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Abdominal Wall Closure With Triclosan-coated Suture (TCS09-10)

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ClinicalTrials.gov Identifier: NCT01123616
Recruitment Status : Unknown
Verified May 2010 by University of Pecs.
Recruitment status was:  Active, not recruiting
First Posted : May 14, 2010
Last Update Posted : May 14, 2010
Sponsor:
Information provided by:
University of Pecs

Brief Summary:
After open colo-rectal surgery the surgical site infection (SSI) is very high among abdominal surgeries. The goal of the investigators randomized, prospective, multicentric, internet-based study is to compare rate of SSI after surgery of colon and rectum by using triclosan-coated suture for abdominal wall closure. 180-180 cases in seven centres are involved in this study. Two arms are separeted by computer randomization at abdomial wall closure: application of triclosan-coated and non-coated PDS suture (PDS vs. PDS-Plus). Triclosan is an antiseptic material which the investigators hope will provide better local infection control at the site with reducing the risk of bacterial colonisation.

Condition or disease Intervention/treatment Phase
Wound Infection Procedure: abdominal wall closure Phase 2

Detailed Description:

After open colo-rectal surgery the surgical site infection (SSI) is very high among abdominal surgeries. The goal of our randomized, prospective, multicentric, internet-based study is to compare rate of SSI after surgery of colon and rectum by using triclosan-coated suture for abdominal wall closure. Two arms are separeted by computer randomization at abdomial wall closure: application of triclosan-coated and non-coated PDS suture (PDS vs. PDS-Plus). Triclosan is an antiseptic materia which we hope provides better local infection control at the site with reducing the risk of bacterial colonisation.

attached website: www.itplan.hu/sebstudy/ Randomizing patients: 1. logging in (completing the ID pannel) 2. on-line randomization 3. patient appears on list 4. operation (recording details) 5. recording - post-operation events

  • complications
  • control examination

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 1 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Care Provider, Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Abdomen Closure Using Triclosan Coated Absorbable Suture vs Uncoated Sutures of the Same Base Material
Study Start Date : November 2009
Estimated Primary Completion Date : April 2010
Estimated Study Completion Date : June 2010

Resource links provided by the National Library of Medicine

Drug Information available for: Triclosan
U.S. FDA Resources

Arm Intervention/treatment
Active Comparator: non-triclosan-coated
Two arms are separeted by computer randomization at abdomial wall closure: application of triclosan-coated and non-coated PDS suture (PDS vs. PDS-Plus).
Procedure: abdominal wall closure
triclosan-coated (PDS-Plus) and non-coated (PDS) suture to close the abd. wall
Other Names:
  • presence of surgical site infection
  • level of surgical site infection
Active Comparator: triclosan coated suture
Two arms are separeted by computer randomization at abdomial wall closure: application of triclosan-coated and non-coated PDS suture (PDS vs. PDS-Plus).
Procedure: abdominal wall closure
triclosan-coated (PDS-Plus) and non-coated (PDS) suture to close the abd. wall
Other Names:
  • presence of surgical site infection
  • level of surgical site infection



Primary Outcome Measures :
  1. quality and quantity of wound discharge [ Time Frame: 30 days ]

Secondary Outcome Measures :
  1. number of applied different types of bandages [ Time Frame: 30 days ]
  2. charges of wound care [ Time Frame: 30 days ]


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Ages Eligible for Study:   18 Years to 80 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Elective (subjected to bowel preparation) operations
  • Benign or malignsnt colon or rectal disease
  • Age: 18-80
  • Bowel opening is made during operation

Exclusion Criteria:

  1. Cannot be randomized:

    Systemic diseases influencing local surgical site healing Insulin-dependent diabetes mellitus Child B-C liver cirrhosis Kidney disease requiring dialysis Immune-suppression treatment IBD Acute surgery or unpreparated bowel After being informed patient does not sign the statement of consent

  2. To be excluded later:

    Surgically incurable tumour Septic state or complication occurred in the post-operational stage Patient withdraws the signed consent before the examination is closed

  3. Undesirable complication:

Sterile surgical site separation Suture break during the post-operational stage


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01123616


Locations
Hungary
Department of Surgery Medical Faculty, University of Pecs, Hungary
Pecs, Hungary
Sponsors and Collaborators
University of Pecs
Investigators
Principal Investigator: Ors Peter Horvath, MD, PhD, DSc Head of Surg. Dept. Univ. of Pecs, Hungary - ophorvath@iseb.pote.hu

Additional Information:
Publications of Results:

Responsible Party: Medical Center, University of Pecs, Prof. O P Horvath MD, PhD.ScD
ClinicalTrials.gov Identifier: NCT01123616     History of Changes
Other Study ID Numbers: triclosan-coated-suture
First Posted: May 14, 2010    Key Record Dates
Last Update Posted: May 14, 2010
Last Verified: May 2010

Keywords provided by University of Pecs:
surgical site infection
elective colorectal surgery
level of surgical site infection
complication of surgical site infection
type of changed bandage
frequency of bandage changing

Additional relevant MeSH terms:
Infection
Wound Infection
Triclosan
Anti-Infective Agents, Local
Anti-Infective Agents
Fatty Acid Synthesis Inhibitors
Hypolipidemic Agents
Antimetabolites
Molecular Mechanisms of Pharmacological Action
Lipid Regulating Agents