A Randomized Controlled Trial Exploring the Ability of Negative Pressure Wound Therapy (NPWT) to Reduce Colorectal Surgical Site Infections (SSI)
1 other identifier
interventional
126
1 country
3
Brief Summary
The study will explore the ability of negative pressure wound therapy (Prevena dressing) to reduce post operative superficial surgical site infection rate in elective colorectal surgery. Half of the participants will receive Prevena dressing on closed incision immediately after the operation while other half will receive conventional surgical dressing.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Nov 2015
Longer than P75 for not_applicable
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 22, 2015
CompletedFirst Posted
Study publicly available on registry
January 28, 2015
CompletedStudy Start
First participant enrolled
November 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 7, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
December 7, 2020
CompletedApril 28, 2021
April 1, 2021
5.1 years
January 22, 2015
April 26, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Presence/Absence of superficial surgical site infection
Primary outcome of interest will be the presence and/or absence of superficial surgical site infection at postoperative day 30.
Postoperative day 30.
Secondary Outcomes (1)
Presence/Absence of intervention related side effects
Postoperative day 30.
Study Arms (2)
Prevena Dressing
EXPERIMENTALThis group will receive prevena dressing after the elective colorectal surgery
Conventional dressing
NO INTERVENTIONThis group will receive conventional dressing after the elective colorectal surgery
Interventions
Prevena dressing will be applied to the closed surgical wound after the elective colorectal surgery to evaluate its ability to reduce surgical site infections.
Eligibility Criteria
You may qualify if:
- Age equal or greater than 18 years
- Patient undergoing colorectal resective surgery for any reason (benign or malignant) such as diverticular disease, colorectal cancer or inflammatory bowel disease through a laparotomy wound
- Class II surgical wound
- Laparoscopically assisted colorectal procedure
You may not qualify if:
- Patient requires emergent or urgent operation
- Patient has advanced colorectal malignancy associated with peritoneal carcinomatosis
- Class III or IV surgical wound
- Laparoscopic surgery involving intracorporeal colorectal resection and anastomosis
- Patient has a previous disfigured midline laparotomy surgical scar requiring wide excision of skin, subcutaneous tissue, fascia and muscle
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Saskatchewanlead
- Kinetic Concepts, Inc.collaborator
- Saskatoon Health Regioncollaborator
Study Sites (3)
St. Paul's Hospital, 1081 Burrard Street, C310
Vancouver, British Columbia, V6Z 1Y6, Canada
St. Paul's Hospital
Saskatoon, Saskatchewan, S7M 0Z9, Canada
Royal University Hospital
Saskatoon, Saskatchewan, S7N 0W8, Canada
Related Publications (35)
Measures displayed on Hospital Compare. 2013. Available at: http://www.medicare.gov/hospitalcompare/ Data/Measures-Displayed.html. Accessed March 22, 2013
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PMID: 21079110BACKGROUNDTang R, Chen HH, Wang YL, Changchien CR, Chen JS, Hsu KC, Chiang JM, Wang JY. Risk factors for surgical site infection after elective resection of the colon and rectum: a single-center prospective study of 2,809 consecutive patients. Ann Surg. 2001 Aug;234(2):181-9. doi: 10.1097/00000658-200108000-00007.
PMID: 11505063BACKGROUNDSmith RL, Bohl JK, McElearney ST, Friel CM, Barclay MM, Sawyer RG, Foley EF. Wound infection after elective colorectal resection. Ann Surg. 2004 May;239(5):599-605; discussion 605-7. doi: 10.1097/01.sla.0000124292.21605.99.
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PMID: 11461127BACKGROUNDKirkland KB, Briggs JP, Trivette SL, Wilkinson WE, Sexton DJ. The impact of surgical-site infections in the 1990s: attributable mortality, excess length of hospitalization, and extra costs. Infect Control Hosp Epidemiol. 1999 Nov;20(11):725-30. doi: 10.1086/501572.
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PMID: 19398246BACKGROUNDMeasures displayed on Hospital Compare. 2013. Available at: ttp://www.medicare.gov/hospitalcompare /Data/Measures-Displayed.html. Accessed March 22, 2013.
BACKGROUNDStulberg JJ, Delaney CP, Neuhauser DV, Aron DC, Fu P, Koroukian SM. Adherence to surgical care improvement project measures and the association with postoperative infections. JAMA. 2010 Jun 23;303(24):2479-85. doi: 10.1001/jama.2010.841.
PMID: 20571014BACKGROUNDFujii T, Tabe Y, Yajima R, Yamaguchi S, Tsutsumi S, Asao T, Kuwano H. Effects of subcutaneous drain for the prevention of incisional SSI in high-risk patients undergoing colorectal surgery. Int J Colorectal Dis. 2011 Sep;26(9):1151-5. doi: 10.1007/s00384-011-1228-2. Epub 2011 May 7.
PMID: 21553008BACKGROUNDReid K, Pockney P, Draganic B, Smith SR. Barrier wound protection decreases surgical site infection in open elective colorectal surgery: a randomized clinical trial. Dis Colon Rectum. 2010 Oct;53(10):1374-80. doi: 10.1007/DCR.0b013e3181ed3f7e.
PMID: 20847618BACKGROUNDEdwards JP, Ho AL, Tee MC, Dixon E, Ball CG. Wound protectors reduce surgical site infection: a meta-analysis of randomized controlled trials. Ann Surg. 2012 Jul;256(1):53-9. doi: 10.1097/SLA.0b013e3182570372.
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PMID: 19541009BACKGROUNDGuidance for Industry. Chronic Cutaneous Ulcer and Burn Wounds-Developing Products for Treatment (Draft Guidance). Rockville,MD, U.S. Department of Health and Human Services, 2000, p. 15
BACKGROUNDSurgical Site Infection (SSI) Event. Centers for Disease Control, 2015
BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Gary Groot
University of Saskatchewan
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- M.D.
Study Record Dates
First Submitted
January 22, 2015
First Posted
January 28, 2015
Study Start
November 1, 2015
Primary Completion
December 7, 2020
Study Completion
December 7, 2020
Last Updated
April 28, 2021
Record last verified: 2021-04