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CompletedNCT03026400Updated Aug 6, 2021

Sub vs Trans-umbilical Incision: A Patient's Satisfaction-centered Trial

An interventional study of Transumbilical incision and Subumbilical incision in Patient Satisfaction, Surgical Wound and Incision, sponsored by Université de Sherbrooke. Completed at 1 site in Canada. Open to participants aged 18 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-08-06.

Sponsored by Université de Sherbrooke · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
54
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
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Study summary

While some studies have suggested that subumbilical and transumbilical incisions have a similar clinical efficiency and safety, no study has yet evaluated their respective impact on patient's postoperative aesthetic satisfaction.

The objective of this randomised trial is to compare patient's postoperative aesthetic satisfaction depending on the type of incision which is performed during surgeries.

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Conditions studied

  • Patient Satisfaction
  • Surgical Wound
  • Incision
  • General Surgery

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In context

Surgical Wound

519 studies on the registry are indexed under Surgical Wound; 71 are open to participants now.

This study's enrollment of 54 is below the median of 80 across 412 interventional studies indexed under Surgical Wound.

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Lead sponsor

Université de Sherbrooke is the lead sponsor of 289 studies on the registry; 68 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Patients 18-70 years old having a planned laparoscopic surgery with an umbilical first trocar at CHUS were included.

Exclusion criteria

Exclusion Criteria:

  • Patients with a BMI > 40 or that had previous abdominal surgeries involving the umbilicus were excluded.
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Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
54 participants (actual)

Study arms

  • Other
    Subumbilical incision

    The subumbilical incision was standardised. A curvilinear horizontal incision was performed to be able to reach the base of the umbilicus. The aponeurosis was incised with a scalpel and the peritoneal layer was open with a Kelly clamp. The incision was completed with the Hasson technique and a X-stitch was used for closure.

    Procedure: Subumbilical incision

  • Other
    Transumbilical incision

    The transumbilical incision was also standardised, inverting the umbilicus with graspers, then incising vertically the skin to reach the umbilical physiological hernia to enlarge it. The incision was also completed with the Hasson technique and a X-stitch was used for closure.

    Procedure: Transumbilical incision

Interventions

  • ProcedureTransumbilical incision

    While both types of incision were considered equal regarding the potential clinical outcome, the investigators considered the transumbilical incision to be the ''intervention'' and the subumbilical incision to be the ''standard care comparator'' since the transumbilical incision take a few more minutes to be completed.

  • ProcedureSubumbilical incision

    Considered here as the ''control'' intervention.

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What researchers measure

Primary outcomes

  1. Change in postoperative patient's aesthetic satisfaction

    An inverted 10 points Wong-Baker facial grimace-type scale was used to assess patient's satisfaction. Although the french version of our questionnaire was not validated, the concept behind Wong-Baker facial scale have been in various studies. In the case of this study, a 10 point score was associated with the highest possible satisfaction regarding the aesthetic appearance of the umbilicus. Patient's aesthetic satisfaction regarding the umbilicus was recorded preoperatively (right before the surgery), 1 month post-op and 6 months post-op. The change in postoperative patient's aesthetic satisfaction was assessed between pre-op vs 1 month post-op, pre-op vs 6 months post-op and 1 month vs 6 months post-op.

    Time frame: 6 months

Secondary outcomes

  1. Level of patient's awareness regarding the aesthetic appearance of the umbilicus

    YES/NO (no meaning that the patient gives little to no importance to the aesthetic appearance of the umbilicus). Patient's level of importance regarding the aesthetic appearance of the umbilicus was recorded preoperatively (right before the surgery).

    Time frame: Pre-operative

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Study locations

1 site
  • Centre Hospitalier Universitaire de Sherbrooke
    Sherbrooke, Quebec J1H 5N4, Canada
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 6, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03026400
Lead sponsor
Université de Sherbrooke
Responsible party
Sponsor
First posted
Jan 20, 2017
Start date
Aug 2014
Primary completion
Oct 2015
Completion
Jul 2017
Last update
Aug 6, 2021

Study contacts

Nathalie McFadden, M.D
principal investigator · Centre de recherche du Centre hospitalier universitaire de Sherbrooke

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2021. You cannot join it, but the record below documents what was studied.

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