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
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Forventet)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Sébastien Schmerber, MD,PhD
- E-mail: Echipon@chu-grenoble.fr
Undersøgelse Kontakt Backup
- Navn: Alexandre Moreau-Gaudry, MD, PhD
- E-mail: Echipon@chu-grenoble.fr
Studiesteder
-
-
Isère
-
Grenoble, Isère, Frankrig, 38043
- Rekruttering
- University Hospital, Grenoble
-
Kontakt:
- Emilie Chipon
-
Underforsker:
- Alice Hitter, MD
-
Underforsker:
- Anne Rivron, MD
-
Underforsker:
- Jean-Pierre Alibeu, MD
-
Underforsker:
- Elea Lamblin, MD
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
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
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: 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
|
Andre navne:
|
|
Aktiv komparator: 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
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Comparison of cauterization time to obtain the tonsillectomy wounds hemostasis using bipolar forceps between conventional surgery group and the vacuum device group
Tidsramme: 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
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Assessment of the vacuum device hemostatic technique at his installation on the wound
Tidsramme: 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
Tidsramme: 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
Tidsramme: Time between general anesthesia and discharge hospitalization: an average of one day
|
Time between general anesthesia and first complaint of pain
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Time between general anesthesia and discharge hospitalization: an average of one day
|
|
Comparison of surgery time between the 2 arm
Tidsramme: 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)
Tidsramme: Until 11 days after surgery
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Time or/and day of the first meal without pain
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Until 11 days after surgery
|
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Comparison between the 2 arms of the number of primary hemorrhages
Tidsramme: Until 24 hours after surgery
|
Number of primary hemorrhages
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Until 24 hours after surgery
|
|
Comparison between the 2 arms of the number of secondary hemorrhages
Tidsramme: From 24 hours after surgery until 11 days after surgery
|
Number of secondary hemorrhages
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From 24 hours after surgery until 11 days after surgery
|
|
Comparison between the 2 arms of the number of rehospitalisation (all circumstances)
Tidsramme: From 24 hours after surgery until 11 days after surgery
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Number of rehospitalisation
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From 24 hours after surgery until 11 days after surgery
|
|
Comparison between the 2 arms of the number of strong analgesics doses
Tidsramme: Until 11 days after surgery
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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).
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Until 11 days after surgery
|
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Clinician evaluation about the feasibility of the vacuum device installation
Tidsramme: From the beginning to the end of a tonsillectomy: an expected average of 2 hours
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Score from a qualitative satisfaction scale
|
From the beginning to the end of a tonsillectomy: an expected average of 2 hours
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Efterforskere
Efterforskere
- Ledende efterforsker: Sébastien Schmerber, MD, PhD, University Hospital, Grenoble
Publikationer og nyttige links
Generelle publikationer
- 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.
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Forventet)
Primær færdiggørelse
Studieafslutning (Forventet)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- HemORL-DCIC-1211
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