Researching the Useful of Barb Suture in Obese Patients Undergoing Posterior Cervical Surgery
A Controlled Clinical Study on the Safety and Effectiveness of Barb Suture in Obese Patients Undergoing Posterior Cervical Surgery
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Yanyan Jia
- Phone Number: 15902984776
- Email: 14556263@qq.com
Study Locations
-
-
Shannxi Province
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Xi'an, Shannxi Province, China, 710034
- Recruiting
- Jia Yanyan
-
Contact:
- Yanyan Jia
- Phone Number: 15902984776
- Email: 14556263@qq.com
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Symptoms and signs of the patients were typical. MRI showed single or multiple central herniation of C3-C7 intervertebral discs or spinal stenosis at corresponding levels, which confirmed cervical myeloid cervical spondylosis or cervical spinal stenosis.
- Preoperative routine tests and examinations showed no contraindications.
- BMI≥28
- Informed consent was obtained from the patient and his family, informed consent was signed, and a complete follow-up was completed after surgery.
Exclusion Criteria:
- A history of wasting diseases associated with malignancy and chemoradiotherapy that may interfere with wound healing
- History of dermatosis
- History of immune system diseases
- History of blood diseases
- Skin injury or defect at the back of the neck
- Severe hypersensitivity
- Cold, fever, trauma or other infections in the week before surgery
- Infectious disease
- Psychosis could not cooperate with follow-up
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
No Intervention: Preoperative
|
|
|
Experimental: postoperative (3 months)
|
The patients were operated by the posterior cervical surgery, which were used with the barbed to suture the deep fascia.
|
|
Experimental: postoperative (2 weeks)
|
The patients were operated by the posterior cervical surgery, which were used with the barbed to suture the deep fascia.
|
|
Experimental: postoperative (4 weeks)
|
The patients were operated by the posterior cervical surgery, which were used with the barbed to suture the deep fascia.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
JOA score change
Time Frame: 3 months after surgery
|
JOA score is used to assess the function of spinal cord which is in the form of questionnaires.
Postoperative improvement rate = ((postoperative score - preoperative score)/ (17- preoperative score)) X100%.
Improvement rate can also correspond to the commonly used efficacy criteria: cure when the improvement rate is 100%, effective when the improvement rate is greater than 60%, effective when 25-60%, and ineffective when less than 25%.
|
3 months after surgery
|
|
NDI score change
Time Frame: 3 months after surgery
|
NDI score is used to assess the disorder of spinal cord which is in the form of questionnaires.
Postoperative improvement rate = (total score)/ (numbers of programme X5) X100%.
Improvement rate can also correspond to the commonly used efficacy criteria: the improvement rate when 60%-80% means extremely severe dysfunction, when 40%-60% means severe dysfunction, when 20-40% means moderate dysfunction, and when less than 20% means mild dysfunction.
|
3 months after surgery
|
|
VAS score change
Time Frame: 3 months after surgery
|
A Visual Analogue Scale (VAS) is used to measure the amount of pain that a patient feels ranges across a continuum from none to an extreme amount of pain.
Using a ruler, the score is determined by measuring the distance (mm) on the 10cm line between the "no pain" anchor and the patient's mark, providing a range of scores from 0-100.
A higher score indicates greater pain intensity.
|
3 months after surgery
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
wound infection
Time Frame: 2 weeks after surgery, 4 weeks after surgery, 3 months after surgery
|
The presence of wound infection was confirmed through the assessment of the patient's white blood cell count, erythrocyte sedimentation rate, C-reactive protein levels and other relevant biochemical markers.
Additionally, signs such as erythema, edema, warmth, tenderness and other related symptoms should be evaluated to determine the presence of wound infection.
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2 weeks after surgery, 4 weeks after surgery, 3 months after surgery
|
|
wound dehiscence
Time Frame: 2 weeks after surgery, 4 weeks after surgery, 3 months after surgery
|
The assessment of wound dehiscence primarily relied on the identification of suture rupture within the wound site through direct visualization.
|
2 weeks after surgery, 4 weeks after surgery, 3 months after surgery
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Greenberg JA, Einarsson JI. The use of bidirectional barbed suture in laparoscopic myomectomy and total laparoscopic hysterectomy. J Minim Invasive Gynecol. 2008 Sep-Oct;15(5):621-3. doi: 10.1016/j.jmig.2008.06.004. Epub 2008 Jul 10.
- Sarsam OM, Dunning J, Pochulu B, Baste JM. Robot-assisted bronchoplasty using continuous barbed sutures. J Vis Surg. 2018 Jan 4;4:3. doi: 10.21037/jovs.2017.12.14. eCollection 2018.
- Yang S, Qi-Heng T, Yi-Xin Z. Comparison of Standard Suture vs Barbed Suture for Closing the Porcine Knee Joint: Evaluation of Biomechanical Integrity and Permeability. J Arthroplasty. 2018 Mar;33(3):903-907. doi: 10.1016/j.arth.2017.10.008. Epub 2017 Oct 10.
- Chan VWK, Chan PK, Chiu KY, Yan CH, Ng FY. Does Barbed Suture Lower Cost and Improve Outcome in Total Knee Arthroplasty? A Randomized Controlled Trial. J Arthroplasty. 2017 May;32(5):1474-1477. doi: 10.1016/j.arth.2016.12.015. Epub 2016 Dec 21.
- Lee SW, Kawai M, Tashiro K, Nomura E, Tokuhara T, Kawashima S, Tanaka R, Uchiyama K. Laparoscopic gastrointestinal anastomoses using knotless barbed absorbable sutures are safe and reproducible: a single-center experience with 242 patients. Jpn J Clin Oncol. 2016 Apr;46(4):329-35. doi: 10.1093/jjco/hyv212. Epub 2016 Jan 26.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- KY20232136-F-1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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