- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07645547
Prophylactic Use of ciNPWT in Gynecologic Laparotomy
Implementation of Prophylactic Negative Pressure Wound Therapy (ciNPWT) in High-Risk Patients in Gynecologic Oncology: A Prospective Feasibility Study and Nested Qualitative Analysis
This is a prospective, open-label, non-randomized interventional feasibility study with a nested qualitative analysis. The study exploratively verifies the feasibility of targeted prophylactic closed incision negative pressure wound therapy (ciNPWT) in clinical practice for patients with a high predicted risk of wound healing complications and compares the 30-day incidence of postoperative complications with standard dressing.
Participants will:
- Get ciNPWT or standard dressing after planned laparotomy
- Answer the questionairs about qualite of life
- Will visit the clinic 30 days after surgery to see the final result
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
- Navn: Klara Balcarova
- Telefonnummer: +420731964956
- E-mail: klara.balcarova@fnhk.cz
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Adult female patients scheduled for planned abdominal surgery for gynecologic or gynecologic-oncologic indications.
Identification as "high-risk" for wound healing complications based on a clinical risk screening at admission.
Signed informed consent.
Exclusion Criteria:
- Failure to provide informed consent.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Støttende pleje
- Tildeling: Ikke-randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Preventive ciNPWT
|
targeted prophylactic closed incision negative pressure wound therapy in clinical practice for patients with a high predicted risk of wound healing complications
|
|
Ingen indgriben: Standard dressing
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Feasibility of targeted prophylactic ciNPWT
Tidsramme: Up to 30 postoperative days
|
Feasibility of prophylactic ciNPWT described as: Recruitment rate (%)
|
Up to 30 postoperative days
|
|
Feasibility of targeted prophylactic ciNPWT
Tidsramme: Up to 30 postoperative days
|
Feasibility of prophylactic ciNPWT described as: Completion rate (%)
|
Up to 30 postoperative days
|
|
Feasibility of targeted prophylactic ciNPWT
Tidsramme: Up to 30 postoperative days
|
Feasibility of prophylactic ciNPWT described as: Safety and technical complications (description)
|
Up to 30 postoperative days
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Objective assessment of wound healing
Tidsramme: Up to 30 postoperative days.
|
Objective assessment of wound healing using the ASEPSIS (Additional treatment, the presence of Serous discharge, Erythema, Purulent exudate, and Separation of the deep tissues, the Isolation of bacteria, and the duration of inpatient Stay = ASEPSIS) scoring system (scale 0-100, higher number = worse outcome).
|
Up to 30 postoperative days.
|
|
Subjective assessment of pain
Tidsramme: Up to 30 postoperative days
|
Pain assessment using the Numeric Rating Scale (NRS, scale 0-10, higher number = worse outcome) at rest and during movement.
|
Up to 30 postoperative days
|
|
Subjective assessment of quality of life
Tidsramme: Up to 30 postoperative days
|
Patient-Reported Outcomes including the 5-level version of Quality of life EuroQol Group questionnaire (EQ-5D-5L, scale 5-25, higher number = worse outcome).
|
Up to 30 postoperative days
|
|
Subjective treatment satisfaction
Tidsramme: Up to 30 postoperative days
|
Treatment satisfaction and patient experience via an original questionnaire (scale 8-40, higher number = worse outcome).
|
Up to 30 postoperative days
|
Samarbejdspartnere og efterforskere
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 202511 P02
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Kliniske forsøg med closed incision negative pressure wound therapy (ciNPWT)
-
University of British ColumbiaUkendtInfektion på det kirurgiske sted | Hæmatom | Seroma | Sårkomplikation | Sårbrud
-
Solventum US LLC3MAfsluttetSår og skader | Ledsygdomme | Muskuloskeletale sygdomme | Ledsmerter | Kirurgisk sår | Gigt knæ | Ødem ben | Bilateral total knæarthroplastikForenede Stater
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KCI USA, Inc3MAfsluttetPatologiske processer | Sår og skader | Postoperative komplikationer | Kirurgisk sår | Infektion | Muskuloskeletal sygdom | Protese-relaterede infektioner | Ledsygdom | Revision total knæarthroplastikForenede Stater