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Postoperative Complications clinical trials

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NCT ID: NCT02943694 Not yet recruiting - Clinical trials for Postoperative Complications

The Feasibility and Safety of Instruments in Transanal Total Mesorectal Excision (TaTME) for Rectal Cancer

FSI-TaTME
Start date: December 2016
Phase: Phase 1/Phase 2
Study type: Interventional

Colorectal cancer is one of the leading deadly diseases in the world. Due to the TME (total mesorectal excision) for the last decades, the survival and relapse rate of rectal cancer patients have been considerably improved. However, anatomical limitations in pelvic space hinder the further optimization of surgical treatment Thus, the natural orifice transluminal endoscopic surgery (NOTES) emerges as an alternative surgical strategy. Of note, transanal total mesorectal excision (TaTME) , a new invention based on TME principle, NOTES conception and single port technique, has been prevailing both in West and East nations, with or without the abdominal laparoscopic assistance. Up to date, there are various kinds of instruments and patterns to complete TaTME with comparable clinical outcomes. However, flaws in each instrument remains according to the feedbacks. This study is therefore designed to clinically evaluate the feasibility and safety of the new instruments specifically for TaTME (CS-Compact, GelPoint pathway).

NCT ID: NCT02942238 Not yet recruiting - Clinical trials for Postoperative Complications

Standardization of Laparoscopic Surgery for Right Hemi Colon Cancer (SLRC)

Start date: January 2017
Phase: N/A
Study type: Interventional

To standardize the surgery for advanced right hemi colon cancer with laparoscopy and investigate whether extended lymphadenectomy (CME) could improve disease-free survival in patients with right colon cancer, compared with D3 radical operation in laparoscopic colectomy.

NCT ID: NCT02838173 Not yet recruiting - Chronic Pain Clinical Trials

Serratus Plane Block for the Prevention of Chronic Pain After Breast Cancer Surgery

Start date: July 2016
Phase: N/A
Study type: Interventional

This study compare the "Serratus block plane" (SPB) and the local infiltration of the tissue in the prevention of acute and chronic pain after breast cancer surgery.

NCT ID: NCT02802527 Not yet recruiting - Clinical trials for Other Tracheostomy Complication

Percutaneous Tracheostomy - Systematic Comparison Among Two Methods

Start date: July 2016
Phase: N/A
Study type: Interventional

Percutaneous tracheostomy is routinely performed in most intensive care units in the world.Several studies have shown that the procedure is safe and economically efficient in comparison to open surgical operation in the operating room. In the investigator's institution as in a number of institutions in the country and abroad, it is acceptable to perform the operation either by withdrawing the endotracheal tube to a position near the vocal cords by direct laryngoscopy and then puncturing the trachea with a needle distal to the endotracheal tube, prior to carrying out the PDT, by location of the anatomy by palpation of the neck, or alternatively by doing the entire procedure under bronchoscopic guidance. So far, no systematic comparison has been made between the two methods ie PDT without bronchoscopy versus PDT with bronchoscopy.

NCT ID: NCT02601508 Not yet recruiting - Clinical trials for Neuromuscular Blockade

Compare of Surgical Condition and Complications With Moderate and Deep NM Block

MISPCNUHH
Start date: November 2015
Phase: N/A
Study type: Interventional

This study is designed to evaluate the surgeon's satisfaction with either deep or moderate neuromuscular blockade during laparoscopic gastrectomy surgery and observe the recovery profiles in the recovery room and the ward.The explorative objective of this study is to evaluate the safety profiles of deep and moderate neuromuscular blockades via observation of postoperative complications.

NCT ID: NCT02542423 Not yet recruiting - Clinical trials for Postoperative Complications

Endocan Predictive Value in Postcardiac Surgery Acute Respiratory Failure.

Start date: September 2015
Phase: N/A
Study type: Interventional

According to literature data, Endocan can detect the onset of respiratory failure. The investigators aim to prove its value also for cardiac surgery patients.

NCT ID: NCT02504801 Not yet recruiting - Lung Cancer Clinical Trials

Efficacy of Nebulized Pulmicort Respules in Primary Lung Cancer Patients With COPD

Start date: July 2015
Phase: Phase 4
Study type: Interventional

To test the hypothesis that nebulized Pulmicort Respules could reduce post operation pulmonary complication incidence in primary lung cancer patients with COPD. Compare post-operation pulmonary complication incidence in two treatment arms among primary lung cancer patients with COPD required single lobectomy from 3days before operation to 7 days after operation.

NCT ID: NCT02375269 Not yet recruiting - Clinical trials for Postoperative Complication

Effect of Remote Ischemic Preconditioning on Postoperative Complications in Visceral Surgery

RIPC
Start date: March 2015
Phase: N/A
Study type: Interventional

Remote Ischemic Preconditioning (RIPC) is mediated by intermittent brief episodes (5-10 minutes) of short ischemia in a limb (i.e. arm), followed by reperfusion. For this purpose in 3-4 cycles, a tourniquet is insufflated to suprasystolic pressure levels for 5 minutes and deflated for 5 minutes afterwards. The ischemic episodes are known to stimulate platelets and factors platelet dependent factors such as Serotonin and VEGF. These humoral factors have a systemic effect and have the potential to protect target organs (i.e. heart, kidney, liver) remote to the ischemic limb. The purpose of this randomized controlled study is to investigate the influence and impact of RIPC on postoperative complications in patients undergoing visceral surgery

NCT ID: NCT02127099 Not yet recruiting - Clinical trials for Obstructive Sleep Apnea

The Incidence of Undiagnosed OSA Compared in Multi-ethic Races of Malaysia & the Associated Postoperative Complications

Start date: May 2014
Phase: N/A
Study type: Observational

Obstructive sleep apnoea (OSA) is a condition in which a person's sleep is disrupted with momentary periods of apnoea and hypopnoea. This occurs when there is a blockage to airflow. When this happens, the patient will snore, gasp or choke in the attempt to attain more oxygen. This results in disrupted sleep and the patient may even awake from sleep. It has been found that a great proportion of Malaysians have habitual snoring and with the increase in obesity over the years, it is a concern that OSA may be prevalent in Malaysia. However, it has been seen that OSA is commonly undiagnosed in patient. This poses a worry because these people can come in for surgery. Diagnosis of OSA before surgery is important in order to prepare for the complication related to OSA.

NCT ID: NCT02096640 Not yet recruiting - Inflammation Clinical Trials

Postoperative Inflammation and Recovery After Tracheostomy

Start date: March 2014
Phase: N/A
Study type: Interventional

The main purpose of this study is to examine if there are differences in postoperative inflammation following percutaneous dilatation tracheostomy versus surgical tracheostomy in intensive care unit patients.