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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT01344486
Other study ID # S52424
Secondary ID
Status Terminated
Phase Phase 4
First received April 21, 2011
Last updated October 24, 2016
Start date September 2010
Est. completion date December 2013

Study information

Verified date October 2016
Source University Hospital, Gasthuisberg
Contact n/a
Is FDA regulated No
Health authority Belgium: Institutional Review Board
Study type Interventional

Clinical Trial Summary

Full conditioning of the peritoneal cavity during laparoscopic surgery will decrease post-operative pain, inflammation and adhesion formation.

Full conditioning will decrease an inflammatory response of the peritoneum and decrease pain and adhesion formation.


Description:

Randomized controlled trial (RCT) comparing carbon dioxide to full conditioning (addition of oxygen, nitrous oxide, humidification and temperature control, dexamethasone and Hyalobarrier gel) Women undergoing laparoscopy for endometriosis, myomectomy or adhesiolysis will be randomized to either group and will be compared for pain (VAS scores); inflammation (White blood cells, CRP) and adhesions scored by second look laparoscopy.


Recruitment information / eligibility

Status Terminated
Enrollment 22
Est. completion date December 2013
Est. primary completion date December 2013
Accepts healthy volunteers Accepts Healthy Volunteers
Gender Female
Age group N/A and older
Eligibility Inclusion Criteria:

- women undergoing laparoscopic excision of deep endometriosis (stratum 1), excision of endometrioma's (stratum 2) or excision of uterine myoma's (stratum 3) since this is severe surgery, associated with severe postoperative adhesions and since for most of these women fertility is important and hence the second look laparoscopy can be beneficial.

- Signed informed consent

Exclusion Criteria:

- women with a pre-existing condition increasing the risk of surgery such as clotting disorders, heart or lung impairment etc.-Any condition that might interfere with inflammatory parameters such as immunodeficiency, chronic inflammatory disease as Crohn's disease.

- Pregnancy

- Conditions associated with chronic pain as peripheral neuropathy, pathology of the vertebral column and osteo-articular disease. Conditions causing acute pain e.g. abdominal trauma

- a known allergic reaction to Hyalobarrier Gel Endo®

- A bowel lesion requiring a single or double layer suture. (given that for none of the anti-adhesion barriers safety has been proven following bowel lesions and suture)

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Outcomes Assessor), Primary Purpose: Prevention


Intervention

Procedure:
full conditioning
addition of 4% oxygen + 10% nitrous oxide to the pneumoperitoneum + humidification + temperature regulation at 32°C
standard pneumoperitoneum
100% carbon dioxide used for the pneumoperitoenum

Locations

Country Name City State
Belgium UZ Leuven Leuven

Sponsors (1)

Lead Sponsor Collaborator
University Hospital, Gasthuisberg

Country where clinical trial is conducted

Belgium, 

Outcome

Type Measure Description Time frame Safety issue
Primary adhesion formation after laparoscopic surgery second look laparoscopy to assess adhesions formed after initial surgery 2 weeks after primary surgery No
Secondary Post-operative pain pain assessed by VAS scores recorded until 3 days after surgery No
Secondary inflammation bloodsamples to test for C reactive protein and white blood cells recorded until 3 days after surgery No
Secondary time to first flatus and stool patients will be asked when first flatus and first stool appeared. (measured as hours after surgery) recorded until 3 days after surgery No