Cost-utility of Two Strategies of Perineal Reconstruction After Abdominoperineal Resection for Anorectal Carcinoma
NCT02841293 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 140
Last updated 2021-03-04
Summary
Abdominoperineal resection performed for anorectal tumors leaves a large pelvic and perineal defect causing a high rate of morbidity of the perineal wound (40 - 60 %). Biological meshes offer possibility for a new standard of perineal wound reconstruction. Perineal filling with biological mesh is expected to increase quality of life by reducing perineal morbidity.
Conditions
- Abdominoperineal Resection
Interventions
- PROCEDURE
-
Biological mesh
The intervention consists of suturing a biological mesh in the pelvic floor defect. The mesh will be sutured at each side of the coccyx or distal sacrum and directly to the residual pelvic floor muscle and fascia by using interrupted or continuous hand-sewn sutures with an appropriate amount of tension. The mesh that will be used is the Cellis prosthesis from Meccellis Biotech, reference C1015E which size is 10x15cm.
- PROCEDURE
-
Primary perineal wound closure
The intervention consists of stitching the ischioanal and subcutaneous fat using interrupted Vicryl sutures in one or two layers similar to primary perineal closure
Sponsors & Collaborators
-
University Hospital, Toulouse
lead OTHER
Principal Investigators
-
Etienne BUSCAIL, MD · University Hospital of Toulouse
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-02-07
- Primary Completion
- 2024-02-29
- Completion
- 2024-02-29
Countries
- France
Study Locations
More Related Trials
-
Reconstruction of the Pelvic Floor and Perineal Wound After Rectal ELAPE
NCT06066931 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
"Impact of Pelvic Floor Prehabilitation Using Biofeedback on the Severity of the Low Anterior Resection Syndrome in Patients Undergoing a Total Mesorectal Excision for Rectal Cancer"
NCT03876561 ·Status: TERMINATED ·Phase: NA
-
Pseudo Continent Perineal Colostomy vs Permanent Left Iliac Colostomy After Abdominoperineal Resection for Ultra Low Rectal Adenocarcinoma
NCT04141566 ·Status: COMPLETED
-
Gluteal Turnover Flap for Closure of the Perineal Wound After Abdominoperineal Resection for Rectal Cancer
NCT04004650 ·Status: UNKNOWN ·Phase: NA
-
Urinary Retention Following taTME VS laTME Total Mesorectal Excision for Rectal Cancer
NCT06147492 ·Status: COMPLETED ·Phase: NA
-
Bacteriological Differences Between Transanal and Laparoscopic Total Mesorectal Excision for Rectal Cancer.
NCT05201872 ·Status: UNKNOWN
-
Suprapubic Versus Transurethral Catheterization After Rectal Resection With Low Anastomosis for Cancer in Males
NCT02922647 ·Status: COMPLETED ·Phase: NA
-
Oncological Differences Between Transanal and Laparoscopic Total Mesorectal Excision for Rectal Cancer.
NCT05201885 ·Status: RECRUITING
-
Complete Versus Partial Preservation of Denonvilliers' Fascia on Urogenital Function in Locally Advanced Rectal Cancer
NCT04672603 ·Status: UNKNOWN ·Phase: NA
-
A Multicenter Study on the Safety and Functionality Evaluation of Anastomotic Redo Surgery
NCT07279961 ·Status: COMPLETED
-
Long Term Outcomes After Laparoscopic Intersphincteric Resection With Total Mesorectal Excision for Low Rectal Cancer.
NCT02468362 ·Status: UNKNOWN ·Phase: PHASE2
-
Closure of Protective Ileostomy 2 vs. 12 Weeks After TME
NCT02609451 ·Status: TERMINATED ·Phase: NA
-
Organ/Space Surgical Site Infection and Recurrence and Survival in Rectal Cancer Surgery
NCT06382415 ·Status: COMPLETED
-
Reducing Readmissions in High-Risk Ostomates
NCT02658123 ·Status: TERMINATED ·Phase: NA
-
Patient Reported Outcomes Following Cancer of the Rectum
NCT04936581 ·Status: RECRUITING
-
Transanal Versus Laparoscopic Total Mesorectal Excision for Rectal Cancer
NCT02966483 ·Status: RECRUITING ·Phase: NA
-
Completely Abdominal Approach Laparoscopic Partial Intersphincteric Resection for Rectal Cancer
NCT04481659 ·Status: UNKNOWN ·Phase: NA
-
Reconstruction After Abdominoperineal Resection With Robot-assisted Harvest of VRAM Flap
NCT05689775 ·Status: RECRUITING
-
Contribution of Preserving the Superior Left Colic Artery to the Vascularization of the Descending Colon Prior to Colorectal Anastomosis During Left-Sided or Rectal Resections for Colorectal or Ovarian Cancer. (Revascularisation Colique)
NCT07098182 ·Status: RECRUITING ·Phase: NA
-
The Effect of Wound Problems Wound Dressing in Patients With Colorectal Cancer Surgery
NCT04735133 ·Status: COMPLETED ·Phase: NA
-
Does Obesity Increase the Risk of Conversion and Short Term Complications in Laparoscopic Rectal Surgery?
NCT02153853 ·Status: UNKNOWN
-
Surgical Mesh in Radical Cystectomy to Prevent Parastomal Hernias
NCT06032910 ·Status: RECRUITING ·Phase: NA
-
Efficacy of Stimulation of the Efferent Loop and Rehabilitation of the Pelvic Floor in the Quality of Life of Patients Who Underwent Anterior Resection of the Rectum (ENESP): Randomized Clinical Trial
NCT04569331 ·Status: COMPLETED ·Phase: NA
-
Economic Analysis of Robotic Rectal Resection in German Health Care System
NCT06113796 ·Status: COMPLETED
-
Diverting Ileostomy and Anal Functional Outcomes After Anus Preservation Surgery
NCT04776421 ·Status: UNKNOWN