Role of Preservation of Scarpa's Fascia in Abdominoplasty

NCT ID: NCT02140385

Last Updated: 2015-08-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2014-07-31

Brief Summary

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The purpose of this study is to determine whether leaving a thicker layer -which preserves the tissue called Scarpa's fascia -intact during an abdominoplasty (tummy tuck) decreases the damage to the lymphatic system.

In order to investigate the effect of leaving a thinner or slightly thicker layer intact during a tummy tuck, patients who are already planning to undergo the surgery, and who agree to participate, will be randomly assigned to two groups in a manner similar to flipping a coin. The first group will have their abdominoplasty performed with a thinner layer of abdominal wall left in place while the second group will have the surgery with a slightly thicker layer left in place. Both methods of doing a tummy tuck meet acceptable standards of care, and the aesthetic outcomes will not be negatively impacted by either of the options.

Before and after the surgery, a procedure called lymphoscintigraphy will be performed. Lymphoscintigraphy is a special type of imaging where a dye, called a radiotracer, is injected and then detected by a special camera. The pictures provided by the lymphoscintigraphy allow investigators to look at the lymphatic system, which is a small network similar to blood vessels that helps drain extra fluid. The lymphoscintigraphy will help investigators to know what method of performing the tummy tuck leaves the lymphatic system most intact.

In addition, photographs of each patient's abdomen will be taken using a special camera that allows investigators to put the photographs in the computer and compile a 3-dimensional image. Investigators will be able to look at the volume changes from swelling after the surgery using these pictures. Finally, an ultrasound will be used to help identify any seromas, or fluid collections, that may form after the surgery.

The lymphoscintigraphy, photographs and the ultrasound combined will help determine whether or not leaving a thicker or thinner layer during a tummy tuck helps preserve the fluid draining lymphatic system and whether or not that effects recovery after the procedure.

Detailed Description

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Conditions

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Abdominoplasty

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

NONE

Study Groups

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Abdominoplasty-Scarpa's fascia preservation

Scarpa's fascia preservation Lymphoscintigraphy 3D imaging Abdominal ultrasound

Group Type ACTIVE_COMPARATOR

Abdominoplasty-Scarpa's fascia preservation

Intervention Type PROCEDURE

Thicker abdominal flaps will be preserved during the surgery.

Lymphoscintigraphy

Intervention Type DEVICE

Post-operative lymphatic imaging will be conducted using a common radiographic medium

3D Imaging

Intervention Type DEVICE

Post-operative 3-dimensional photography will take place at a regularly scheduled clinic appointment.

Abdominal ultrasound

Intervention Type DEVICE

Post-operative abdominal ultrasound will be used to determine the presence of fluid collections (seromas).

Abdominoplasty-Scarpa's fascia ablation

Scarpa's fascia ablation Lymphoscintigraphy 3D imaging Abdominal ultrasound

Group Type ACTIVE_COMPARATOR

Abdominoplasty-Scarpa's fascia ablation

Intervention Type PROCEDURE

Thinner abdominal flaps will be preserved during surgery.

Lymphoscintigraphy

Intervention Type DEVICE

Post-operative lymphatic imaging will be conducted using a common radiographic medium

3D Imaging

Intervention Type DEVICE

Post-operative 3-dimensional photography will take place at a regularly scheduled clinic appointment.

Abdominal ultrasound

Intervention Type DEVICE

Post-operative abdominal ultrasound will be used to determine the presence of fluid collections (seromas).

Interventions

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Abdominoplasty-Scarpa's fascia preservation

Thicker abdominal flaps will be preserved during the surgery.

Intervention Type PROCEDURE

Abdominoplasty-Scarpa's fascia ablation

Thinner abdominal flaps will be preserved during surgery.

Intervention Type PROCEDURE

Lymphoscintigraphy

Post-operative lymphatic imaging will be conducted using a common radiographic medium

Intervention Type DEVICE

3D Imaging

Post-operative 3-dimensional photography will take place at a regularly scheduled clinic appointment.

Intervention Type DEVICE

Abdominal ultrasound

Post-operative abdominal ultrasound will be used to determine the presence of fluid collections (seromas).

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* all patients ages 18-65 years who are planning to undergo elective abdominoplasty

Exclusion Criteria

* patients with contraindications to lymphoscintigraphy
* patients with contraindications to abdominoplasty
* previous abdominal surgery or traumatic perforation
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Loma Linda University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael E Hill, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Loma Linda University Department of Plastic Surgery

Locations

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Loma Linda University Department of Plastic and Reconstructive Surgery

Loma Linda, California, United States

Site Status

Countries

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United States

Other Identifiers

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5120289

Identifier Type: -

Identifier Source: org_study_id

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