Subcutaneous Tissue Closure After Abdominal Surgery
Official title: Subcutaneous Suture Versus no Subcutaneous Suture for Abdominal Wound Closure in Abdominal Surgery
Run by University Hospital Augsburg · NCT07615517 · Data updated 2026-11-12
This trial tests whether closing the fat layer under the skin after abdominal surgery lowers the chance of infection in adults.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 655 (estimated) |
| Sponsor | University Hospital Augsburg Academic / other |
| Locations | 1 site (Augsburg, Bavaria) |
| Status | Recruiting |
| Started | March 23, 2026 |
| Main results expected | March 1, 2028 |
| Study ends | May 30, 2028 |
| Registry record updated | May 29, 2026 |
| Trial ID | NCT07615517 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) undergoing elective open or minimally invasive abdominal surgery with an abdominal incision of at least 6 cm, where primary wound closure is possible.
✕Probably not a fit
Patients with emergency surgery, inability to ensure follow-up, or conditions preventing subcutaneous closure may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a randomized, patient- and assessor-blinded, single-center study comparing subcutaneous tissue closure with interrupted Vicryl 2-0 sutures versus not closing the subcutaneous tissue after an abdominal incision of at least 6 cm. Adults undergoing elective open or minimally invasive abdominal surgery are randomized after fascial closure to receive or not receive subcutaneous suturing. The trial aims to determine if subcutaneous closure reduces surgical site infection and improves wound healing compared with not closing this tissue layer. Outcomes include postoperative infections and related wound-healing complications, patient recovery, and healthcare utilization. The study is conducted at University Hospital Augsburg and is designed as a superiority trial.
Why it matters
Potential benefit: If successful, the approach could reduce infections and improve recovery after abdominal surgery.
How similar studies have gone: Prior evidence on routine subcutaneous closure in non-caesarean abdominal surgery is mixed; high-quality randomized data are needed to confirm benefit.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adult patients (≥18 years) * elective laparotomy (midline laparotomy, transverse laparotomy, subcostal incision, thoracoabdominal incision, or extended Pfannenstiel incision) or laparoscopically assisted abdominal surgery with a specimen extraction incision of at least 6 cm. Exclusion Criteria: * Emergency laparotomy. * Anticipated or documented non-compliance with study procedures or follow-up. * Patients in whom primary wound closure cannot be achieved at the end of surgery. * Patients unable to provide informed consent.
Where it's running
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University Hospital Augsburg
Augsburg, Bavaria, Germany Recruiting
Study contacts
- Principal investigator: Johannes Lauscher, Prof. Dr. med. — Klinik für Allgemein-, Viszeral-, Transplantations- und Thoraxchirurgie
- Study coordinator: Florian Schepp, Dr. med.
- Email: florian.schepp@uk-augsburg.de
- Phone: +490821400168803
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Prophylactic subcutaneous drainage after gynecologic cancer surgery
This study tests whether placing a small drain under the skin after gynecologic cancer surgery helps prevent wound problems in women with thicker tissue under the skin.
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Bedside ultrasound to detect early post‑laparotomy wound fluid and predict infection
This project will try bedside ultrasound on adults after open abdominal surgery to see if early fluid under the skin predicts a surgical site infection.
-
Skin glue plus buried stitch versus buried stitch alone for cesarean wound closure
This trial tests whether adding skin glue to the buried stitch improves wound healing, scar appearance, and patient satisfaction after elective cesarean delivery in adults.
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This compares clindamycin vaginal cream to 10% povidone-iodine vaginal cleansing before an elective cesarean to see if one prevents post‑operative infections better.
-
Predicting and preventing surgical wound infections after brain or spinal tumor surgery
This trial will test whether a machine-learning tool that flags people having brain or spine tumor surgery for extra infection-prevention care can lower their risk of surgical wound infections.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.