic units, thus scar is aesthetically undesirable or symptomatic8. Moreover, autogenous hypogastric skin graft, as an important skin donor site, is commonly used by plastic surgeons. Through comparing the cosmetic results of scars achieved by materials with different tension holding time, the researchers will further understand the duration of tension-reduction required for optimal scar inhibition and get a reference for suture selection. Taken together, a feasibility trial is required to produce more evidence for a fully powered randomised controlled trial (RCT).

This is a feasibility, single-center RCT with 35 patients aiming to compare the scar of the hypogastric incision sutured by three different-absorption-rate sutures with WE-MBVMS. The incision induced by donating skin grafts is evenly divided into three segments, each segment randomly uses one of three different sutures randomly allocated by the SAS (V.9.4) statistical software. The feasibility of this study will be assessed by the primary outcomes, including patient and clinician enrolment refusal as well as their reasons, reasons for ineligibility, recruitment ratio, retention and withdrawal at each follow-up point (1, 3, and 6 months), reasons for withdrawal, integrity of collected data and adverse event rates. Secondary outcome measures of the cosmetic outcome of scar will help shape future fully powered RCT by formulating the sample size.

Conditions
Cicatrix
Being tested
WE-MBVMS using suture Vicryl (Polyglactin 910; Johnson & Johnson International, USA);, WE-MBVMS using suture PDS (polydioxanone; Johnson & Johnson International, USA), WE-MBVMS using suture Ethibond (polyester; Johnson & Johnson International, USA)
Medical subject headings
Cicatrix

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • WE-MBVMS using suture Vicryl (Polyglactin 910; Johnson & Johnson International, USA);Device

    The skin around the incision is dissociated from the bottom, followed by measuring the length of the wound and dividing it into three segments evenly. Each segment randomly received 2-0 Vicryl suture, 2-0 PDS suture, or 2-0 Ethibond suture to sew up the incision with WE-MBVMS.

  • WE-MBVMS using suture PDS (polydioxanone; Johnson & Johnson International, USA)Device

    The skin around the incision is dissociated from the bottom, followed by measuring the length of the wound and dividing it into three segments evenly. Each segment randomly received 2-0 Vicryl suture, 2-0 PDS suture, or 2-0 Ethibond suture to sew up the incision with WE-MBVMS.

  • WE-MBVMS using suture Ethibond (polyester; Johnson & Johnson International, USA)Device

    The skin around the incision is dissociated from the bottom, followed by measuring the length of the wound and dividing it into three segments evenly. Each segment randomly received 2-0 Vicryl suture, 2-0 PDS suture, or 2-0 Ethibond suture to sew up the incision with WE-MBVMS.

Study groups in NCT05787171
Study groupRoleWhat they receive
PDS groupExperimentalThe skin around the incision is dissociated from the bottom, followed by measuring the length of the wound and dividing it into three segments evenly. Each segment randomly received 2-0 Vicryl suture, 2-0 PDS suture, or 2-0 Ethibond suture to sew up the incision with WE-MBVMS. This is the group which received 2-0 PDS suture to sew up the incision.
Receives: Device: WE-MBVMS using suture PDS (polydioxanone; Johnson & Johnson International, USA)
Vicryl groupExperimentalThe skin around the incision is dissociated from the bottom, followed by measuring the length of the wound and dividing it into three segments evenly. Each segment randomly received 2-0 Vicryl suture, 2-0 PDS suture, or 2-0 Ethibond suture to sew up the incision with WE-MBVMS.This is the group which received 2-0 Vicryl suture to sew up the incision.
Receives: Device: WE-MBVMS using suture Vicryl (Polyglactin 910; Johnson & Johnson International, USA);
Ethibond groupExperimentalThe skin around the incision is dissociated from the bottom, followed by measuring the length of the wound and dividing it into three segments evenly. Each segment randomly received 2-0 Vicryl suture, 2-0 PDS suture, or 2-0 Ethibond suture to sew up the incision with WE-MBVMS.This is the group which received 2-0 Ethibond suture to sew up the incision.
Receives: Device: WE-MBVMS using suture Ethibond (polyester; Johnson & Johnson International, USA)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Visual Analogue Scale (VAS)

    As a 10cm line with 0 presenting the worst and 10 presenting the best overall satisfaction, the score of VAS is collected by patients placing a vertical mark on the VAS.

    Measured: 1 month after the surgery

  2. Visual Analogue Scale (VAS)

    As a 10cm line with 0 presenting the worst and 10 presenting the best overall satisfaction, the score of VAS is collected by patients placing a vertical mark on the VAS.

    Measured: 3 month after the surgery

  3. Visual Analogue Scale (VAS)

    As a 10cm line with 0 presenting the worst and 10 presenting the best overall satisfaction, the score of VAS is collected by patients placing a vertical mark on the VAS.

    Measured: 6 month after the surgery

  4. Patient Scar Assessment Scale (PSAS)

    Six domains including pain, itching, colour, pliability, thickness and relief, are contained in the PSAS.

    Measured: 1 month after the surgery

  5. Patient Scar Assessment Scale (PSAS)

    Six domains including pain, itching, colour, pliability, thickness and relief, are contained in the PSAS.

    Measured: 3 month after the surgery

  6. Patient Scar Assessment Scale (PSAS)

    Six domains including pain, itching, colour, pliability, thickness and relief, are contained in the PSAS.

    Measured: 6 month after the surgery

  7. Observer Scar Assessment Scale (OSAS)

    Six domains including pain, itching, colour, pliability, thickness and relief, are contained in the OSAS.

    Measured: 1 month after the surgery

  8. Observer Scar Assessment Scale (OSAS)

    Six domains including pain, itching, colour, pliability, thickness and relief, are contained in the OSAS.

    Measured: 3 month after the surgery

  9. Observer Scar Assessment Scale (OSAS)

    Six domains including pain, itching, colour, pliability, thickness and relief, are contained in the OSAS.

    Measured: 6 month after the surgery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Mar 2023
  2. Study start1 Nov 2022
  3. Primary completion1 Jul 2023 (estimated)
  4. Study completion31 Oct 2023 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
35 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05787171
Sponsor's protocol ID
XJTU1AF2021CRF-019
Status last verified
Oct 2022
First submitted
25 Aug 2022
Last updated
28 Mar 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing WE-MBVMS using suture Vicryl (Polyglactin 910; Johnson & Johnson International, USA);, WE-MBVMS using suture PDS (polydioxanone; Johnson & Johnson International, USA) and WE-MBVMS using suture Ethibond (polyester; Johnson & Johnson International, USA) in people with Cicatrix, run by First Affiliated Hospital Xi'an Jiaotong University at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 28 Mar 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Xinxi Zhu (0086-18127051613, zhuxinxi1998@stu.xjtu.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Visual Analogue Scale (VAS) (time frame: 1 month after the surgery). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Mar 2023.

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