About this trial
This is a prospective, single arm study, consisting of 20 women with abdominal surgical wound dehiscence that requires secondary closure. The participants will receive a weekly application of ActiGraft for 4 weeks, or until complete healing of the wound (the earlier of the two).
An historic matched-control group of 20 patients will be compared retrospectively
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age >18 years
Women that had a laparotomy no more than 3 weeks before accrual.
Surgical wound dehiscence that requires a secondary closure.
Time from wound dehiscence >24 hours and <6 days.
Disqualifiers
Patients with necrotizing fasciitis
Patients with fascial dehiscence
Cannot withdraw blood in the required amount (up to 18 mL per week).
Known coagulation problems, abnormal thrombocytes level or if heparin is given intravenously. Subjects who are taking oral anti-coagulants or anti-agreganrts will not be excluded.
Trial design
Single group
Treatments tested in this trial
ActiGraft
DeviceWhole blood clot (WBC) gel
Treatment groups
Trial outcomes
Primary outcomes
Incidence of complete wound closure
Skin re-epithelialization without drainage or dressing requirements
Secondary outcomes
Wound Percent Area Reduction (PAR)
The change in wound area (decrease or increase) with respect to the area at baseline, expressed as a percentage.
Mean time of complete wound closure
Skin re-epithelialization without drainage or dressing requirements
Durability of wound closure 2 weeks after complete healing
No wound dehiscence
Comparison of time to complete closure between study cases and historic control
Skin re-epithelialization without drainage or dressing requirements
Other outcomes
Change in pain level
Measured by Numeric Rating Scale (0 - no pain at all to 10 - worst pain) weekly for 4 weeks post ActiGraft application
Patient satisfaction
Will be assessed by subject satisfaction survey using a 5-point Likert Scale (the higher score means a better outcome).
Sponsors and contacts
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