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Efficacy and Safety of Floseal for the Haemostasis During Laparoscopic Cholecystectomy in Acute Cholecystitis (GLA)

Phase 4
Conditions
Cholecystitis, Acute
Interventions
Procedure: Laparoscopic Cholecystectomy
Registration Number
NCT01126281
Lead Sponsor
University of Bologna
Brief Summary

The aim of this study is to evaluate the effect and safety of Floseal in this preliminary prospective trial with patients undergoing acute laparoscopic cholecystectomy for acute cholecystitis

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
120
Inclusion Criteria
  • Patients aged 18 - 65
  • Clinical (pain, fever > 37.5 °C, WBC > 10.000 / microL), and ultrasound evidence of cholecystitis
  • Surgical indication for laparoscopic cholecystectomy
  • ASA class I-III
  • Informed consent
  • <72 hours from onset of symptoms
Exclusion Criteria
  • Informed consent refusal
  • Choledocholithiasis
  • Pre surgical generalized peritonitis (clinical evaluation)
  • ASA class > III
  • Peripheral artery disease
  • Active or past history of malignant systemic disease
  • Pregnant or lactating females
  • Known allergy to components Floseal including bovine allergy (bovine gelatin)
  • Known drug or alcohol abuse
  • Patients with known diabetes, chronic renal disease and other metabolic diseases
  • Patients in chronic cortisone treatment more than 2 years before surgery
  • Patients on chronic use of platelet inhibitors such as Aspirin, Plavix, NSAID's etc.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Floseal useLaparoscopic Cholecystectomy-
Primary Outcome Measures
NameTimeMethod
to evaluate the percentage of patients with complete haemostasis 10 minutes after laparoscopic application of haemostatic agent (Floseal) to the gall bladder bed.10 minutes
Secondary Outcome Measures
NameTimeMethod
• Surgery time.3 year
• Time to drain removal.3 year
• Length of stay in hospital.3 year
• Percentage of patients with complete haemostasis evaluated at 2, 4 and 6 minutes after laparoscopic application of haemostatic agent (Floseal) to the gall bladder bed.6 minutes
• Safety evaluated as number of patients with adverse events and serious adverse events until end of the study.3 year
• Percentage of patients with conversion from laparoscopic procedure to open laparotomy (conversion rate).3 year
• Percentage of patients developing post operative bleeding leading to transfusion of blood3 year
• Mortality.3 year
• Percentage of patients developing post operative bleeding leading to re-operation.3 year
• Percentage of patients developing post operative biliary leaking.3 year

Trial Locations

Locations (1)

Sant'Orsola-Malpighi Univesity Hospital

🇮🇹

Bologna, Italy

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