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Clinical Trial Details — Status: Withdrawn

Administrative data

NCT number NCT02140385
Other study ID # 5120289
Secondary ID
Status Withdrawn
Phase N/A
First received September 24, 2013
Last updated August 27, 2015
Start date July 2014

Study information

Verified date August 2015
Source Loma Linda University
Contact n/a
Is FDA regulated No
Health authority United States: Data and Safety Monitoring BoardUnited States: Institutional Review Board
Study type Interventional

Clinical Trial Summary

The purpose of this study is to determine whether leaving a thicker layer -which preserves the tissue called Scarpa's fascia -intact during an abdominoplasty (tummy tuck) decreases the damage to the lymphatic system.

In order to investigate the effect of leaving a thinner or slightly thicker layer intact during a tummy tuck, patients who are already planning to undergo the surgery, and who agree to participate, will be randomly assigned to two groups in a manner similar to flipping a coin. The first group will have their abdominoplasty performed with a thinner layer of abdominal wall left in place while the second group will have the surgery with a slightly thicker layer left in place. Both methods of doing a tummy tuck meet acceptable standards of care, and the aesthetic outcomes will not be negatively impacted by either of the options.

Before and after the surgery, a procedure called lymphoscintigraphy will be performed. Lymphoscintigraphy is a special type of imaging where a dye, called a radiotracer, is injected and then detected by a special camera. The pictures provided by the lymphoscintigraphy allow investigators to look at the lymphatic system, which is a small network similar to blood vessels that helps drain extra fluid. The lymphoscintigraphy will help investigators to know what method of performing the tummy tuck leaves the lymphatic system most intact.

In addition, photographs of each patient's abdomen will be taken using a special camera that allows investigators to put the photographs in the computer and compile a 3-dimensional image. Investigators will be able to look at the volume changes from swelling after the surgery using these pictures. Finally, an ultrasound will be used to help identify any seromas, or fluid collections, that may form after the surgery.

The lymphoscintigraphy, photographs and the ultrasound combined will help determine whether or not leaving a thicker or thinner layer during a tummy tuck helps preserve the fluid draining lymphatic system and whether or not that effects recovery after the procedure.


Recruitment information / eligibility

Status Withdrawn
Enrollment 0
Est. completion date
Est. primary completion date August 2015
Accepts healthy volunteers No
Gender Both
Age group 18 Years to 65 Years
Eligibility Inclusion Criteria:

- all patients ages 18-65 years who are planning to undergo elective abdominoplasty

Exclusion Criteria:

- patients with contraindications to lymphoscintigraphy

- patients with contraindications to abdominoplasty

- previous abdominal surgery or traumatic perforation

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label


Related Conditions & MeSH terms


Intervention

Procedure:
Abdominoplasty-Scarpa's fascia preservation
Thicker abdominal flaps will be preserved during the surgery.
Abdominoplasty-Scarpa's fascia ablation
Thinner abdominal flaps will be preserved during surgery.
Device:
Lymphoscintigraphy
Post-operative lymphatic imaging will be conducted using a common radiographic medium
3D Imaging
Post-operative 3-dimensional photography will take place at a regularly scheduled clinic appointment.
Abdominal ultrasound
Post-operative abdominal ultrasound will be used to determine the presence of fluid collections (seromas).

Locations

Country Name City State
United States Loma Linda University Department of Plastic and Reconstructive Surgery Loma Linda California

Sponsors (1)

Lead Sponsor Collaborator
Loma Linda University

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Lymphatic preservation Lymphatic integrity will be measured pre-operatively and then again two weeks post-operatively in order to evaluate preservation of the lymphatic system. Two weeks post-operatively No
Secondary Edema Edema will be measured by calculating volumetry using 3-dimensional photography Up to six months post-operatively No
Secondary Seroma formation Seroma formation will be evaluated by ultrasound at routine post-operative clinic appointments Up to six months post-operatively No
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