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Single Centre Study to Compare Harmonic Scalpel to Conventional Diathermy in Free Tissue Transfer Breast Reconstruction

Not Applicable
Withdrawn
Conditions
Breast Reconstruction
Interventions
Procedure: Electrocautery Diathermy
Procedure: Harmonic Synergy Dissecting Hook (Harmonic Scalpel)
Registration Number
NCT00778947
Lead Sponsor
St Andrew's Centre for Plastic Surgery
Brief Summary

The purpose of this single centre study is to evaluate whether the use of Harmonic Synergy Dissecting Hook (Harmonic Scalpel) in breast reconstruction surgery is superior to conventional diathermy in terms of improving ease and speed of perforator dissection, reducing postoperative pain, days of hospital stay and time taken to return to daily activities.

Detailed Description

Not available

Recruitment & Eligibility

Status
WITHDRAWN
Sex
Female
Target Recruitment
Not specified
Inclusion Criteria
  1. Female patients aged between 18 and 80 years old
  2. Able to comprehend, follow, and provide written informed consent.
  3. Willingness to comply with study requirements including follow-up visits
Exclusion Criteria
  1. Patients who have a pacemaker
  2. Pregnant or breast feeding females.
  3. General contraindication for surgery as deemed by the PI (e.g. physically unfit)
  4. Patients who smoke
  5. Diabetic patients
  6. Patients who are receiving permanent analgesics
  7. Patients receiving anti-coagulation therapy.
  8. Patients with a physical or psychological condition which would impair participation in the study.
  9. Participation in any other device or drug study within 90 days prior to enrollment.
  10. Planned participation in any other medical device study during the timeframe of this study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
2Electrocautery Diathermy-
1Harmonic Synergy Dissecting Hook (Harmonic Scalpel)-
Primary Outcome Measures
NameTimeMethod
The speed of flap harvest measured as the time from "knife to skin" to the flap being removed from the patient.At surgery
Secondary Outcome Measures
NameTimeMethod
Return to theatrepost operation for 6 months
Ease of flap harvest: the subjective opinion of the surgeon based on structured questionnaireAt surgery
Post operative pain, based on the visual analogue scale at 3, 6, 12 and 24 weeks post operatively.3, 6, 12 and 24 weeks post operation
Rates of post operative infectionpost operation for 6 months
Incidence of abdominal (donor site) wound dehiscencepost operation for 6 months
Bleeding complicationsintra operation and for 6 months post op
Post operative drainage from the woundpost operation for 6 months
Incidence of seromapost operation for 6 months
Impact on daily activities (SF-36 Questionnaire) at 3, 6, 12 and 24 weeks post operatively3, 6, 12, and 24 weeks post operation
Number of days of hospitalisationpost operation for 6 months
Re-operation requiredpost operation for 6 months

Trial Locations

Locations (1)

St. Andrew's Centre for Plastic Surgery, Broomfield Hospital,

🇬🇧

Chelmsford, United Kingdom

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