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Trial registered on ANZCTR
Registration number
ACTRN12608000143325
Ethics application status
Approved
Date submitted
13/03/2008
Date registered
20/03/2008
Date last updated
29/05/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Closing the skin and subcutaneous layers at Caesarean section to reduce wound complications
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Scientific title
Skin and subcutaneous fascia closure in Caesarean section to reduce wound complications.
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Secondary ID [1]
280577
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nil
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Universal Trial Number (UTN)
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Trial acronym
CLOSURE
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Wound complications after Caesarean section
2926
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wound infection after caesarean section
286579
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Condition category
Condition code
Reproductive Health and Childbirth
3062
3062
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0
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Childbirth and postnatal care
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Each participant will be randomised to a) either closure or non closure of the subcutaneous fascia and b) closure of the skin with a subcuticular monofilament non absorbable versus absorbable suture. For both aspects of the procedure these are 2 currently used techniques so there is no true intervention only randomising to 2 currently used techniques. The design is therefore 2 x 2 factorial with resulting 4 possible groups. Follow up will be until 6 weeks.
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Intervention code [1]
2655
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Treatment: Surgery
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Comparator / control treatment
There are no comparator/control treatments
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Control group
Active
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Outcomes
Primary outcome [1]
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Wound infection
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Assessment method [1]
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Timepoint [1]
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Information will be collected by follow up phone call at 30days and subsequent medical record review or return of wound assessment forms from those who may have assessed the wound by day 30
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Secondary outcome [1]
6626
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Wound haematoma and seroma
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Assessment method [1]
6626
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Timepoint [1]
6626
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Information will be collected by follow up phone call at 30days and subsequent medical record review or return of wound assessment forms from those who may have assessed the wound by day 30
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Eligibility
Key inclusion criteria
Women undergoing a caesarean section by transverse suprapubic incision
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Minimum age
No limit
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
known lethal fetal anomaly and planned midline skin incision
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
sequentially numbered identically appearing treatment packs are taken from a locked box
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
randomisation by balanced variable blocks
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Factorial
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Other design features
2 x 2 factorial design
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Phase
Phase 2
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/04/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
720
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
608
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5006
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Funding & Sponsors
Funding source category [1]
3179
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Charities/Societies/Foundations
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Name [1]
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Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) Research Foundation
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Address [1]
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RANZCOG
254-260 Albert Place
East Melbourne Victoria 3002
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Country [1]
3179
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Australia
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Primary sponsor type
University
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Name
Discipline of Obstetrics and Gynaecology, The University of Adelaide
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Address
72 King William Rd
North Adelaide South Australia 5006
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
2847
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Children, Youth and Women's Health Service (CYWHS) Human research ethics committee
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Ethics committee address [1]
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72 King William Rd North Adelaide South Australia 5006
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Ethics committee country [1]
5160
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Australia
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Date submitted for ethics approval [1]
5160
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Approval date [1]
5160
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Ethics approval number [1]
5160
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Summary
Brief summary
Caesarean section is a common operation and for different parts of the operation techniques vary widely between surgeons. Information is lacking about the best techniques and how different techniques may affect the mother's health. We propose to evaluate two methods of stitching up or closing the skin and whether to close or not to close the fatty layer beneath the skin. We want to know if these different methods cause differences in wound problems after birth and also whether there is a difference in pain and the mothers general physical and emotional health. We aim to examine these methods in approximately 700 women over a 2 year period and will follow them until 6 weeks after the birth.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Rosalie Grivell
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Address
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University of Adelaide
72 King William Rd
North Adelaide South Australia 5060
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Country
11593
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Australia
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Phone
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+61 8 81617000
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Rosalie Grivell
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Address
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University of Adelaide
72 King William Rd
North Adelaide South Australia 5060
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Country
2521
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Australia
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Phone
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+61 8 81617000
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Fax
2521
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Email
2521
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Skin and subcutaneous fascia closure at caesarean section to reduce wound complications: The closure randomised trial.
2020
https://dx.doi.org/10.1186/s12884-020-03305-z
N.B. These documents automatically identified may not have been verified by the study sponsor.
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