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Comparison of skin necrosis related re-operation in major lower extremity amputation in critical limb ischemia and acute limb ischemia patients between subcuticular continuous suture and vertical mattress suture

Comparison of skin necrosis related re-operation in major lower extremity amputation in critical limb ischemia and acute limb ischemia patients between subcuticular continuous suture and vertical mattress suture

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
TCTR
Registry ID
TCTR20250609005
Enrollment
102
Registered
2025-06-09
Start date
2025-06-09
Completion date
Unknown
Last updated
2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Population: Patient undergo first time lower extremities amputation (below knee amputation/through-knee amputation/above knee amputation) due to critical limb ischemia and acute limb ischemia at Ramathibodi hospital Aim: We want to find new suture technique (Subcuticular suture, continuously) that could somehow minimized rate of stump necrosis related re-operation in the above population Subcuticular suture Vertical mattress suture Amputated stump Skin necrosis related re-operation

Interventions

Skin of the amputated stump would be closed by using subcuticular continuous suture ,Skin of the amputated stump would be closed by using vertical mattress suture, interrupted fashion
Experimental Procedure/Surgery,No Intervention Procedure/Surgery
Subcuticular continuous suture (Comparision),Vertical mattress suture (Controlled)

Sponsors

None listed

Eligibility

Sex/Gender
All
Age
18 Years to 80 Years

Inclusion criteria

Inclusion criteria: 1. Age range from 18-80 years old 2. Patient undergo first time lower extremities amputation (below knee amputation/through-knee amputation/above knee amputation) due to critical limb ischemia and acute limb ischemia at Ramathibodi hospital

Exclusion criteria

Exclusion criteria: 1. Refuse to participate the research 2. Infection at the level of amputation (For example, if infected at ankle then amputation site should be at above knee amputation not below knee amputation)

Design outcomes

Primary

MeasureTime frame
Rate of reoperation (Re-amputation/Revise stump/Debridement) 4 years Clinical diagnosis (Re-operation was indicated if match with one of the following criteria 1. Significant necrosis 2. Significant stump infection 3. Significant wound disruption)—

Secondary

MeasureTime frame
Length of hospital stay / Rate of surgical site infection / Factors associated with skin necrosis related re-operation / Pattern and extension of skin necrosis 4 years ImageJ program, data collection, clinical diagnosis—

Countries

Thailand

Contacts

Public ContactAnchisa Lievjaroen

Faculty of Medicine Ramathibodi Hospital, Mahidol University

anchisa.lie@gmail.com022011315

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026