Stitch by stitch: new study reveals best ways to close abdominal wounds
NCT ID NCT07340918
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at 217 adults who had abdominal surgery to see how different incision and stitching methods affect the chance of developing an incisional hernia (a bulge at the surgery site). Researchers compared a newer 'small-bite' stitching technique with the conventional method and tracked patients for 12 months. The goal is to help surgeons choose techniques that reduce hernia risk and improve recovery.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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217 people
The number who actually took part.
- Started
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May 2021
- Finished
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Jul 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The study population consisted of adult patients undergoing midline abdominal surgery at a tertiary referral general surgery center in Muğla. Participants were recruited consecutively from routine clinical practice and included individuals treated for a wide range of benign and malignant abdominal conditions. Both elective and emergency procedures were represented, reflecting the full spectrum of surgical activity at the study center. All operations were performed by experienced general surgeons using standardized perioperative care protocols. The population therefore represents a real-world cohort of patients treated in a high-volume surgical unit, encompassing variability in surgical urgency, wound conditions, and case complexity. Patients were followed prospectively within the same institution using a standardized postoperative and long-term follow-up program.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adult patients (≥18 years of age) undergoing midline abdominal surgery * Patients undergoing elective or emergency laparotomy * Use of a midline abdominal incision with primary fascial closure * Application of either small-bite or conventional fascial closure technique * Availability of complete intraoperative data regarding incision and suture characteristics * Provision of written informed consent * Ability to participate in postoperative follow-up Exclusion Criteria: * Previous midline laparotomy or pre-existing incisional hernia * Relaparotomy for indications other than incisional hernia * Laparoscopic or minimally invasive procedures without midline fascial closure * Presence of a pre-existing abdominal wall defect at the incision site * Incomplete intraoperative data on closure technique or suture measurements * Loss to follow-up or inability to complete 12-month postoperative assessment
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Muğla Sıtkı Koçman Research and Training Hospital
Muğla, 48000, Turkey (Türkiye)
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Other studies related to the condition(s) this trial covers.
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