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Effect of Peritoneal Lavage With Clindamycin-Gentamicin Solution & Oncologic Outcome

Phase 3
Completed
Conditions
Colorectal Tumors
Interventions
Procedure: Antibiotic lavage
Procedure: Normal saline lavage
Registration Number
NCT02399059
Lead Sponsor
Hospital General Universitario Elche
Brief Summary

Antibiotic lavage reduces bacterial contamination and decreases SSI infection rate. SSI leads to an immunocompromised situation, leaving unattended the neoplasm. It has been described that SSI may result in a worse oncologic outcome.

Detailed Description

Antibiotics combined with lavage have demonstrated a reduction in the bacterial contamination and decreases SSI infection rate. SSI leads to an immunocompromised situation, as immunologic defense is focused on controlling the septic focus, leaving unattended the neoplasm. It has been described that SSI may result in a worse oncologic outcome. The aim of this study is to evaluate prospectively the effect of peritoneal lavage with clindamycin and gentamicin on the oncologic outcome of colorectal tumours.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
106
Inclusion Criteria
  • diagnosis of colon neoplasms
  • plans to undergo an elective surgery with curative aims
Exclusion Criteria
  • preoperative diagnosis of chronic renal failure (because of the risk of nephrotoxicity associated with intraperitoneal gentamicin absorption)
  • allergy to gentamicin or clindamycin.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Antibiotic lavageAntibiotic lavagePeritoneal irrigation with Gentamycin - clndamycin solution
Normal saline lavageNormal saline lavagePeritoneal irrigation with normal saline
Primary Outcome Measures
NameTimeMethod
Global survival36 months after intervention
Secondary Outcome Measures
NameTimeMethod
Disease free survival36 months after intervention
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