Evidence map›Paper›PMID 22647387›Full record

Trial reportTrials2012

Design and current status of CONTINT: continuous versus interrupted abdominal wall closure after emergency midline laparotomy - a randomized controlled multicenter trial [NCT00544583].

Nuh N Rahbari, Phillip Knebel, Meinhard Kieser, Thomas Bruckner, Detlef K Bartsch, Helmut Friess, Andre L Mihaljevic, Josef Stern, Markus K Diener, Sabine Voss and 3 more

2 registry-linked trialsOpen access · goldAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00544583 phase2 / phase3unknown statusnot on this map

Continuous Versus Interrupted Abdominal Wall Closure After Emergency Midline Laparotomy: CONTINT - A Randomized Controlled Study

TypeinterventionalSponsorHeidelberg UniversityRan2007 to 2012Enrolled80ConditionsLaparotomy, HerniaArmsInterrupted sutures, Continuous sutures
NCT05351970 completednot on this mapstarted 2021, after this paper: background citation

Barbed Suture vs. Monofilament for Emergency Midline Laparotomy Closure, a Retrospective Analysis

TypeobservationalSponsorFundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat ValencianaRan2021 to 2023Enrolled128ConditionsIncisional Hernia of Midline of AbdomenArmsBarbed
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. [Current standards of abdominal wall closure techniques : Conventional suture techniques].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2016
    Review
  11. Article
  12. [Which abdominal incisions predispose for incisional hernias?].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2010
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 1 country.

Nuh N RahbariDepartment of General, Visceral and Transplant Surgery, University of Heidelberg, Heidelberg, Germany. nuh.rahbari@med.uni-heidelberg.de
Phillip Knebel
Meinhard Kieser
Thomas Bruckner
Detlef K Bartsch
Helmut Friess
Andre L Mihaljevic
Josef Stern
Markus K Diener
Sabine Voss
Inga Rossion
Markus W Büchler
Christoph M Seiler
Heidelberg University · DEGerman Society of Surgery · DETechnical University of Munich · DEPhilipps University of Marburg · DESt.-Johannes-Hospital Dortmund · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe optimal strategy for abdominal wall closure has been an issue of ongoing debate. Available studies do not specifically enroll patients who undergo emergency laparotomy and thus do not consider the distinct biological characteristics of these patients. The present randomized controlled trial evaluates the efficacy and safety of two commonly applied abdominal wall closure strategies in patients undergoing primary emergency midline laparotomy. METHODS/

designThe CONTINT trial is a multicenter, open label, randomized controlled trial with a two-group parallel design. Patients undergoing a primary emergency midline laparotomy are enrolled in the trial. The two most commonly applied strategies of abdominal wall closure after midline laparotomy are compared: the continuous, all-layer suture technique using slowly absorbable monofilament material (two Monoplus loops) and the interrupted suture technique using rapidly absorbable braided material (Vicryl sutures). The primary endpoint within the CONTINT trial is an incisional hernia within 12 months or a burst abdomen within 30 days after surgery. As reliable data on this primary endpoint is not available for patients undergoing emergency surgery, an adaptive interim analysis will be conducted after the inclusion of 80 patients, allowing early termination of the trial if necessary or modification of design characteristics such as recalculation of sample size. DISCUSSION: This is a randomized controlled multicenter trial with a two-group parallel design to assess the efficacy and safety of two commonly applied abdominal wall closure strategies in patients undergoing primary emergency midline laparotomy.

trial registrationNCT00544583.

Indexed as

Abdominal Wound Closure TechniquesLaparotomyResearch DesignSuture TechniquesClinical ProtocolsEmergenciesEquipment DesignGermanyHernia, AbdominalHumansSuturesTime FactorsTreatment Outcome

Identifiers

PMID22647387
PMCPMC3536720
OpenAlexW2149267657

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.