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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03624764
Other study ID # 2016- A01387-44
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date January 4, 2017
Est. completion date January 4, 2020

Study information

Verified date February 2021
Source Clinique Beau Soleil
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The treatment of gynecological prolapse (organ removal) can be done by laparoscopy or vaginally. Laparoscopy is used in 1 out of 2 cases, but learning is difficult and operation time is long. One of the technical difficulties is related to the sutures to the threads. Some surgeons therefore use a glue to fix prosthetic reinforcements more easily and quickly, but this sizing technique has only been evaluated very little. Our study proposes to compare the technique of suture with the thread at the gluing of the prostheses in order to validate the merits of this new technique


Description:

Laparoscopic promontofixation is a surgical technique considered by some as the reference technique. Its difficulty of learning and the duration of operation are factors limiting its diffusion. The use of cyanoacrylate glue is proposed to simplify the procedure, without there being any comparative studies between the sutures over and the sizing of prosthetic reinforcements. The main objective of the study is to compare the operative time of promontofixation by coelioscopy with suture using threads to promontofixation using glue. Secondary objectives are the comparison between the two groups of complications per and postoperative, objective anatomical results and functional results of the tissue reaction judged by clinical examination (palpation) and ultrasound and direct cost.


Recruitment information / eligibility

Status Completed
Enrollment 90
Est. completion date January 4, 2020
Est. primary completion date October 4, 2019
Accepts healthy volunteers No
Gender Female
Age group 40 Years and older
Eligibility Inclusion Criteria: 1. Age> 40 years 2. Surgical indication of prolapse cure by promontofixation 3. Valid social insurance 4. French spoken and written 5. Informed consent signed 6. No exclusion criteria Exclusion Criteria: 1. Concomitant rectopexy 2. Concomitant Hysterectomy 3. Associated surgical procedure not compatible with measurement of operative time 4. Refusal to participate in the study 5. Pregnant or lactating woman (Article L 1121-5 of the french code of public health) 6. Vulnerable persons (Article L 1121-6 of the french code of public health) 7. Majors subject to legal protection or unable to express their consent (Article 1121-8 of the CSP) 8. Participation in another protocol for less than 3 months 9. Patient does not have all the inclusion criteria.

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
Laparostopic promontofixation using surgical glue
The technique involves implanting a prosthetic tissue (tape) between the bladder and the vagina, suspending the cervix or the vagina affectionately, associated or not with a posterior strip placed between the rectum and the vagina fixed on the small pelvis muscles. Each strip is held by the surgical glue (cyanoacrylate biocompatible adhesive)
Laparostopic promontofixation using threads
The technique involves implanting a prosthetic tissue (tape) between the bladder and the vagina, suspending the cervix or the vagina affectionately, associated or not with a posterior strip placed between the rectum and the vagina fixed on the small pelvis muscles. Each strip is held by sutures with threads

Locations

Country Name City State
France Clinique Beau Soleil Montpellier

Sponsors (1)

Lead Sponsor Collaborator
Clinique Beau Soleil

Country where clinical trial is conducted

France, 

Outcome

Type Measure Description Time frame Safety issue
Primary Operative time The time elapsed between incision and closure one day
Secondary Collection of intra-operative complications Collection of all the complications during the surgery (visceral wound, peroperative bleeding, other) one day
Secondary Collection of per-operative complications Collection of the per-operative complications: pain at day 0 and day 1 (using the visual analog scale), urinary retention, postoperative haemorrhage or hematoma, fever> 38 ° 48 h after surgery, other complication one day
Secondary Collection of complications at 6 weeks Pain by the Visuel Analog Scale, emergency consultation or generalist, rehospitalization / Reintervention, other complications 6 weeks
Secondary Tolerance of the prosthesis Classification of the complications related to the insertion of protheses (from the International Urogynecological Association) 6 weeks
Secondary Tolerance of the prosthesis Classification of the complications related to the insertion of protheses (from the International Urogynecological Association) 6 months
Secondary Tolerance of the prosthesis Classification of the complications related to the insertion of protheses (from the International Urogynecological Association) 12 months
Secondary Objective anatomical results at 6 weeks International Continence Society - Pelvic organe Prolapse - Quantification (POP Q scale): stage 0 (no prolapse is demonstrated) to stage 4 (vaginal eversion is essentially complete) Before surgery
Secondary Objective anatomical results at 6 months International Continence Society - Pelvic organe Prolapse - Quantification (POP Q scale): stage 0 (no prolapse is demonstrated) to stage 4 (vaginal eversion is essentially complete) 6 months after surgery
Secondary Objective anatomical results at 12 month International Continence Society - Pelvic organe Prolapse - Quantification (POP Q scale): stage 0 (no prolapse is demonstrated) to stage 4 (vaginal eversion is essentially complete) 12 months after surgery
Secondary Quality of life: pelvic floor distress The Pelvic Floor Distress Inventory-20 questionnary: it is both a symptom inventory and a measure of the degree of bother and distress (quality-of-life) caused by pelvic floor symptoms.The PFDI-20 includes 20 questions and 3 scales. Each of the 3 scales is scored from 0 (least distress) to 100 (greatest distress). The sum of the scores of these 3 scales serves as the overall summary score of the PFDI-20 and ranges from 0 - 300. The 3 scales include questions taken from the following widely used outcome measures: Urinary Distress Inventory - 6 questions, Pelvic Organ Prolapse Distress Inventory - 6 questions, and Colorectal-Anal Distress Inventory - 8 questions Before the surgery
Secondary Quality of life: pelvic floor distress The Pelvic Floor Distress Inventory-20 questionnary. The PFDI-20 includes 20 questions and 3 scales. Each of the 3 scales is scored from 0 (least distress) to 100 (greatest distress). The sum of the scores of these 3 scales serves as the overall summary score of the PFDI-20 and ranges from 0 - 300. The 3 scales include questions taken from the following widely used outcome measures: Urinary Distress Inventory - 6 questions, Pelvic Organ Prolapse Distress Inventory - 6 questions, and Colorectal-Anal Distress Inventory - 8 questions 6 months after the surgery
Secondary Quality of life: pelvic floor distress The Pelvic Floor Distress Inventory-20 questionnary. The PFDI-20 includes 20 questions and 3 scales. Each of the 3 scales is scored from 0 (least distress) to 100 (greatest distress). The sum of the scores of these 3 scales serves as the overall summary score of the PFDI-20 and ranges from 0 - 300. The 3 scales include questions taken from the following widely used outcome measures: Urinary Distress Inventory - 6 questions, Pelvic Organ Prolapse Distress Inventory - 6 questions, and Colorectal-Anal Distress Inventory - 8 questions 12 months after the surgery
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