Application of PREVENA in Reducing Surgical Site Complications Following Reversal of Ileostomy or Colostomy

NCT ID: NCT04974931

Last Updated: 2021-09-21

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-11-01

Study Completion Date

2022-05-01

Brief Summary

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Surgical site infections (SSI) remain one of the most common complications associated with reversal of ileostomy and colostomy. In addition to having detrimental impacts on the patient's post-operative course, they also pose significant financial ramifications.

There have been comparative studies in the use of negative pressure wound therapy in reducing surgical site infections.

PREVENA Incision Management System is a type of disposable, customizable and powered negative pressure system designed to help manage and protect surgical incisions and their surrounding environment. It is now commonly used as a surgical wound dressings in the setting of vascular surgeries, post-cesarean infections and colorectal resections.

Our study is designed as a randomised controlled trial to examine if PREVERA therapy as a NPWT is more superior than conventional dressings in reducing the rate of surgical site infections.

Detailed Description

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Background:

Surgical site infections (SSI) remain one of the most common complications associated with reversal of ileostomy. In addition to having detrimental impacts on the patient's post-operative course, they also pose significant financial ramifications.

The use of Negative Pressure Wound Therapy (NPWT) is one strategy that has been extensively studied in reducing the rate of surgical site infections.

PREVENA Therapy is a form of Incisional Negative Pressure Wound Therapy (INPWT) that has been widely used in the management of closed surgical incisions. They are delivered as prophylactic measures in preventing surgical complications such as surgical site infections.

Trial Design:

This study is designed as a randomized, controlled, open-label, multi-center superiority trial with 2 parallel groups and primary endpoint of surgical site infection at day 7 (after 7-day use of PREVENA) and day 30.

Study Setting The trial will be conducted at two different hospitals located in Dublin, Ireland: St James Hospital - Ireland's largest acute academic teaching hospital (Academic Partner - Trinity College Dublin); Tallaght University Hospital - (Academic Partner - Trinity College Dublin)

Conditions

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Stoma Site Infection Ileostomy - Stoma Colostomy Stoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized, controlled, open-label, multi-center superiority trial with 2 parallel groups and primary endpoint of surgical site infection at day 7 (after 7-day use of PREVENA) and day 30.
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Patients applied with PREVENA system

This arm relates to the group of participants applied with PREVANA system post reversal of colostomy/ileostomy.

Group Type ACTIVE_COMPARATOR

PREVENA Incision Management System

Intervention Type DEVICE

Eligible participants, i.e. participants meeting inclusive criteria, will be randomised in equal proportions and divided into two arms. The PREVENA dressings will be applied to the

Patients applied with conventional dressings

This arm relates to the group of participants applied with conventional dressings post reversal of colostomy/ileostomy

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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PREVENA Incision Management System

Eligible participants, i.e. participants meeting inclusive criteria, will be randomised in equal proportions and divided into two arms. The PREVENA dressings will be applied to the

Intervention Type DEVICE

Other Intervention Names

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PREVENA Negative Pressure System

Eligibility Criteria

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Inclusion Criteria

* Patients aged over 18 years old
* Patients undergoing elective reversal of ileostomy/colostomy
* Patients who agree to consent to inclusion and follow-up protocol

Exclusion Criteria

* Patients who do not fulfil study protocol
* Dressings being removed outside defined time periods
* Patients who do not attend for regular outpatient follow up appointments
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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St. James's Hospital, Ireland

OTHER

Sponsor Role lead

Responsible Party

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Michael Kelly

Consultant Colorectal Surgeon

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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St James's Hospital

Dublin, , Ireland

Site Status

Countries

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Ireland

Central Contacts

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Ernest Low

Role: CONTACT

+353 (01) 410 3000

Facility Contacts

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Ernest Low

Role: primary

+353 (01) 410 3000

Other Identifiers

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St James Hospital

Identifier Type: -

Identifier Source: org_study_id

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