Prestoma-Trial for Parastomal Hernia Prevention

NCT ID: NCT03527784

Last Updated: 2018-11-05

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

TERMINATED

Clinical Phase

NA

Total Enrollment

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-05-03

Study Completion Date

2018-10-29

Brief Summary

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Prestoma Trial is designed to compare the safety and efficiency of three different meshes and techniques to prevent parastomal hernia after laparoscopic or robotic-assisted abdominoperineal resection for rectal adenocarcinoma.

Detailed Description

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Parastomal hernia after permanent colostomy formation is a common problem. The European Hernia Society recommends the use of prophylactic mesh when the stoma is constructed. So far, there're no trials comparing the methods to prevent the parastomal hernia.

Prestoma Trial is designed to compare the most researched retromuscular mesh (Parietene Macro by Medtronic) with two different types of intraperitoneal meshes (Parietex Parastomal by Medtronic and Dynamesh IPST) in parastomal hernia prevention after laparoscopic or robotic-assisted abdominoperineal resection for rectal adenocarcinoma.

Conditions

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Rectal Adenocarcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Prestoma is a prospective randomized controlled multicenter trial.
Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants
Subject is blinded of the mesh used. Outcome at 12 month follow-up is assessed by surgeon who was not involved in the operation.

Study Groups

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Parietene Macro

Parietene Macro is a macroporous synthetic mesh.

Group Type ACTIVE_COMPARATOR

Parietene Macro

Intervention Type DEVICE

Parietene Macro is used on retromuscular sublay position. The bowel is brought through opening in the middle of the mesh.

Parietex Parastomal

Parietex Parastomal is a synthetic mesh with resorbable collagen lining to prevent attachments.

Group Type ACTIVE_COMPARATOR

Parietex Parastomal

Intervention Type DEVICE

Parietex Parastomal is used on intraperitoneal onlay position by modified Sugarbaker technique to prevent parastomal hernia.

Dynamesh IPST

Dynamesh IPST is synthetic mesh with central tube to accommodate bowel tightly designed to prevent and treat parastomal hernia.

Group Type ACTIVE_COMPARATOR

Dynamesh IPST

Intervention Type DEVICE

Dynamesh IPST is used on intraperitoneal onlay position to prevent parastomal hernia

Interventions

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Parietene Macro

Parietene Macro is used on retromuscular sublay position. The bowel is brought through opening in the middle of the mesh.

Intervention Type DEVICE

Parietex Parastomal

Parietex Parastomal is used on intraperitoneal onlay position by modified Sugarbaker technique to prevent parastomal hernia.

Intervention Type DEVICE

Dynamesh IPST

Dynamesh IPST is used on intraperitoneal onlay position to prevent parastomal hernia

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Abdominoperineal resection for rectal cancer with permanent end colostomy, either by laparoscopic technique or robotic assistance
* 18 years or older
* Patient has a life expectancy of at least 12 months.
* Patient signs the Informed consent and agrees to attend all study visits.

Exclusion Criteria

* Abdominoperineal resection by laparotomy or conversion to laparotomy
* Patient with a comorbid illness or condition that would preclude the use of surgery (ASA 4-5).
* Patients with concurrent or previous malignant tumors within 5 years before study enrollment
* Patients with T4b tumors which impose a multi-organ resection
* Rectal malignancy other than adenocarcinoma
* Potentially curable resection not possible
* Patient undergoing emergency procedures
* Planned rectal surgery along with major concomitant procedures (e.g. hepatectomies, other intestinal resections).
* Metastatic disease with life expectancy of less than 1 year
* Pregnant or suspected pregnancy
* Patients living geographically distant and/or unwilling to return for follow-ups or comply with all study requirements
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Oulu

OTHER

Sponsor Role lead

Responsible Party

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Elisa Makarainen-Uhlback

M.D.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Elisa Mäkäräinen-Uhlbäck, M.D.

Role: PRINCIPAL_INVESTIGATOR

Oulu University Hospital

Locations

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Helsinki University Hospital

Helsinki, , Finland

Site Status

Jyväskylä Central Hospital

Jyväskylä, , Finland

Site Status

Oulu University Hospital

Oulu, , Finland

Site Status

Seinäjoki Central Hospital

Seinäjoki, , Finland

Site Status

Tampere University Hospital

Tampere, , Finland

Site Status

Turku University Hospital

Turku, , Finland

Site Status

Countries

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Finland

Other Identifiers

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85/2018

Identifier Type: -

Identifier Source: org_study_id

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