Monocentric, Prospective, Comparative and Randomised Study on the Use of a Haemostatic Vacuum Device During Tonsillectomy in Children
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Enrollment
- 74
- Locations
- 1
- Primary Endpoint
- Comparison of cauterization time to obtain the tonsillectomy wounds hemostasis using bipolar forceps between conventional surgery group and the vacuum device group
Study Overview
Brief Summary
The long-term objective of this study is to prove:
- the equivalence of the number of post-operation hemorrhages, and maybe a decrease of the number of secondary hemorrhages
- the decrease of pain and quicker re-feeding
- an easier haemostasis
- the simplification of the tonsillectomy surgical kit
- the decrease of dissection time
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 3 Years to 10 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •children from 3 to 10 years old undergoing tonsillectomy (with or without adenoidectomy)
- •children without known hemophilia or any coagulation trouble
- •children speaking and understanding French
- •children's both parents must speak and understand French
- •children's both parents must be affiliate to social security or similarly regime
Exclusion Criteria
- •children with known allergy to silicone
- •refusal to consent: from child's age to consent or from both parents
- •telephone monitoring refusal
- •protected person referred to in Articles L1121-6 of the Code of Public Health
- •children's both parents are protected persons referred to in Articles L1121-8 of the Code of Public Health
Arms & Interventions
Vacuum device surgery
At first the surgeon proceed to the dissection of children tonsils and at last he uses the innovative vacuum device to obtain wounds hemostasis
Intervention: Vacuum device (Device)
Conventional surgery
At first the surgeon proceed to the dissection of children tonsils and at last he uses a bipolar forceps to obtain wounds hemostasis
Intervention: Conventional surgery (Procedure)
Outcomes
Primary Outcomes
Comparison of cauterization time to obtain the tonsillectomy wounds hemostasis using bipolar forceps between conventional surgery group and the vacuum device group
Time Frame: From the beginning to the end of a tonsillectomy: an expected average of 2 hours
Cauterization time (seconds) needed to obtain wounds tonsillectomy hemostasis using bipolar forceps(electric power of 20W)
Secondary Outcomes
- Comparison between the 2 arms of re-feeding without pain (liquids,semi-liquids ands solids)(Until 11 days after surgery)
- Comparison between the 2 arms of the number of primary hemorrhages(Until 24 hours after surgery)
- Comparison between the 2 arms of the number of strong analgesics doses(Until 11 days after surgery)
- Comparison between the 2 arms of the number of rehospitalisation (all circumstances)(From 24 hours after surgery until 11 days after surgery)
- Assessment between two arm of the postoperative pain until 10 days after the surgery(10 days)
- Comparison of surgery time between the 2 arm(An expected average of 2 hours)
- Assessment of the vacuum device hemostatic technique at his installation on the wound(From the beginning to the end of a tonsillectomy: an expected average of 2 hours)
- Comparison of the time of the first complaint of pain after surgery between conventional surgery group and the vacuum device group(Time between general anesthesia and discharge hospitalization: an average of one day)
- Comparison between the 2 arms of the number of secondary hemorrhages(From 24 hours after surgery until 11 days after surgery)
- Clinician evaluation about the feasibility of the vacuum device installation(From the beginning to the end of a tonsillectomy: an expected average of 2 hours)
