Effect of Stitch Technique on the Occurrence of Incisional Hernia After Abdominal Wall Closure

NCT01965249 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 425

Last updated 2025-09-08

No results posted yet for this study

Summary

The major long term complication of abdominal wall closure after a median laparotomy is the development of an incisional hernia. Several suture technique and suture material have been used but the incidence of this complication still lies between 9 -20%. Synthetic suture material which have become available over the last decades have the advantage that they are degraded by the body system and fully absorbed within 70-180 days; however they loss 50% of their initial strength already after 14-30 days and may not be the optimal suture material for abdominal wall closure. A new suture material (Monomax®) was developed with an extra-long absorption profile, high elasticity and with a superior initial strength. Therefore, the ESTOIH-Study was designed to investigate the influence of the stitch length on the occurrence of incisional hernia using the extra-long term absorbable, elastic, monofilament suture (Monomax®).

Conditions

  • Injury of Abdominal Wall

Interventions

DEVICE

Long stitch

AWC with the long stitch technique using MonoMax USP 1, 150 cm loop, HR48 mm

DEVICE

Short Stitch

Short stitch suture technique using MonoMax USP 2/0, 150 cm, HR26 mm

Sponsors & Collaborators

  • B.Braun Surgical SA

    collaborator INDUSTRY
  • Aesculap AG

    lead INDUSTRY

Principal Investigators

  • Rene Fortelny, Dr. · Wilhelminenspital Wien

Study Design

Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Model
PARALLEL

Eligibility

Min Age
18 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2014-02-28
Primary Completion
2019-12-15
Completion
2024-12-12

Countries

  • Austria
  • Germany

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT01965249 on ClinicalTrials.gov