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Gastrointestinal Anastomosis Using MonoPlus® Suture

Withdrawn
Conditions
Gastrointestinal Neoplasms
Stomach Tumor
Small Intestine Tumor
Rectum Tumor
Gastrointestinal Stromal Tumors
Colon Tumor
Digestive System Neoplasm
Registration Number
NCT04811833
Lead Sponsor
Aesculap AG
Brief Summary

The primary aim of this study is to collect clinical data on the performance of MonoPlus® suture applied in routine clinical practice. Diverse parameters are to be used to assess the safety and efficacy of MonoPlus® suture for gastrointestinal anastomosis construction.

This study has been designed to implement an action within the framework of a proactive Post Market Clinical Follow up (PMCF) activity.

Detailed Description

Not available

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Comparison of anastomosis leakage rate at different timepoints in postoperative courseuntil 6 months after surgery

The primary endpoint of this study is the anastomosis leakage rate until 6 months after surgery

Secondary Outcome Measures
NameTimeMethod
Comparison of Postoperative Obstipation at different timepoints in postoperative courseat discharge (approximately 10 days after surgery), 1 month, and 6 months after surgery

Comparison of postoperative Obstipation rate at different postoperative examinations

Assessment of suture material handling parametersintraoperatively

Assessment of the handling of the suture material intra-operatively using a questionnaire including different dimensions (knot security, tensile strength, knot run down, stiffness) with 5 evaluation levels (excellent, very good, good, satisfied, poor).

Comparison of dehiscence rate of the suture line at different timepoints in postoperative courseat discharge (approximately 10 days after surgery), 1 month and 6 months after surgery.

Comparison of the dehiscence rate of the suture line at different postoperative examinations

Comparison of bleeding at different timepoints in postoperative courseat discharge (approximately 10 days after surgery), 1 month, and 6 months after surgery

Comparison of postoperative Bleeding rate at different postoperative examinations

Comparison of Postoperative Fistula at different timepoints in postoperative courseat discharge (approximately 10 days after surgery), 1 month, and 6 months after surgery

Comparison of postoperative Fistula rate at different postoperative examinations

Comparison of the Peritonitis rate at different timepoints in postoperative courseat discharge (approximately 10 days after surgery), 1 month, and 6 months after surgery

Comparison of the Peritonitis rate of the suture line at different postoperative examinations

Comparison of Abscess at different timepoints in postoperative courseat discharge (approximately 10 days after surgery), 1 month, and 6 months after surgery

Comparison of postoperative Abscess rate at different postoperative examinations

Comparison of Postoperative Perforation at different timepoints in postoperative courseat discharge (approximately 10 days after surgery), 1 month, and 6 months after surgery

Comparison of postoperative Perforation rate at different postoperative examinations

Comparison of Postoperative Stenosis at different timepoints in postoperative courseat discharge (approximately 10 days after surgery), 1 month, and 6 months after surgery

Comparison of postoperative Stenosis rate at different postoperative examinations

Length of the overall postoperative hospital stayuntil discharge (approximately 10 days postoperative)

Number of days between date of surgery and date of discharge

Comparison of the Surgical Site infection rate at different timepoints in postoperative courseat discharge (approximately 10 days after surgery), 1 month, and 6 months after surgery

Incidence of postoperative surgical site infections, SSI (A1: Superficial incisional site infections and A2: Deep incisional surgical site infections) (efficacy parameter) Surgical Site Infection (SSI) is defined according to the definition of the US Centres for Disease Control and Prevention (CDC) at different postoperative examinations.

Comparison of Reoperation rate due to an anastomosis leakage at different timepoints in postoperative courseat discharge (approximately 10 days after surgery), 1 month, and 6 months after surgery

Comparison of Reoperation rate due to an anastomosis leakage at different postoperative examinations

Comparison of Mortality rate at different timepoints in postoperative courseat discharge (approximately 10 days after surgery), 1 month, and 6 months after surgery

Comparison of postoperative Mortality rate at different postoperative examinations

Comparison of Stoma rate at different timepoints in postoperative courseat discharge (approximately 10 days after surgery), 1 month, and 6 months after surgery

Comparison of postoperative Stoma rate at different postoperative examinations

Satisfaction of the patient with the surgeryat discharge (approximately 10 days postoperative), 1 month, and 6 months after surgery

This parameter will be noted using the Visual Analogue Scale (VAS) which state "0" at one end representing "no pain" and "100" at the opposite end representing "maximal pain". The values are compared over postoperative period.

Length of the postoperative stay in intensive care unituntil discharge (approximately 10 days postoperative)

Number of days the patient has to stay in the intensive care unit after the intervention

Duration to perform the anastomosisintraoperatively

Time in Minutes the surgeon needs to perform the anastomosis

Course of Health Statusuntil 6 months postoperative

EQ-5D-5L is a standardized measure of health status developed by EuroQol Group in order to provide a simple, generic measure of health for clinical and economic appraisal. EQ-5D-5L is designed for self-completion by respondents and it takes only a few minutes to complete. Instructions to respondents are included in the questionnaire. EQ-5D-5L consists of 2 pages - descriptive system and the EQ visual Analogue scale (EQ-VAS). The descriptive system comprises 5 dimensions (mobility, self care, usual activities, pain/discomfort, anxiety/depression). Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The EQ VAS records the respondents self rated health on a 20 cm vertical , visual analogue scale with endpoints labelled "the best health you can imagine" and " the worst health you can imagine"

Trial Locations

Locations (2)

Hospital Parc Taulí Sabadell

🇪🇸

Sabadell, Cataluña, Spain

Servicio de Cirugía General y Digestiva, Sección cirugía

🇪🇸

Madrid, Spain

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