This study is to investigate whether NEOSORB Plus antibacterial suture (chlorhexidine diacetate coated PGLA910) is not inferior to NEOSORB suture (PGLA910) in the points of intraoperative handling.
1. Enrollment 1. Urologic surgery which needs fascia and subcutaneous tissue repairs 2. Clean and clean-contaminated surgery 3. Patients aged more than 18 years and under 80 years 2. Randomization 1. NEOSORB Plus (chlorhexidine diacetate coated PGLA910) or NEOSORB (PGLA910) suture 2. Stratification by operative methods: Open surgery vs. laparoscopic or robot-assisted laparoscopic surgery 3. Follow-up with 30 days 1. Primary endpoint: intraoperative handling during operation 2. Secondary endpoint: wound healing assessment on postoperative 1st (+1) days and 11th (± 4) days 3. Safety evaluation: counting adverse events within postoperative 30 days
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
100
Fascia and subcutaneous tissue repaired by antibacterial suture materials (Chlorhexidine diacetate coated PGLA910)
Fascia and subcutaneous tissue repaired by non-antibacterial suture materials (PGLA910)
Seoul National University Hospital
Seoul, South Korea
Overall handling
1 to 5 scale
Time frame: During the operation
Ease of passage though tissue
1 to 5 scale
Time frame: During the operation
First-throw knot holding
1 to 5 scale
Time frame: During the operation
Knot tie-down smoothness
1 to 5 scale
Time frame: During the operation
Knot security
1 to 5 scale
Time frame: During the operation
Surgical hand
1 to 5 scale
Time frame: During the operation
Memory
1 to 5 scale
Time frame: During the operation
Lack of fraying
1 to 5 scale
Time frame: During the operation
Healing progress, apposition
Complete vs. Incomplete
Time frame: On postoperative 1st(+1) and 11th(±4) day
Infection
No vs. YES
Time frame: On postoperative 1st(+1) and 11th(±4) day
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Seroma requiring drainage
No vs. YES
Time frame: On postoperative 1st(+1) and 11th(±4) day
Suture sinus, culture-negative
No vs. YES
Time frame: On postoperative 1st and 11(± 4)th day
Erythema
0, + (closure line redness), ++(redness\<2mm), +++ (redness\>2mm)
Time frame: On postoperative 1st(+1) and 11th(±4) day
Edema
0, + (slight increase in firmness), ++(skin dimples with pressure), +++ (tense firmness)
Time frame: On postoperative 1st(+1) and 11th(±4) day
Pain
0, + (with pressure), ++(with touching), +++ (constant)
Time frame: On postoperative 1st(+1) and 11th(±4) day
Skin temperative increase
0, + (slight), ++(definite), +++ (hot, radiating)
Time frame: On postoperative 1st(+1) and 11th(±4) day
30 days cumulative skin infection rate
No vs. YES
Time frame: Within postoperative 30 days
30 days cumulative seroma requiring drainage rate
No vs. YES
Time frame: Within postoperative 30 days
30 days cumulative suture sinus (culture-negative) rate
No vs. YES
Time frame: Within postoperative 30 days
Adverse events
Time frame: Within postoperative 30 days