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Effect of Peritoneal Lavage With Clindamycin-gentamicin on Laparoscopic Sleeve Gastrectomy

Phase 3
Completed
Conditions
Pain
Interventions
Drug: Clindamycin-gentamicin irrigation
Drug: Normal saline irrigation
Registration Number
NCT02479971
Lead Sponsor
Hospital General Universitario Elche
Brief Summary

A prospective, randomized study will be performed in patients undergoing laparoscopic sleeve gastrectomy (LSG) as bariatric procedure. The patients will be randomized into 2 groups: those patients undergoing an intra-abdominal lavage with normal saline (Group 1) and those undergoing an intra-abdominal lavage with a gentamicin-clindamycin solution (Group 2). Postoperative pain and C reactive protein will be investigated 24 hours after surgery.

Detailed Description

A prospective, randomized study will be performedin patients undergoing laparoscopic sleeve gastrectomy (LSG) as bariatric procedure. The patients will be randomized into 2 groups: those patients undergoing an intra-abdominal lavage with normal saline (Group 1) and those undergoing an intra-abdominal lavage with a gentamicin-clindamycin solution (Group 2). Postoperative pain and C reactive protein will be investigated 24 hours after surgery.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Body mass index (BMI) >40 Kg/m2
  • BMI > 35 Kg/m2 with the presence of comorbidities associated to obesity
  • Patients undergoing laparoscopic sleeve gastrectomy (LSG) as bariatric procedure.
Exclusion Criteria
  • Gastroesophageal reflux
  • Preoperative diagnosis of chronic renal failure
  • Uncontrolled psychiatric disorders
  • Active infections
  • Malignancies
  • Any other concomitant pathology considered as a contraindication for bariatric surgery.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Clindamycin-gentamicin irrigationClindamycin-gentamicin irrigationAn irrigation of the entire abdominal cavity with 500 ml gentamicin and clyndamycin solution will be performed.
Normal saline irrigationNormal saline irrigationAn irrigation of the entire abdominal cavity with 500 ml normal saline will be performed.
Primary Outcome Measures
NameTimeMethod
Postoperative pain24 hours after surgery

Postoperative pain will be evaluated by a Visual Analogic Scale 24 hours after surgery

Secondary Outcome Measures
NameTimeMethod
C reactive protein24 hours after surgery

C reactive protein will be evaluated at a blood analoytics obtained 24 hours after surgery

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