- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03971760
Ideal Drainage Output of Post-operative Neck Suction Drain
December 6, 2022 updated by: Centre hospitalier de l'Université de Montréal (CHUM)
Ideal Drainage Output of Post-operative Neck Suction Drain: a Randomized Controlled Trial
A precautionary measure that is frequently used after a neck surgery is the usage of suction drains, which allow the evacuation or air and fluids accumulated at the site of the surgery using negative pressure.
Theoretically this helps promote better healing of the wound.
Usage of suction drains, however, requires keeping some patients hospitalized after surgery for drain surveillance while they could have otherwise been discharged to safely begin their convalescence at home.
In other cases, patient hospitalisation can be prolonged by the usage of suction drains, because surgeons wait for the output of the drain to fall below a certain quantity before removing them.
This of course results in additional costs to the health system.
The quantity below which the drain output should fall before drain removal is however not something agreed upon in the medical literature and is generally based on a surgeon's personal experience or that of the institution in which they practice.
It would be important to better define this value, since prolonged usage of suction drains is not risk-free.
Indeed, they constitute, among other things, an access for bacteria to cause an infection to develop inside the neck, which compromises wound healing and may result in more pronounced scarring.
This study aims to compare a frequently used output value (30 mL per 24 hours) with a more permissive one of 50 mL per 24 hours.
The investigators will look more specifically at wound complications, length of hospitalisation and cost-effectiveness for the health system.
This study will recruit patients undergoing neck surgery at the Centre Hospitalier de l'Université de Montréal to compare both of these suction drain output values.
Study Overview
Status
Withdrawn
Intervention / Treatment
Study Type
Interventional
Phase
- Not Applicable
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- 18 years and older of age
- Patient having undergone neck surgery at the CHUM
- Patient operated by an Ear Nose and Throat - Head and Neck surgeon at the CHUM
- Patient with at least one suction drain left post-operatively
Exclusion Criteria:
- Non-suction drain (e.g. capillarity)
- Free-flap reconstruction cases
- Patient with past surgical history of neck dissection
- Patient with pas medical history of radiation therapy in the head and neck
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Group 1: 30cc/24h
This group represents the currently used value of drain output used to determine the timing of drain removal
|
Removal of negative pressure suction drain left in place to drain the surgical space after a neck surgery
|
Experimental: Group 2: 50cc/24h
This group represents the experimental value of drain output used to determine the timing of drain removal
|
Removal of negative pressure suction drain left in place to drain the surgical space after a neck surgery
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Duration of drainage
Time Frame: At the time of patient discharge from the ward, usually up to 1 week
|
The length of time during which the suction drain is left in place, from the time of the surgery to the time of drain removal
|
At the time of patient discharge from the ward, usually up to 1 week
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Seroma rate
Time Frame: Up to 6 weeks following surgery
|
The rate of seroma as wound complication, defined as an accumulation of serous fluid in the surgical space
|
Up to 6 weeks following surgery
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Duration of admission
Time Frame: At the time of patient discharge from the ward, usually up to 1 week
|
Length of patient's stay in hospital after surgery
|
At the time of patient discharge from the ward, usually up to 1 week
|
Wound infection
Time Frame: Up to 6 weeks following surgery
|
Surgical site infection following surgery
|
Up to 6 weeks following surgery
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Anticipated)
November 1, 2021
Primary Completion (Anticipated)
March 1, 2022
Study Completion (Anticipated)
June 1, 2022
Study Registration Dates
First Submitted
May 22, 2019
First Submitted That Met QC Criteria
May 30, 2019
First Posted (Actual)
June 3, 2019
Study Record Updates
Last Update Posted (Estimate)
December 8, 2022
Last Update Submitted That Met QC Criteria
December 6, 2022
Last Verified
December 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 18.300
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Head and Neck Neoplasms
-
Robert FerrisAmgenCompletedHead and Neck Cancer | Cancer of Head and Neck | Head Cancer | Neck Cancer | Neoplasms, Head and Neck | Cancer of the Head and Neck | Cancer of Neck | Upper Aerodigestive Tract Neoplasms | Neck Neoplasms | Cancer of the Head | Cancer of the Neck | UADT Neoplasms | Cancer of Head | Head Neoplasms | Head, Neck Neoplasms | Neoplasms, Head and other conditionsUnited States
-
Assiut UniversityRecruitingHead and Neck Cancer | Head and Neck Neoplasms | Cancer of Head and Neck | Neoplasms, Head and Neck | Cancer of the Head and NeckEgypt
-
IRCCS Policlinico S. MatteoNestlé Health Science Spain; Akern SrlCompletedHead-neck CancerItaly
-
University of California, San FranciscoCompleted
-
Thomas Jefferson UniversityCompletedHead and Neck CarcinomaUnited States
-
M.D. Anderson Cancer CenterNational Cancer Institute (NCI)TerminatedHead And Neck CancerUnited States
-
AZ Sint-Jan AVRecruiting
-
IntraGel TherapeuticsNot yet recruiting
-
M.D. Anderson Cancer CenterNational Cancer Institute (NCI)Active, not recruitingHead and Neck CarcinomaUnited States
-
Gustave Roussy, Cancer Campus, Grand ParisActive, not recruiting
Clinical Trials on Suction drain removal
-
Mert ÖzcanCompletedChondropathy | Knee Effusion | Knee Hemarthrosis
-
Assiut UniversityCompleted
-
IRCCS San RaffaeleCompletedPancreatic Fistula | Complication,Postoperative | PROMs | Pancreas DiseaseItaly
-
Peking Union Medical College HospitalPeking University First Hospital; Cancer Institute and Hospital, Chinese Academy... and other collaboratorsCompletedDrainage | PancreaticoduodenectomyChina
-
Peking Union Medical College HospitalUnknownPancreatectomy | Post Procedural DischargeChina
-
University of British ColumbiaUnknown
-
Shifa International HospitalCompletedPain | Surgery | Acute Cholecystitis | Morbidity, Multiple | Drain Site ComplicationPakistan
-
Centre Hospitalier Universitaire, AmiensCompletedPancreatic Neoplasms | Pancreatic DiseaseFrance
-
Oslo University HospitalCompletedEarly Complications After Axillary and Inguinal Lymph Node Dissection in Stage III Melanoma PatientsMelanoma | ComplicationNorway
-
University of ArizonaUnknown