A Skin Glue Versus Subcuticular Suture for Cesarean Closure Study
Glue Versus Subcuticular Suture for Cesarean Closure: a Randomized Control Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Kristine Brown, MD
- Phone Number: 919-636-1735
- Email: kb3226@cumc.columbia.edu
Study Contact Backup
- Name: Russell Miller, MD
- Phone Number: 212-305-6293
- Email: rsm20@cumc.columbia.edu
Study Locations
-
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New York
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New York, New York, United States, 10032
- Columbia University Irving Medical Center/NYP
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Women age 18 years or older
- All women scheduled for primary or repeat cesarean deliveries
- All women undergoing intrapartum or antepartum cesarean delivery
- Pfannenstiel skin incision
- Birth of a live infant at time of cesarean delivery
Exclusion Criteria:
- Vertical skin incision
- Cesarean hysterectomy
- Emergency or stat cesarean delivery excluding standard preoperative preparation measures (i.e., use of Chlorhexidine skin prep, vaginal prep, etc)
- Intrapartum stillbirth
- Planned postpartum follow up at another facility
- Contraindications to routine postpartum pain medications
- Adhesive or tape allergy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Dermabond Prineo Group
At time of cesarean delivery, patients in the Dermabond Prineo group will undergo skin closure with the Dermabond Prineo skin adhesive system.
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For subjects in the Dermabond Prineo group, the Dermabond Prineo system will be applied to the skin for skin closure under manufacturer's guidelines.
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Placebo Comparator: Suture Group
At time of cesarean delivery, patients in the Suture group will undergo skin closure with standard subcuticular suture.
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For subjects in the Suture group, the skin will be closed with the standard subcuticular suture method.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Patient Scar Satisfaction Scale Score
Time Frame: Assessed at 6-weeks postpartum
|
The patient's satisfaction with their cesarean incision will be assessed using the validated Patient Scar Assessment Scale (PSAS) questionnaire.
The PSAS is a 6-item questionnaire that is scored on a 1 (no complaints/as normal skin) to 10 (worst imaginable/very different from normal skin) scale.
Total scores range from 6-60, with a lower score indicating a greater level of patient satisfaction.
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Assessed at 6-weeks postpartum
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Skin Closure Time
Time Frame: Intraoperative
|
The skin closure time will be assessed.
|
Intraoperative
|
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Operative Time
Time Frame: Intraoperative
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The total operative time will be assessed.
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Intraoperative
|
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Incidence of Surgical Site Infection (SSI)
Time Frame: Assessed during delivery hospitalization and at 6-week follow-up
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A composite of surgical site infection (SSI) will be assessed.
This composite will include superficial and deep SSI, endometritis, wound separation from any cause, and/or fascial dehiscence.
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Assessed during delivery hospitalization and at 6-week follow-up
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Russell Miller, MD, Columbia University
Publications and helpful links
General Publications
- van de Kar AL, Corion LU, Smeulders MJ, Draaijers LJ, van der Horst CM, van Zuijlen PP. Reliable and feasible evaluation of linear scars by the Patient and Observer Scar Assessment Scale. Plast Reconstr Surg. 2005 Aug;116(2):514-22. doi: 10.1097/01.prs.0000172982.43599.d6.
- Fleisher J, Khalifeh A, Pettker C, Berghella V, Dabbish N, Mackeen AD. Patient satisfaction and cosmetic outcome in a randomized study of cesarean skin closure. J Matern Fetal Neonatal Med. 2019 Nov;32(22):3830-3835. doi: 10.1080/14767058.2018.1474870. Epub 2018 May 24.
- Goto S, Sakamoto T, Ganeko R, Hida K, Furukawa TA, Sakai Y. Subcuticular sutures for skin closure in non-obstetric surgery. Cochrane Database Syst Rev. 2020 Apr 9;4(4):CD012124. doi: 10.1002/14651858.CD012124.pub2.
- Dumville JC, Coulthard P, Worthington HV, Riley P, Patel N, Darcey J, Esposito M, van der Elst M, van Waes OJ. Tissue adhesives for closure of surgical incisions. Cochrane Database Syst Rev. 2014 Nov 28;2014(11):CD004287. doi: 10.1002/14651858.CD004287.pub4.
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- AAAT9584
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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