HemORL: Monocentric, Prospective, Comparative Study on the Use of a Haemostatic Vacuum Device During Tonsillectomy in Children (HemORL)
Monocentric, Prospective, Comparative and Randomised Study on the Use of a Haemostatic Vacuum Device During Tonsillectomy in Children
The long-term objective of this study is to prove:
- the equivalence of the number of post-operation hemorrhages, and maybe a decrease of the number of secondary hemorrhages
- the decrease of pain and quicker re-feeding
- an easier haemostasis
- the simplification of the tonsillectomy surgical kit
- the decrease of dissection time
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Sébastien Schmerber, MD,PhD
- Email: Echipon@chu-grenoble.fr
Study Contact Backup
- Name: Alexandre Moreau-Gaudry, MD, PhD
- Email: Echipon@chu-grenoble.fr
Study Locations
-
-
Isère
-
Grenoble, Isère, France, 38043
- Recruiting
- University Hospital, Grenoble
-
Contact:
- Emilie Chipon
-
Sub-Investigator:
- Alice Hitter, MD
-
Sub-Investigator:
- Anne Rivron, MD
-
Sub-Investigator:
- Jean-Pierre Alibeu, MD
-
Sub-Investigator:
- Elea Lamblin, MD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- children from 3 to 10 years old undergoing tonsillectomy (with or without adenoidectomy)
- children without known hemophilia or any coagulation trouble
- children speaking and understanding French
- children's both parents must speak and understand French
- children's both parents must be affiliate to social security or similarly regime
Exclusion Criteria:
- children with known allergy to silicone
- refusal to consent: from child's age to consent or from both parents
- telephone monitoring refusal
- protected person referred to in Articles L1121-6 of the Code of Public Health
- children's both parents are protected persons referred to in Articles L1121-8 of the Code of Public Health
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Vacuum device surgery
At first the surgeon proceed to the dissection of children tonsils and at last he uses the innovative vacuum device to obtain wounds hemostasis
|
Other Names:
|
|
Active Comparator: Conventional surgery
At first the surgeon proceed to the dissection of children tonsils and at last he uses a bipolar forceps to obtain wounds hemostasis
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Comparison of cauterization time to obtain the tonsillectomy wounds hemostasis using bipolar forceps between conventional surgery group and the vacuum device group
Time Frame: From the beginning to the end of a tonsillectomy: an expected average of 2 hours
|
Cauterization time (seconds) needed to obtain wounds tonsillectomy hemostasis using bipolar forceps(electric power of 20W)
|
From the beginning to the end of a tonsillectomy: an expected average of 2 hours
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Assessment of the vacuum device hemostatic technique at his installation on the wound
Time Frame: From the beginning to the end of a tonsillectomy: an expected average of 2 hours
|
|
From the beginning to the end of a tonsillectomy: an expected average of 2 hours
|
|
Assessment between two arm of the postoperative pain until 10 days after the surgery
Time Frame: 10 days
|
Pain score every day (FLACC -> children between 3 and 7 years old Faces pain scale -> children between 8 and 10 years old)
|
10 days
|
|
Comparison of the time of the first complaint of pain after surgery between conventional surgery group and the vacuum device group
Time Frame: Time between general anesthesia and discharge hospitalization: an average of one day
|
Time between general anesthesia and first complaint of pain
|
Time between general anesthesia and discharge hospitalization: an average of one day
|
|
Comparison of surgery time between the 2 arm
Time Frame: An expected average of 2 hours
|
Time between the first incision and final wounds hemostasis verification
|
An expected average of 2 hours
|
|
Comparison between the 2 arms of re-feeding without pain (liquids,semi-liquids ands solids)
Time Frame: Until 11 days after surgery
|
Time or/and day of the first meal without pain
|
Until 11 days after surgery
|
|
Comparison between the 2 arms of the number of primary hemorrhages
Time Frame: Until 24 hours after surgery
|
Number of primary hemorrhages
|
Until 24 hours after surgery
|
|
Comparison between the 2 arms of the number of secondary hemorrhages
Time Frame: From 24 hours after surgery until 11 days after surgery
|
Number of secondary hemorrhages
|
From 24 hours after surgery until 11 days after surgery
|
|
Comparison between the 2 arms of the number of rehospitalisation (all circumstances)
Time Frame: From 24 hours after surgery until 11 days after surgery
|
Number of rehospitalisation
|
From 24 hours after surgery until 11 days after surgery
|
|
Comparison between the 2 arms of the number of strong analgesics doses
Time Frame: Until 11 days after surgery
|
Number of strong analgesics doses per day.
Strong analgesics are used only if the child has a FLACC score higher than 3 (children from 3 to 7 years old) and a Faces Pain Scale score higher than 4 (children from 8 to 10 years old).
|
Until 11 days after surgery
|
|
Clinician evaluation about the feasibility of the vacuum device installation
Time Frame: From the beginning to the end of a tonsillectomy: an expected average of 2 hours
|
Score from a qualitative satisfaction scale
|
From the beginning to the end of a tonsillectomy: an expected average of 2 hours
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Sébastien Schmerber, MD, PhD, University Hospital, Grenoble
Publications and helpful links
General Publications
- Guerrero K, Moreau-Gaudry A, Porcu P, Blin D. An innovative technique to control bleeding with vacuum device. Eur J Cardiothorac Surg. 2011 Jun;39(6):1070-2. doi: 10.1016/j.ejcts.2010.09.047. Epub 2010 Nov 12.
- Brichon PY, Porcu P, Moreau-Gaudry A, Blin D. Extraction of substernal goitre using an innovative vacuum device. Eur J Cardiothorac Surg. 2012 Jul;42(1):178-9. doi: 10.1093/ejcts/ezs018. Epub 2012 Feb 13.
- Porcu P, Moreau-Gaudry A, Chavanon O, Blin D. Haemostasis of a right ventricle-gunshot wound using a novel haemostatic vacuum device. Interact Cardiovasc Thorac Surg. 2012 Aug;15(2):294-6. doi: 10.1093/icvts/ivs103. Epub 2012 May 7.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- HemORL-DCIC-1211
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