Scalpel vs Diathermy in Repeat Cesarean Delivery

NCT ID: NCT02493608

Last Updated: 2020-03-24

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-07-31

Study Completion Date

2017-06-30

Brief Summary

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The objective of this study is to compare scalpel vs. diathermy in abdominal wall incision in pregnant patients undergoing repeat elective cesarean delivery.

Detailed Description

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It is hypothesized that wall incisions made by diathermy compared to scalpel during repeat cesarean delivery will have less incision time, as well as less blood loss. A second hypothesis is that the use of diathermy, compared with scalpel will not increase in post-operative pain.

1. This is a randomized prospective study in women undergoing elective repeat cesarean delivery at Medical Center Hospital in Odessa Texas.
2. Women undergoing cesarean delivery will be randomized into two groups: One group will undergo diathermy to incise the entire abdominal wall ,which includes skin, subcutaneous tissue, rectus muscle until the peritoneal cavity is visible. On the other group scalpel will be used to achieve the same aim.
3. A standardized abdominal wall incision will be made with either diathermy in cut mode or scalpel. Diathermy will be set in a cut mode with standard setting as per surgeons preference. All patients in the study will get standard skin incision in terms of length and depth which will be marked by a ruler.
4. Incision time ( measured in minutes and seconds with stop watch) and amount of bleeding will be measured. Blood loss will be calculated by weighing (in grams) the "used" lap sponges and comparing this to the weight (in grams0 of "fresh" lap sponges.
5. Post-operative pain will be measured by a Visual Analogue Scale (VAS). Measurements will be taken at 6:00 to 7:00 AM from post -op day 1 until hospital discharge.

Conditions

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Complications; Cesarean Section

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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scalpel group

Scalpel is the device used to make abdominal wall incision in this group of patient.

Group Type ACTIVE_COMPARATOR

scalpel

Intervention Type DEVICE

used to cut the abdominal wall.

Diathermy group

In this study group, abdominal wall incisions are made with diathermy which is a electrosurgical instrument.

Group Type ACTIVE_COMPARATOR

Diathermy

Intervention Type DEVICE

Diathermy used to cut , coagulate the tissue

Interventions

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scalpel

used to cut the abdominal wall.

Intervention Type DEVICE

Diathermy

Diathermy used to cut , coagulate the tissue

Intervention Type DEVICE

Other Intervention Names

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Blade Bovie

Eligibility Criteria

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Inclusion Criteria

* Multiparous pregnant women 18 - 45 years.
* Gestational ages 37 weeks to 41 weeks,
* Undergoing repeat elective or repeat emergency cesarean deliveries.

Exclusion Criteria

* Informed consent can't be obtained in a manner that allows for no impression of undue influence/pressure or sufficient time for patient to consider participation.
* Primary Cesarean deliveries - as these can bias the selection.
* Skin conditions such as infections, psoriasis, and eczema.
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Texas Tech University Health Sciences Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Martin Caliendo, M.D

Role: PRINCIPAL_INVESTIGATOR

Texas Tech University

Locations

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Medical Center Hospital

Odessa, Texas, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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L15-144

Identifier Type: -

Identifier Source: org_study_id

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