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A Randomized Trial on the Technical Aspects of Stoma Construction.

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ClinicalTrials.gov Identifier: NCT01694238
Recruitment Status : Completed
First Posted : September 27, 2012
Last Update Posted : March 29, 2019
Sponsor:
Collaborators:
The Swedish Society of Medicine
The Swedish agreement concerning research and education of doctors
Information provided by (Responsible Party):
Eva Angenete, Sahlgrenska University Hospital, Sweden

Brief Summary:

An investigation on the difference in stoma hernia frequency related to surgical technique when incising the fascia. All patients planned for elective colostomy formation are to be included. Patients undergoing rectal resection with a TME and a colostomy (Hartmann's procedure) for rectal cancer, abdominoperineal resection for rectal cancer or diverting colostomy for any reason are all included.

The three groups for randomization are:

A. circular incision in the abdominal wall fascia B. cruciate incision in the abdominal wall fascia C. mesh enforced cruciate incision in the abdominal wall fascia Primary endpoint is the parastomal hernia rate within 12 months from index surgery. Secondary end-points include clinical variables, re-admission and/or re-operation due to any stoma complication, quality of life and health economy analyses, at 12 months.


Condition or disease Intervention/treatment Phase
Colostomy Colorectal Neoplasm Diverticulitis Procedure: Cruciate incision Procedure: Circular incision Other: Mesh enforced cruciate incision Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 209 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Circular, Mesh Enforced or Cruciate Incision in the Abdominal Wall Fascia for coloStomy Construction - A Randomised Trial
Study Start Date : June 2013
Actual Primary Completion Date : September 2017
Actual Study Completion Date : October 2018

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Hernia

Arm Intervention/treatment
Active Comparator: Cruciate incision
Cruciate incision in the abdominal wall fascia
Procedure: Cruciate incision
Experimental: Circular incision
Circular incision in the fascia
Procedure: Circular incision
Experimental: Mesh enforced cruciate incision
Mesh enforcement and then cruciate incision in the abdominal wall fascia
Other: Mesh enforced cruciate incision



Primary Outcome Measures :
  1. Stoma hernia frequency at 12 months [ Time Frame: 12 months ]
    The frequency of stoma hernia at 12 months measured either by clinical examination or CT scan


Secondary Outcome Measures :
  1. Readmission [ Time Frame: 12 months ]
    Number of readmissions in the two groups

  2. Postoperative infections [ Time Frame: 12 months ]
    Postoperative infections at 12 months

  3. Total hospital stay [ Time Frame: 12 months ]
    The total number of days in hospital during 12 months

  4. Other complications [ Time Frame: 12 months ]
    The number and type of complications during 12 months postoperatively

  5. 30 day mortality [ Time Frame: 30 days ]
    30 day mortality



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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • presenting with a cancer or other conditions for which an elective surgical procedure is planned and includes a permanent colostomy formation
  • possible to operate in regard to concomitant disease
  • giving informed consent to participate

Exclusion Criteria:

  • Not possible to operate due to concomitant disease
  • Participation in other randomized trials in conflict with the protocol and end-points of the Stoma-Const trial.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01694238


Locations
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Sweden
Sahlgrenska University Hospital/östra
Gothenburg, Sweden, 41685
Sponsors and Collaborators
Sahlgrenska University Hospital, Sweden
The Swedish Society of Medicine
The Swedish agreement concerning research and education of doctors
Investigators
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Principal Investigator: Eva Angenete, M.D., Ph.D. Sahlgrenska University Hospital, Sahlgrenska Academy, Gothenburg University and SSORG - Scandinavian Surgical Outcomes Research Group
Additional Information:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Eva Angenete, M.D., Ph.D., senior consultant surgeon, Sahlgrenska University Hospital, Sweden
ClinicalTrials.gov Identifier: NCT01694238    
Other Study ID Numbers: Stoma-Const
First Posted: September 27, 2012    Key Record Dates
Last Update Posted: March 29, 2019
Last Verified: March 2019
Keywords provided by Eva Angenete, Sahlgrenska University Hospital, Sweden:
Colostomy
Surgical technique
Additional relevant MeSH terms:
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Diverticulitis
Colorectal Neoplasms
Intestinal Neoplasms
Gastrointestinal Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Neoplasms
Digestive System Diseases
Gastrointestinal Diseases
Colonic Diseases
Intestinal Diseases
Rectal Diseases
Diverticular Diseases
Intraabdominal Infections
Infection
Gastroenteritis