The Efficacy and Safety of Using Prophylactic Abdominal Drainage After Cholecystectomy

NCT ID: NCT05267860

Last Updated: 2023-01-26

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

Clinical Phase

NA

Total Enrollment

232 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-02-01

Study Completion Date

2022-12-01

Brief Summary

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Investigators want to assess the safety and efficacy of using abdominal drainage with not using any drainage, by estimating different outcomes after laparoscopic cholecystectomy for different reasons. Patients are seen at the Accident and Emergency Department or in the surgical wards at Aleppo University Hospital (AUH) over 12 months period.

Detailed Description

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The routine use of prophylactic drainage has become common in many hospitals around the world after cholecystectomy for different reasons. In elective surgeries, the evidence does not support the use of drainage. But in emergency laparoscopic cholecystectomy surgeries, using drainage remains controversial. Surgeons who support the use of drainage find it useful to identify the early complications of surgery and removing intra-abdominal collections, while opponents of drainage use believe that it increases the risk of wound infection. But, a systematic review and meta-analysis discussed the ineffectiveness of the routine use of the prophylactic drainage after laparoscopic cholecystectomy for acute cholecystitis and requested more randomized clinical trial studies on the subject. However, this study and others in the medical literature contain very few high-quality randomized controlled trials, hence our randomized controlled trial compares the use and non-use of drainage in patients undergoing laparoscopic cholecystectomy for different reasons.

Conditions

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Drainage Laparoscopic Cholecystectomy Acute Cholecystitis

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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Patients with a prophylactic drain after cholecystectomy

Group Type EXPERIMENTAL

Prophylactic Drain

Intervention Type DEVICE

We want to put a prophylactic drain after cholecystectomy.

Patients without using any prophylactic Drainage after cholecystectomy

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Prophylactic Drain

We want to put a prophylactic drain after cholecystectomy.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients are seen at the Accident and Emergency Department or in the surgical wards at Aleppo University Hospital (AUH) over 12 months period.
* Patients who undergo cholecystectomy for any reason.

Exclusion Criteria

* Non-cooperative patients for regular follow up.
* Draining for therapeutic indications.
Minimum Eligible Age

16 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Aleppo

OTHER

Sponsor Role lead

Responsible Party

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Ahmad Yamen Arnaout

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Aleppo University Hospital

Aleppo, , Syria

Site Status

Countries

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Syria

References

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Antoniou S, Koch O, Antoniou G, Kohler G, Chalkiadakis G, Pointner R, Granderath F. Routine versus no drain placement after elective laparoscopic cholecystectomy: meta-analysis of randomized controlled trials. Minerva Chir. 2014 Jun;69(3):185-94.

Reference Type BACKGROUND
PMID: 24970306 (View on PubMed)

Gurusamy KS, Koti R, Davidson BR. Routine abdominal drainage versus no abdominal drainage for uncomplicated laparoscopic cholecystectomy. Cochrane Database Syst Rev. 2013 Sep 3;(9):CD006004. doi: 10.1002/14651858.CD006004.pub4.

Reference Type BACKGROUND
PMID: 24000011 (View on PubMed)

Monson JR, Guillou PJ, Keane FB, Tanner WA, Brennan TG. Cholecystectomy is safer without drainage: the results of a prospective, randomized clinical trial. Surgery. 1991 Jun;109(6):740-6.

Reference Type BACKGROUND
PMID: 2042093 (View on PubMed)

Wong CS, Cousins G, Duddy JC, Walsh SR. Intra-abdominal drainage for laparoscopic cholecystectomy: A systematic review and meta-analysis. Int J Surg. 2015 Nov;23(Pt A):87-96. doi: 10.1016/j.ijsu.2015.09.033. Epub 2015 Sep 18.

Reference Type BACKGROUND
PMID: 26386402 (View on PubMed)

Arnaout AY, Kadoura L, Masri R, Nerabani Y, Atli AA, Arnaout K, Arnaout I, Bsata A, Kayali H, Mahli N, Al-Haj A, Ayoub K, Niazi A, Ghazal A; Aleppo University Hospital Team. The efficacy and safety of using prophylactic abdominal drainage after laparoscopic cholecystectomy: A randomized control trial. Health Sci Rep. 2024 Aug 8;7(8):e2284. doi: 10.1002/hsr2.2284. eCollection 2024 Aug.

Reference Type DERIVED
PMID: 39131596 (View on PubMed)

Other Identifiers

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Drainage After Cholecystectomy

Identifier Type: -

Identifier Source: org_study_id

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