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
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Voraussichtlich)
Einschreibung
Phase
Phase
- Unzutreffend
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Sébastien Schmerber, MD,PhD
- E-Mail: Echipon@chu-grenoble.fr
Studieren Sie die Kontaktsicherung
- Name: Alexandre Moreau-Gaudry, MD, PhD
- E-Mail: Echipon@chu-grenoble.fr
Studienorte
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Isère
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Grenoble, Isère, Frankreich, 38043
- Rekrutierung
- University Hospital, Grenoble
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Kontakt:
- Emilie Chipon
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Unterermittler:
- Alice Hitter, MD
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Unterermittler:
- Anne Rivron, MD
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Unterermittler:
- Jean-Pierre Alibeu, MD
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Unterermittler:
- Elea Lamblin, MD
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
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
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Single
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
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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
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Andere Namen:
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Aktiver 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
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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Comparison of cauterization time to obtain the tonsillectomy wounds hemostasis using bipolar forceps between conventional surgery group and the vacuum device group
Zeitfenster: From the beginning to the end of a tonsillectomy: an expected average of 2 hours
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Cauterization time (seconds) needed to obtain wounds tonsillectomy hemostasis using bipolar forceps(electric power of 20W)
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From the beginning to the end of a tonsillectomy: an expected average of 2 hours
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Assessment of the vacuum device hemostatic technique at his installation on the wound
Zeitfenster: From the beginning to the end of a tonsillectomy: an expected average of 2 hours
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From the beginning to the end of a tonsillectomy: an expected average of 2 hours
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Assessment between two arm of the postoperative pain until 10 days after the surgery
Zeitfenster: 10 days
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Pain score every day (FLACC -> children between 3 and 7 years old Faces pain scale -> children between 8 and 10 years old)
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10 days
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Comparison of the time of the first complaint of pain after surgery between conventional surgery group and the vacuum device group
Zeitfenster: Time between general anesthesia and discharge hospitalization: an average of one day
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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
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Comparison of surgery time between the 2 arm
Zeitfenster: An expected average of 2 hours
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Time between the first incision and final wounds hemostasis verification
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An expected average of 2 hours
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Comparison between the 2 arms of re-feeding without pain (liquids,semi-liquids ands solids)
Zeitfenster: 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
Zeitfenster: Until 24 hours after surgery
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Number of primary hemorrhages
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Until 24 hours after surgery
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Comparison between the 2 arms of the number of secondary hemorrhages
Zeitfenster: From 24 hours after surgery until 11 days after surgery
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Number of secondary hemorrhages
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From 24 hours after surgery until 11 days after surgery
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Comparison between the 2 arms of the number of rehospitalisation (all circumstances)
Zeitfenster: 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
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Comparison between the 2 arms of the number of strong analgesics doses
Zeitfenster: 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
Zeitfenster: 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
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From the beginning to the end of a tonsillectomy: an expected average of 2 hours
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Mitarbeiter
Mitarbeiter
Ermittler
Ermittler
- Hauptermittler: Sébastien Schmerber, MD, PhD, University Hospital, Grenoble
Publikationen und hilfreiche Links
Allgemeine Veröffentlichungen
- 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.
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn
Studienbeginn
Primärer Abschluss (Voraussichtlich)
Primärer Abschluss
Studienabschluss (Voraussichtlich)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Schätzen)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- HemORL-DCIC-1211
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