Role of Tranexamic Acid in Reducing Hemorrhagic Events in Bariatric Surgery

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18-60
SponsorPatel Hospital, Pakistan

About this trial

The goal of this clinical trial is to learn if tranexamic acid (TXA) helps reduce bleeding during bariatric surgery, such as laparoscopic sleeve gastrectomy (LSG) and mini gastric bypass (MGB). It will also look at how safe TXA is for people undergoing these procedures. The main questions it aims to answer are:

Does TXA reduce the amount of blood loss during bariatric surgery? Are there any side effects or complications in patients who receive TXA? Researchers will compare TXA to standard care (no TXA) to see if it is effective in reducing bleeding.

Participants will:

Receive either TXA or no TXA (placebo) before surgery Undergo standard bariatric surgery (LSG or MGB) Have their blood loss, hemoglobin levels, and any complications monitored during and after surgery

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients above 18 years of age AND

Undergoing Laparoscopic Sleeve Gastrectomy and MGB

Morbid obesity

Disqualifiers

Patients on anti-platelets/anti-coagulants

Patients with inherited or acquired bleeding disorders

Patients with any acute medical condition predisposing to bleeding

Hormonal contraceptives

Trial design

Design model

Parallel

Treatments tested in this trial

  • Tranexamic Acid

    Drug

    At the time of incision, 1000mg of the drug would be given intravenous, followed by two postoperative doses of 1000mg eight hours apart.

  • Normal Saline (Placebo)

    Other intervention

    At the time of incision, 10ml of the drug would be given intravenous, followed by two postoperative doses of 10ml eight hours apart.

Treatment groups

140 Participants
are divided into 2 treatment groups
Group A: TransamineExperimental treatment 1 intervention
Group B: PlaceboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Need for additional intervention intra operative after administration of transamine

Bleeding event intraoperative Use of clips intraoperatively Staple line over sewing A drop in baseline hemoglobin in 24 hours Need for intervention post operative 24 hours (endoscopy or re-operation)

Time frame
From enrollment to 24 hours after surgical procedure

Secondary outcomes

Other outcomes

Sponsors and contacts

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