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Respiratory FunctionNCT02491762

The Effect of Breast Reconstruction Surgery Using Tissue Expanders on Respiratory Functions

An observational study of Respiratory Function and Breast Reconstruction, run by Yaron Har-Shai at 1 site in Israel.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This study evaluates the effect of breast reconstruction surgery on respiratory functions. 45 patients elected for unilateral or bilateral breast reconstruction surgery will go through respiratory function examinations a month prior to the surgery, one month after surgery and three months after surgery. Read more about this study

Who is it for?
Ages 18 to 90 years, women onlyHealthy volunteers can take part
Conditions the study is for
Respiratory Function, Breast Reconstruction
What is being tested?
respiratory function tests
Type of treatment
Surgery or procedure
How many people
45 participants
Where
1 siteIsrael
Study dates
Aug 2015to Aug 2017
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 90 years
  • Women only
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: patients elected for breast reconstruction surgery using tissue expander-implant technique

Who may be able to join

  • all subjects were elected for a unilateral or bilateral breast reconstruction using tissue expander by the Oncoplastic Committee of the plastic surgery unit in Carmel Medical Center.
  • all subjects agrees to enroll in research

Who cannot join

  • subject is in a mental or physical condition that does not allow her to go through respiratory function tests.
  • subject was found with a respiratory disfunction or disease in the first respiratory function tests.

Trial locations and contacts

1 site in 1 country.

Yaron Har-Shai, Proffesor contact

0507866206

yaron07@yahoo.com

Israel1 site
  • Carmel Medical Center

    Haifa, 34362

Other trials in Israel

About this study

This study evaluates the effect of breast reconstruction surgery on respiratory functions. 45 patients elected for unilateral or bilateral breast reconstruction surgery will go through respiratory function examinations a month prior to the surgery, one month after surgery and three months after surgery.

Read the detailed description

Breast reconstruction surgery using tissue expander and implant technique is the most common breast reconstruction surgery. During this procedure, the surgeon will insert a silicone expander under the Pectoralis Major muscle. In order to fully cover the expander, the surgeon will detach the Serratus Anterior [SA] muscle from its natural attachments in the rib cage and will attach the free edges to the lateral edge of the Pectoralis Major muscle. After the wound is healed, a gradual inflation of the expander with a physiological fluid will be done by injecting the fluid into a subcutaneous filling port connected to the expander by silicone tubing. When the tissues around the expander will reach the required size, the tissue expander can be replaced by a permanent silicone implant.

The SA attachments are to the superior angle, medial border and inferior angle of the scapula and to the first to eighth ribs. Its main functions are stabilization and protraction of the scapula and turning the glenoid cavity superiorly in abduction of arms. In addition, the SA is an accessory respiratory muscle: when the scapula is stabilized, its contraction will lift the rib cage in order to help breathing. The importance of the SA in breathing has been examined since the late 19th century and until this day it is not fully agreed upon. Most studies agree that the SA major role in breathing is in deep breaths and is that the muscle is most effective for this purpose when arms are lifted.

Since breast reconstruction procedure includes detachment of the SA from the rib cage and there by canceling its respiratory function, an examination of the respiratory functions before and after the procedure is in order to determine whether or not the overall respiratory functions had been effected.

45 patients elected for unilateral or bilateral breast reconstruction surgery will go through respiratory function examinations a month prior to the surgery, one month after surgery and three months after surgery. The examinations will include the following tests: Spirometry: FVC, FEV1, MVV. Lung capacities: FRC, RV, TLC. Breathing muscle strength: MIP, MEP.

Being tested
respiratory function tests
Keywords
Serratus Anterior, Accessory Respiratory, Tissue Expander, Respiratory Function Tests
Medical subject headings
Respiratory Aspiration

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • respiratory function testsProcedure or surgery

    FVC, FEV1, MVV, FRC, RV, TLC, MIP, MEP

Study groups in NCT02491762
Study groupRoleWhat they receive
bilateralbilateral breast construction candidates will go through respiratory function tests a month prior to surgery, a month after surgery and three months after surgery
Receives: Procedure: respiratory function tests
unilateralunilateral breast construction candidates will go through respiratory function tests a month prior to surgery, a month after surgery and three months after surgery
Receives: Procedure: respiratory function tests

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Forced vital capacity -FVC

    Forced vital capacity: the determination of the vital capacity from a maximally forced expiratory effort

    Measured: a month prior to surgery

  2. Forced expiratory volume at one second -FEV1

    Volume that has been exhaled at the end of the first second of forced expiration

    Measured: a month prior to surgery

  3. Maximum voluntary ventilation-MVV

    Maximal voluntary ventilation: volume of air expired in a specified period during repetitive maximal effort

    Measured: a month prior to surgery

  4. Functional residual capacity-FRC

    Functional residual capacity: the volume in the lungs at the end-expiratory position

    Measured: a month prior to surgery

  5. Residual volume -RV

    Residual volume: the volume of air remaining in the lungs after a maximal exhalation.

