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Stitch showdown: can a shorter stitch prevent hernias after belly surgery?

NCT ID NCT01965249

Disease control Sponsor: Aesculap AG Source: ClinicalTrials.gov ↗

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 26, 2026 · Last updated Jun 26, 2026

Summary

This study tested two ways of closing the belly wall after major abdominal surgery to see which one leads to fewer hernias. 425 adults having planned surgery were randomly assigned to get either a long stitch or a short stitch using a special slowly-absorbing thread called Monomax. The main goal was to check for hernias one year later using ultrasound.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
Monomax suture (a slowly absorbed, elastic, monofilament thread)
What this could lead to
If the short stitch technique works better, it could reduce the number of people who develop a hernia after abdominal surgery, leading to fewer follow-up operations.
What could go wrong
This is a completed trial comparing two surgical techniques, so results are already known. The benefit may be small, and individual surgeon skill can affect outcomes.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

425 people

The number who actually took part.

Started

Feb 2014

Finished

Dec 2024

Lead sponsor

A company

The lead sponsor is a pharmaceutical, biotech, or medical-device company.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show 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: * Age ≥18 years * Patients undergoing an elective, primary median laparotomy with an incision length of ≥ 15 cm * Expected survival time longer than 1 year * ASA I-III * Written informed consent Exclusion Criteria: * Emergency surgery * Patient undergoing surgery due to a pancreas carcinoma * Patients who will be operated due to an abdominal aortic aneurysm * Peritonitis * Coagulopathy * Current immunosuppressive therapy (more than 40 mg of a corticoid per day or azathioprin) * Chemotherapy within the last 2 weeks before operation * Radiotherapy of the abdomen within the last 6 weeks before operation * Pregnant women (pregnancy test has to be performed) * Severe neurologic and psychiatric disease * Lack of compliance

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As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Injury of abdominal wall

Contacts and locations

Locations

  • AKH Linz

    Linz, 4021, Austria

  • Klinik am Eichert, Allgemeinchirurgische Klinik

    Göppingen, 73035, Germany

  • Klinikum Landkreis Tuttlingen, Klinik für Allgemein-, Viszeral, und Gefäßchirurgie

    Tuttlingen, 78532, Germany

  • Klinikum der Johann-Wolfgang-Goethe Universität

    Frankfurt, 60590, Germany

  • LMU Großhadern

    München, 81377, Germany

  • Robert Bosch KH Stuttgart

    Stuttgart, 70376, Germany

  • Städtisches Klinikum Braunschweig

    Braunschweig, 38126, Germany

  • Vivantes Klinikum Spandau

    Berlin, 13585, Germany

  • Wilhelminenspital Wien

    Vienna, 1160, Austria