Prophylactic Use of ciNPWT in Gynecologic Laparotomy

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorUniversity Hospital Hradec Kralove

About this trial

This is a prospective, open-label, non-randomized interventional feasibility study with a nested qualitative analysis. The study exploratively verifies the feasibility of targeted prophylactic closed incision negative pressure wound therapy (ciNPWT) in clinical practice for patients with a high predicted risk of wound healing complications and compares the 30-day incidence of postoperative complications with standard dressing.

Participants will:

* Get ciNPWT or standard dressing after planned laparotomy * Answer the questionairs about qualite of life * Will visit the clinic 30 days after surgery to see the final result

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adult female patients scheduled for planned abdominal surgery for gynecologic or gynecologic-oncologic indications.

Disqualifiers

Failure to provide informed consent.

Trial design

Design model

Parallel

Treatments tested in this trial

  • closed incision negative pressure wound therapy (ciNPWT)

    Device

    targeted prophylactic closed incision negative pressure wound therapy in clinical practice for patients with a high predicted risk of wound healing complications

Treatment groups

30 Participants
are divided into 2 treatment groups
Group A: Preventive ciNPWTExperimental treatment 1 intervention
Group B: Standard dressingNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Feasibility of targeted prophylactic ciNPWT

Feasibility of prophylactic ciNPWT described as: Recruitment rate (%)

Time frame
Up to 30 postoperative days
2

Feasibility of targeted prophylactic ciNPWT

Feasibility of prophylactic ciNPWT described as: Completion rate (%)

Time frame
Up to 30 postoperative days
3

Feasibility of targeted prophylactic ciNPWT

Feasibility of prophylactic ciNPWT described as: Safety and technical complications (description)

Time frame
Up to 30 postoperative days

Secondary outcomes

1

Objective assessment of wound healing

Objective assessment of wound healing using the ASEPSIS (Additional treatment, the presence of Serous discharge, Erythema, Purulent exudate, and Separation of the deep tissues, the Isolation of bacteria, and the duration of inpatient Stay = ASEPSIS) scoring system (scale 0-100, higher number = worse outcome).

Time frame
Up to 30 postoperative days.
2

Subjective assessment of pain

Pain assessment using the Numeric Rating Scale (NRS, scale 0-10, higher number = worse outcome) at rest and during movement.

Time frame
Up to 30 postoperative days
3

Subjective assessment of quality of life

Patient-Reported Outcomes including the 5-level version of Quality of life EuroQol Group questionnaire (EQ-5D-5L, scale 5-25, higher number = worse outcome).

Time frame
Up to 30 postoperative days
4

Subjective treatment satisfaction

Treatment satisfaction and patient experience via an original questionnaire (scale 8-40, higher number = worse outcome).

Time frame
Up to 30 postoperative days

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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