Is the NPWTi Better Than the Conventional NPWT

NCT ID: NCT06014788

Last Updated: 2023-09-18

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

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-17

Study Completion Date

2024-07-31

Brief Summary

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The goal of this clinical trial is to compare the effectiveness of NPWTi and NPWT in superficial and deep surgical site infections using an improvised system with continuous lavage with saline and chlorhexidine. The main question it aims to answer is whether the NPWTi is better than conventional NPWT. Participants will be given NPWTi or conventional NPWT.

Researchers will compare the two groups to see if NPWTi diminishes the rate of recurrent infections and the number of reoperations, shortens the hospital stay, and alleviates the burden on the hospital staff in comparison to the conventional NPWT.

Detailed Description

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Conditions

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Postoperative Wound Infection Superficial Incisional Postoperative Wound Infection Deep Incisional Surgical Site

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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NPWTi

The whole wound was filled with black foam (Granufoam®, KCI). The instillation was performed via gravity from i.v. bag through a drain put within the foam. Chlorhexidine 0.1% 300 ml in 700 ml saline was used for continuous instillation three times daily (3 L per day) on the background of continuous pressure of 125 mmHg. The dressing changes were performed every 48-72 hours.

Group Type EXPERIMENTAL

NPWTi

Intervention Type DEVICE

The wound was filled with black foam (Granufoam®, KCI). The instillation was performed via gravity from i.v. bag through a drain put within the foam. Chlorhexidine 0.1% 300 ml in 700 ml saline was used for continuous instillation three times daily (3 L per day) on the background of continuous pressure of 125 mmHg.

conventional NPWT

The wound was filled with black foam (Granufoam®, KCI) and covered with plastic folio. A continuous pressure of 125 mmHg was applied using the hospital suction system. The dressing changes were performed every 48 hours.

Group Type ACTIVE_COMPARATOR

Conventional NPWT

Intervention Type DEVICE

Conventional NPWT

Interventions

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NPWTi

The wound was filled with black foam (Granufoam®, KCI). The instillation was performed via gravity from i.v. bag through a drain put within the foam. Chlorhexidine 0.1% 300 ml in 700 ml saline was used for continuous instillation three times daily (3 L per day) on the background of continuous pressure of 125 mmHg.

Intervention Type DEVICE

Conventional NPWT

Conventional NPWT

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* adults over 18 years
* superficial or deep SSIs after laparotomy or laparoscopic surgery

Exclusion Criteria

* persons \< 18 years
* documented inherited or acquired coagulation disorders or platelet deficiency
* presence of deep space infection (intra-abdominal abscess or ongoing peritonitis)
* prosthetic material infection
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Military Medical Academy, Bulgaria

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ventsislav Mutafchiyski, DSc, FACS

Role: PRINCIPAL_INVESTIGATOR

Military Medical Academy, Bulgaria

Locations

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Department of Sugery

Sofia, , Bulgaria

Site Status RECRUITING

Countries

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Bulgaria

Central Contacts

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Georgi Popivanov

Role: CONTACT

+354885521241

Facility Contacts

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Georgi Popivanov, PhD

Role: primary

+354885521241

Kirien Kjossev, PhD

Role: backup

Other Identifiers

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20.08.1964

Identifier Type: -

Identifier Source: org_study_id

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