APEMESH- Preventing Perineal Complications After Abdominoperineal Resection

NCT ID: NCT04334421

Last Updated: 2024-02-01

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

COMPLETED

Total Enrollment

30 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-04-03

Study Completion Date

2022-02-28

Brief Summary

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Abdominoperineal resection leaves an empty space to be filled by mesh or musculocutaneus flap. Several studies have reported over 30% morbidity with perineal wound healing after abdominoperineal resection. Preoperative radiotherapy is a strong predictor for perineal complications. Musculocutaneus flaps and use of biological mesh seem to minimize perineal morbidity. The role of omentoplasty at APR is controversial.

Previous studies on synthetic mesh repair on perineum are almost lacking.

Detailed Description

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The objective of this pilot study is to assess the feasibility and the potential benefits of synthetic mesh reconstruction in perineum in case-control setting.

30 subjects will be prospectively enrolled to this study as intervention group. Controls matched with age, gender and preoperative radiotherapy are selected from retrospective data collected from Oulu University database and operated for rectal adenocarcinoma 2009-2017 with otherwise identical methods.

Conditions

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Rectal Cancer Abdominoperineal Resection Wound Heal

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Mesh group

After resection, pelvic floor is reconstructed by synthetic composite mesh (Symbotex, Medtronic) and covered with subcutaneous flap.

Composite mesh

Intervention Type DEVICE

Pelvic floor is reconstructed by synthetic composite mesh (Symbotex, Medtronic) to improve healing and prevent perineal herniation.

Interventions

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Composite mesh

Pelvic floor is reconstructed by synthetic composite mesh (Symbotex, Medtronic) to improve healing and prevent perineal herniation.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Abdominoperineal resection and permanent colostoma

Exclusion Criteria

* Patient with a comorbid illness of condition that would preclude the use of surgery (ASA5)
* Potentially curable resection not possible
* Patient undergoing emergency procedure
* Metastatic disease
* Pregnant or suspected pregnancy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Elisa Mäkäräinen

OTHER

Sponsor Role lead

Responsible Party

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Elisa Mäkäräinen

Principal Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Elisa Mäkäräinen-Uhlbäck, M.D.

Role: PRINCIPAL_INVESTIGATOR

Oulu University Hospital

Locations

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Oulu University Hospital

Oulu, , Finland

Site Status

Countries

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Finland

Other Identifiers

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57/2020

Identifier Type: -

Identifier Source: org_study_id

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