NCT06865807

Influence of Suture Type on Emergency Midline Laparotomy Closure

• Status: Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 100 (estimated)
• Sponsor: Hospital San Juan de Dios Tenerife · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

There is no clear recommendation in international guidelines regarding the type of suture to be used for closing emergency midline laparotomies. It is recommended to follow the same principles as in elective surgery, thus performing the closure with a continuous suture of slowly absorbable monofilament 2-0 with small-bites technique. Currently, there are several slowly absorbable sutures available on the market, and our center uses two: PDS® and Monomax®. These two sutures are currently used interchangeably at our institution based on the preferences of each surgeon. Objective: study whether there are differences between these two sutures in the closure of emergency midline laparotomy.

Conditions

• Linea Alba Hernia
• Evisceration; Operation Wound
• Suture; Complications, Mechanical

Interventions

Type	Name	Description
PROCEDURE	PDS 2/0 vs Monomax 2/0	We will include in the study patients who require an emergency midline laparotomy by the General and Digestive Surgery Department of the University Hospital Nuestra Señora de Candelaria. Patients will be randomized based on their medical record number: those with an even number will undergo laparotomy closure using PDS 2/0, and those with an odd number will receive Monomax 2/0.

Timeline

• Start date: 2025-02-10
• Primary completion: 2026-02-10
• Completion: 2026-12-10
• First posted: 2025-03-10
• Last updated: 2025-03-11

Locations

1 site across 1 country: Spain