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Japanese

Mar. 13, 2026

Mar. 13, 2026

jRCT1042250205

A multicenter randomized controlled trial of continuous abdominal wall closure using barbed sutures in abdominal open surgery. (CCOG2601)

A multicenter randomized controlled trial of continuous abdominal wall closure using barbed sutures in abdominal open surgery. (CCOG2601)

Kanda Mitsuro

Department of Surgery, Nagoya University Graduate School of Medicine

65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, Japan

+81-52-744-2250

kanda.mitsuro.v5@f.mail.nagoya-u.ac.jp

Nakagawa Nobuhiko

Department of Surgery, Nagoya University Graduate School of Medicine

65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, Japan

+81-52-744-2250

nakagawa.nobuhiko.x6@f.mail.nagoya-u.ac.jp

Recruiting

Mar. 13, 2026

230

Interventional

randomized controlled trial

open(masking not used)

no treatment control/standard of care control

parallel assignment

prevention purpose

Scheduled to undergo open surgery via an upper midline abdominal incision.

ECOG Performance Status (PS) of 0-1.

Age >= 18 years.

Body mass index (BMI) <= 35 kg/m2.

Adequate function of major organs (bone marrow, liver, kidney, lung, etc.), meeting all of the following:
A) White blood cell count: >= 2500/mm3 and <= 14000/mm3
B) Hemoglobin: >= 9.0 g/dL
C) Platelet count: >= 100000/mm3
D) Total bilirubin: <= 2.0 mg/dL
E) Creatinine: <= 2.0 mg/dL

Expected to survive for at least 1 year after surgery.

Has sufficient decision-making capacity to understand the study and has provided written informed consent personally.

Patients scheduled to undergo laparoscopic surgery or robot-assisted surgery.
Patients undergoing laparotomy via an approach other than a midline incision.
Patients expected to have an incision length > 40 cm.
Patients with a history of upper abdominal surgery performed via laparotomy.
Patients undergoing emergency surgery.
Patients who are considered likely to require arterial reconstruction (e.g., superior mesenteric artery, common hepatic artery, celiac artery).
Patients with severe ischemic heart disease.
Patients with liver cirrhosis or active hepatitis.
Patients with chronic respiratory disease requiring treatment (e.g., interstitial pneumonia, pulmonary fibrosis, COPD).
Patients on hemodialysis for chronic renal failure.
Patients receiving continuous systemic corticosteroids and/or immunosuppressants.
Patients with severe drug allergies.
Patients with psychotic disorders or psychiatric symptoms deemed to make study participation difficult.
Patients with drug or alcohol dependence.
Patients judged by the investigator to be inappropriate for participation in this trial.

18age old over
No limit

Both

None in particular

Abdominal wall closure with continuous barbed suture

1-year incidence of incisional hernia

Nagoya University Certified Review Board
65 Tsurumai-cho, Showa-ku, Nagoya, Aichi

+81-52-744-2479

ethics@med.nagoya-u.ac.jp
Approval

Mar. 05, 2026

No

none