About this trial
The aim of the study is to compare outcomes between patients receiving standard C-section wound closure compared to a wound closure bundle that includes Stratafix sutures and Dermabond PRINEO.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patient must be 18 years of age or older at time of recruitment
Patients opting for a planned (elective) C-Section (13-36 weeks gestation) will be eligible to consent.
Patients must have internet access and/or a smartphone in order to access the digital platform to complete the study questionnaires
Patients must speak and write in English as study questionnaires will only be provided in English
Disqualifiers
Ability to consent or use the virtual care platform (e.g., patients with intellectual disabilities)
Expectation of significant maternal complications that may affect the surgery
Patients who enroll in the study but have an unplanned emergency C-section
Trial design
Parallel
Treatments tested in this trial
Stratafix Suture
DeviceStratafix sutures are barbed and have an antimicrobial coating. The barbs maintain tension during and allows for knotless suturing. The antimicrobial coating inhibits bacterial colonization of the wound.
DERMABOND PRINEO
DeviceDERMABOND™ PRINEO™ Skin Closure System is a sterile, liquid topical skin adhesive. It also incorporates a self-adhering mesh that is applied to the approximated skin edges to provide temporary skin edge alignment until the liquid adhesive is applied to achieve skin closure. It forms a strong, flexible, waterproof microbial barrier-as long as the adhesive film remains intact-that falls off naturally after 7-14 days. Dermabond Prineo system will be applied to the skin for skin closure.
Treatment groups
Trial outcomes
Primary outcomes
Canadian Patient Experiences Survey - Inpatient Care + maternity questions
Validated patient reported experience measure (PREM) assessing 1) communication with nurses, 2) communication with doctors, 3) involvement in decision-making and treatment options, 4) information and understanding when leaving the hospital, and 5) overall hospital experience
SCAR-Q Scores
Validated patient reported outcome measure (PROM) assessing three domains: 1) Scar appearance, 2) Scar Symptoms, and 3) Psychosocial Impact
Diagnosed surgical site infection [Surgical site infection questionnaire completed at follow-up appointment]
Categories include: no, superficial, deep, organ/space
Readmission to any hospital following birth [Surgical site infection questionnaire completed at follow-up appointment]
Self-reported by patient
Locations
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Sponsors and contacts
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North York General Hospital
Lead sponsor
Johnson & Johnson
Collaborator