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Trial registered on ANZCTR
Registration number
ACTRN12611000399998
Ethics application status
Approved
Date submitted
29/03/2011
Date registered
15/04/2011
Date last updated
23/06/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
A randomized study comparing skin closure in benign gynecologic surgery : Staple versus subcuticular suture
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Scientific title
A randomized study comparing skin closure in benign gynecologic surgery:Staple versus subcuticular suture for postoperative pain
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Secondary ID [1]
259840
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Postoperative pain
265407
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benign gynecologic surgery
265534
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Condition category
Condition code
Anaesthesiology
265567
265567
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0
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Pain management
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Surgery
265691
265691
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0
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Surgical techniques
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Reproductive Health and Childbirth
265812
265812
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0
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Other reproductive health and childbirth disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Arm 1: Staple: A wire like fastening device composed of steel – based alloys , used to close operative wound. It will be removed at one week after the procedure.
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Intervention code [1]
264259
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Treatment: Devices
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Intervention code [2]
264347
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Treatment: Surgery
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Comparator / control treatment
Arm 2: Absorbable subcuticular suture: A method of skin closure involving placement of stitchs in the subcuticular tissue pararelled with the line of the wound. The suture material will be absorbed around 21 days after the procedure.
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Control group
Active
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Outcomes
Primary outcome [1]
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Postoperative pain by using visual analog scale (VAS)
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Assessment method [1]
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Timepoint [1]
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At two months after randomization
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Secondary outcome [1]
273646
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Wound infection by medical record at 30 days after the procedure.
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Assessment method [1]
273646
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Timepoint [1]
273646
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At one month after randomization
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Secondary outcome [2]
273647
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Satisfaction of patient by using Patient Satisfaction Questionnaire (PSQ)
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Assessment method [2]
273647
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Timepoint [2]
273647
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At one month after randomization
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Eligibility
Key inclusion criteria
-Scheduled to undergo benign gynecologic surgery
-Performing Pfannenstiel incision
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Minimum age
No limit
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
-Previous pfannenstiel incision
-Malignant condition
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Interventions are put sequentially in sealed opaque envelops
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated using block randomization
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
25/04/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
110
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
3215
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Thailand
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State/province [1]
3215
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Khon Kaen
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Funding & Sponsors
Funding source category [1]
264715
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Hospital
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Name [1]
264715
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Khon Kaen Hospital
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Address [1]
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56 Srichan Road
Muang
Khon Kaen
40000
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Country [1]
264715
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Thailand
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Primary sponsor type
Hospital
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Name
Khon Kaen Hospital
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Address
56 Srichan Road
Muang
Khon Kaen
40000
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Country
Thailand
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Secondary sponsor category [1]
263880
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Other
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Name [1]
263880
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Medical Education Center
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Address [1]
263880
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56 Srichan Road
Muang
Khon Kaen
40000
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Country [1]
263880
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Thailand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
266739
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Khon Kaen Hospital Ethics Committee
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Ethics committee address [1]
266739
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56 Srichan Road Muang Khon Kaen 40000
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Ethics committee country [1]
266739
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Thailand
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Date submitted for ethics approval [1]
266739
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02/08/2010
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Approval date [1]
266739
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09/09/2010
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Ethics approval number [1]
266739
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77/01/2553
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Summary
Brief summary
A transverse suprapubic (Pfannenstiel) incision is widely used in gynecologic surgery and cesarean delivery, and associated with a better cosmetic result. The goal of any skin closure technique is to produce appropriate skin approximation and adequate healing with minimal wound complications, scarring, pain, and cost. The technique should be quick, cost-effective, and simple, while maximizing wound cosmesis and patient satisfaction. Two methods for skin closure are used: metallic staples or subcuticular sutures. The method chosen relies mostly on the surgeon’s preference. The impact of the method used on postoperative pain, aesthetic results, and incidence of infections remains controversial. Most trials have suggested that staples are superior in speed of closure but have provided conflicting results regarding rates of infection, evaluation of cosmesis, postoperative pain, and cost-effectiveness. There were insufficient data to compare the effectiveness of these two methods, most of gynecologists individually choose their preferred methods.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
32243
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Address
32243
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Country
32243
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Phone
32243
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Fax
32243
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Email
32243
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Contact person for public queries
Name
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Manasicha Mekjarasnapha
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Address
15490
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Department of Obstetrics and Gynacology
Khon Kaen Hospital
56 Srichan Road
Muang
Khon Kaen
40000
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Country
15490
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Thailand
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Phone
15490
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66815749876
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Fax
15490
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6643-336789 Ext 3736
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Email
15490
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[email protected]
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Contact person for scientific queries
Name
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Sitthipong Thawinkarn
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Address
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Department of Obstetrics and Gynecology
Khon Kaen Hospital
56 Srichan Road
Muang
Khon Kaen
40000
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Country
6418
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Thailand
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Phone
6418
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66877755907
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Fax
6418
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6643336789 Ext 3736
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Email
6418
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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