Cosmetic Outcome of Electrocautery, Scalpel and PEAK PlasmaBlade for Surgical Breast Incisions

NCT ID: NCT06191159

Last Updated: 2024-12-16

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

RECRUITING

Clinical Phase

NA

Total Enrollment

186 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-09

Study Completion Date

2025-12-31

Brief Summary

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This study will compare the cosmetic scar result from the use of scalpel, electrocautery, and pulsed electron avalanche knife (PEAK) PlasmaBlade (PPB) for the initial skin incision for total mastectomy procedures without immediate breast reconstruction.

It is hypothesized that there will be no significant difference in mastectomy scar cosmesis.

The purpose and objectives of this study are:

1. To evaluate and compare the cosmetic scar result from the use of scalpel, standard electrocautery, or PEAK PlasmaBlade for initial incision for total mastectomy procedures without immediate breast reconstruction.
2. To inform future equipment choices for breast surgery including potential elimination of scalpels and their attendant risks.

Detailed Description

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Scalpel, electrocautery, and PEAK PlasmaBlade (PPB) have all been shown to be safe techniques for surgical incision, but no study has proven the superiority for cosmesis for PPB incision when compared to conventional electrocautery or scalpel.

The investigators propose a double blind prospective randomized controlled study of consecutive patients scheduled for total mastectomy +/- axilla staging without immediate breast reconstruction to evaluate the cosmetic scar result from the use of scalpel, standard electrocautery or PEAK PlasmaBlade.

Scar cosmesis will be evaluated postoperatively at two-to-four weeks, six months, and twelve months by two independent observers blinded to the equipment used, and patient reported outcomes will be reported using the validated SCAR-Q questionnaire.

Conditions

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Wound Complication Surgical Wound Infection Post-operative Pain Postoperative Complications Scar

Keywords

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Electrocautery PEAK PlasmaBlade Scalpel Mastectomy Incision

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Patients will be randomized in equal numbers to have the initial skin incision made with either scalpel, standard electrocautery or PEAK PlasmaBlade. For skin incisions made with electrocautery or PEAK PlasmaBlade the surgeon will use the same equipment for the completion of the surgery. Patients who have initial skin incision with scalpel will be further randomized to have completion of the surgery with standard electrocautery or PEAK PlasmaBlade. Any patients with bilateral mastectomy will be randomized to the same surgical approach for both breasts.
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Standard of Care

The Standard of Care arm will consist of the scalpel for the initial skin incision and further randomization to have completion of the surgery with standard electrocautery or PEAK PlasmaBlade.

Group Type ACTIVE_COMPARATOR

Scalpel and standard electrocautery or PEAK PlasmaBlade

Intervention Type DEVICE

Scalpel followed by completion of surgery with standard electrocautery or PEAK PlasmaBlade.

PEAK PlasmaBlade

The PEAK PlasmaBlade will be used for the entirety of the surgery, including the initial skin incision.

Group Type EXPERIMENTAL

PEAK PlasmaBlade

Intervention Type DEVICE

PEAK PlasmaBlade for entire surgery.

Standard Electrocautery

Standard electrocautery will be used for the entirety of the surgery, including the initial skin incision.

Group Type EXPERIMENTAL

Standard Electrocautery

Intervention Type DEVICE

Standard Electrocautery for entire surgery.

Interventions

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Scalpel and standard electrocautery or PEAK PlasmaBlade

Scalpel followed by completion of surgery with standard electrocautery or PEAK PlasmaBlade.

Intervention Type DEVICE

PEAK PlasmaBlade

PEAK PlasmaBlade for entire surgery.

Intervention Type DEVICE

Standard Electrocautery

Standard Electrocautery for entire surgery.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients having a total mastectomy with or without axilla surgical staging

Exclusion Criteria

* Patients having immediate breast reconstruction
* Patients with a diagnosis of inflammatory breast cancer
* History of keloid scar formation
* History of connective tissue disorder (scleroderma or rheumatoid arthritis with skin involvement)
* Patients with prior incision at the planned mastectomy site.
* Patients with known suture hypersensitivity
* Patients with evidence of current infection
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of British Columbia

OTHER

Sponsor Role lead

Responsible Party

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Carol Dingee

Breast Surgical Oncologist, Principal Investigator, Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Carol K Dingee, MD, FRCSC

Role: PRINCIPAL_INVESTIGATOR

Providence Health Care, University of British Columbia

Locations

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Mount Saint Joseph Hospital

Vancouver, British Columbia, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Carol K Dingee, MD, FRCSC

Role: CONTACT

Phone: 6048741141

Email: [email protected]

Facility Contacts

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Carol K Dingee, MD, FRCSC

Role: primary

Carol K Dingee, MC, FRCSC

Role: backup

Amy K Bazzarelli, MD, FRCSC

Role: backup

Melina Deban, MD, FRCSC

Role: backup

Elaine C McKevitt, MD, FRCSC

Role: backup

Jieun Newman-Bremang, MD, FRCSC

Role: backup

Jin-Si Pao, MD, FRCSC

Role: backup

Rebecca Warburton, MD, FRCSC

Role: backup

Kathryn Isaac, MD, FRCSC

Role: backup

Lisa Aird, MD, FRCSC

Role: backup

Yuwei Yang, MSc

Role: backup

Bennett B Westmore

Role: backup

Other Identifiers

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H23-00115

Identifier Type: -

Identifier Source: org_study_id