A Prospective Clinical Trial of Colostomy-replacement Combined With Bio-mesh Placement in the Prevention of SSIH

NCT ID: NCT05627284

Last Updated: 2022-11-25

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

58 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-01

Study Completion Date

2025-09-30

Brief Summary

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The goal of this clinical trial is to explore the safety and effectiveness of stoma reversal combining bio-mesh placement in patients with high risk of stoma site incisional hernia (SSIH). The main questions it aims to answer are:

* Whether bio-mesh placement is safe for patients with a high risk of SSIH.
* Whether stoma reversal combining bio-mesh placement is a preventive strategy for patients with high risk of SSIH.
* Whether stoma reversal combining bio-mesh placement will trigger other complications.

Participants who are eligible and are enrolled in this study will receive stoma reversal combining bio-mesh placement surgery. After that, they will be followed up for one year to evaluate the occurrence of SSIH and other complications.

Detailed Description

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Conditions

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Stoma Site Incisional Hernia

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Stoma reversal with bio-mesh placement

Group Type EXPERIMENTAL

Stoma reversal with bio-mesh placement

Intervention Type PROCEDURE

Patients will receive stoma reversal. During the surgery, a bio-mesh is placed beyond the peritoneum on the surgical site to strengthen the abdominal wall.

Interventions

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Stoma reversal with bio-mesh placement

Patients will receive stoma reversal. During the surgery, a bio-mesh is placed beyond the peritoneum on the surgical site to strengthen the abdominal wall.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Age: 18-75 years old;
* Patients should have colonic prophylactic stoma and have not received reversal yet;
* There are no obvious signs of tumor recurrence or metastasis in tumor patients before stoma resection;
* No serious underlying diseases, can tolerate general anesthesia surgery
* Preoperative ECOG (Eastern Cooperative Oncology Group) physical status score 0/1;
* Preoperative ASA (American Society of Anesthesiologists) grade I-III;
* Without vital organs function failure;
* All patients and their families signed informed consent before surgery.

Exclusion Criteria

* Incapacitated persons;
* With a history of other types of hernia;
* Those who have had hernia mesh implantation before;
* Those who are allergic to bio-mesh or their components before;
* Combined with other surgeries;
* Severe mental illness;
* Severe respiratory disease;
* Severe liver and kidney insufficiency;
* Those who have absolute contraindications to surgery;
* Suffering from severe bleeding disorders or obvious abnormal coagulation function;
* History of unstable angina or myocardial infarction within 6 months;
* History of cerebral infarction or cerebral hemorrhage within 6 months;
* Continuous intravenous application of glucocorticoid within 1 month;
* The patient has participated or is participating in other clinical studies (within 6 months).
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Nanjing Drum Tower Hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Yonghuan Mao, Dr

Role: CONTACT

+86 15151877330

Facility Contacts

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Meilin Jiang, Dr.

Role: primary

+86 025-68182923

Other Identifiers

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2022-LCYJ-PY-33

Identifier Type: -

Identifier Source: org_study_id

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