ClinicalTrials.gg
Not yet recruitingNCT07683546FACEUpdated Jul 6, 2026

Fascial Abdominal Closure Evaluation

An interventional study of DURAMESH and (Ethicon) PDS II 1-0 double loop in Hernia Incisional, Suture Materials and Duramesh, sponsored by Aristotle University Of Thessaloniki. Not yet recruiting. Open to female participants aged 18 Years to 85 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-06.

Sponsored by Aristotle University Of Thessaloniki · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
300
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
Female
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Study summary

FACE (Fascial Abdominal Closure Evaluation) Trial is a prospective, single center, open-label, randomized trial of Duramesh versus PDS loop suture for midline incision fascial abdominal closure evaluation in patients with gynecological malignancies

Read the detailed description

Incisional hernias after midline incisions are estimated are estimated around 10-20%, which many times results in further surgical procedures. Many techniques with different sutures have been proposed of the years for fascial closure. PDS suture offers longer dissolution time, lower short-term tensile strength and lower knot security, however the highest quality data available for gynecological malignancies are from 30 years ago. On the other hand, the use of mesh suture (Duramesh) has been proposed as an alternative, in order to reduce postoperative hernias and abdominal wall complication rates. A recent systematic review on Duramesh shows promising results with a median incisional hernia occurrence of 3.4%, but the authors highlight the need for high-quality randomized controlled trials with long-term follow-up to evaluate the clinical benefits of Duramesh.

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Conditions studied

  • Hernia Incisional
  • Suture Materials
  • Duramesh

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03

In context

Incisional Hernia

212 studies on the registry are indexed under Incisional Hernia; 58 are open to participants now.

This study's planned enrollment of 300 is above the median of 110 across 130 interventional studies indexed under Incisional Hernia.

Browse Incisional Hernia studies →

Lead sponsor

Aristotle University Of Thessaloniki is the lead sponsor of 282 studies on the registry; 55 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 85 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Midline laparotomies for gynecological
  • Age 18 - 85 years old
  • Performance status: 0 - 2

Exclusion criteria

Exclusion Criteria:

  • Pregnancy
  • Albumin \< 3.5 g/dL
  • Previous history of any type of hernia
  • Previous midline incision (via laparotomy)
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
300 participants (estimated)

Study arms

  • Active comparator
    ARM A: Control Arm

    (Ethicon) PDS II 1-0 double loop suture material with a 48mm needle

    Device: (Ethicon) PDS II 1-0 double loop

  • Experimental
    ARM B: Intervention Arm

    Duramesh suture with a 48mm needle

    Device: DURAMESH

Interventions

  • DeviceDURAMESH

    Duramesh is a non-absorbable polypropylene "mesh suture": a suture that is built like a tiny mesh tube so it behaves both as a suture and as a small piece of mesh to strengthen tissue closure

  • Device(Ethicon) PDS II 1-0 double loop

    (Ethicon) PDS II 1-0 double loop suture with a 48 mm needle is a slowly absorbable, synthetic monofilament polydioxanone suture designed to provide prolonged tensile support for fascial and other soft-tissue closure where extended wound support is desired

06

What researchers measure

Primary outcomes

  1. Incidence of incisional hernia

    Clinical or radiological detected

    Time frame: Up to 12 months after randomization

Secondary outcomes

  1. Incidence of wound dehiscence

    Time frame: Up to 1 month after randomization

  2. Incidence of wound infection

    Time frame: Up to 1 months after randomization

  3. Visual Analogue Scale (VAS) for wound pain

    Wound pain will be assessed with the Visual Analogue Scale (VAS). The minimum value is 0 (no pain) and the maximum value is 10 (Pain as bad as it could possibly be). The VAS line is 10cm long. Higher scores mean a worse outcome.

    Time frame: Fifth postoperative day after randomization

07

Study locations

No study locations are listed for this record.

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References and documents

Individual participant data

Plan to share: No — Sharing of IPD only after contact with the principal investigator for the synthesis of future studies

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 Jul 6, 2026, 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
NCT07683546
Responsible party
Dimitrios Zouzoulas (Gynecological Oncologist, MSc, PhD, FEBS-BS, FESGO-EBCOG, Aristotle University Of Thessaloniki) — Principal investigator
First posted
Jul 6, 2026
Start date
Sep 1, 2026 (estimated)
Primary completion
Mar 31, 2029 (estimated)
Completion
Mar 31, 2029 (estimated)
Last update
Jul 6, 2026

Study contacts

Dimitrios Zouzoulas, MD, MSc, PhD
Contact
dzouzoulas@hotmail.gr
+306946536065
Dimitrios Tsolakidis, Dr. Prof.
principal investigator · Aristotle University Of Thessaloniki

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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