    Measured: a month prior to surgery.

  6. Total lung capacity-TLC

    Total lung capacity: the volume in the lungs at maximal inflation, the sum of VC and RV.

    Measured: a month prior to surgery.

  7. Maximal inspiratory pressure-MIP

    Maximal inspiratory pressure (MIP) is the maximal pressure that can be produced by the patient trying to inhale through a blocked mouthpiece

    Measured: a month prior to surgery.

  8. Maximal expiratory pressure-MEP

    Maximal expiratory pressure (MEP) is the maximal pressure measured during forced expiration (with cheeks bulging) through a blocked mouthpiece after a full inhalation.

    Measured: a month prior to surgery.

  9. Forced vital capacity -FVC

    Forced vital capacity: the determination of the vital capacity from a maximally forced

    Measured: a month after surgery

  10. Forced vital capacity -FVC

    Forced vital capacity: the determination of the vital capacity from a maximally forced

    Measured: three months after surgery

  11. Forced expiratory volume at one second -FEV1

    Volume that has been exhaled at the end of the first second of forced expiration

    Measured: a month after surgery

  12. Forced expiratory volume at one second -FEV1

    Volume that has been exhaled at the end of the first second of forced expiration

    Measured: three months after surgery

  13. Maximum voluntary ventilation-MVV

    Maximal voluntary ventilation: volume of air expired in a specified period during repetitive maximal effort

    Measured: a month after surgery

  14. Maximum voluntary ventilation-MVV

    Maximal voluntary ventilation: volume of air expired in a specified period during repetitive maximal effort

    Measured: three months after surgery

  15. Functional residual capacity-FRC

    Functional residual capacity: the volume in the lungs at the end-expiratory position

    Measured: a month after surgery

  16. Functional residual capacity-FRC

    Functional residual capacity: the volume in the lungs at the end-expiratory position

    Measured: three months after surgery

  17. Residual volume -RV

    Residual volume: the volume of air remaining in the lungs after a maximal exhalation.

    Measured: a month after surgery

  18. Residual volume -RV

    Residual volume: the volume of air remaining in the lungs after a maximal exhalation.

    Measured: three months after surgery

  19. Total lung capacity-TLC

    Total lung capacity: the volume in the lungs at maximal inflation, the sum of VC and RV.

    Measured: a month after surgery.

  20. Total lung capacity-TLC

    Total lung capacity: the volume in the lungs at maximal inflation, the sum of VC and RV.

    Measured: three months after surgery.

  21. Maximal inspiratory pressure-MIP

    Maximal inspiratory pressure (MIP) is the maximal pressure that can be produced by the patient trying to inhale through a blocked mouthpiece

    Measured: a month after surgery

  22. Maximal inspiratory pressure-MIP

    Maximal inspiratory pressure (MIP) is the maximal pressure that can be produced by the patient trying to inhale through a blocked mouthpiece

    Measured: three months after surgery.

  23. Maximal expiratory pressure-MEP

    Maximal expiratory pressure (MEP) is the maximal pressure measured during forced expiration (with cheeks bulging) through a blocked mouthpiece after a full inhalation.

    Measured: a month after surgery.

  24. Maximal expiratory pressure-MEP

    Maximal expiratory pressure (MEP) is the maximal pressure measured during forced expiration (with cheeks bulging) through a blocked mouthpiece after a full inhalation.

    Measured: three months after surgery.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Jul 2015 (estimated)
  2. Study startAug 2015
  3. Primary completionAug 2017 (estimated)
  4. Study completionAug 2017 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
45 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02491762
Sponsor's protocol ID
CMC-15-0029-CTIL
Status last verified
Jul 2015
First submitted
16 Jun 2015
Last updated
15 Jul 2015
Results posted
No
Data monitoring committee
Yes

Publications

  • Terakado S, Takeuchi T, Miura T, Sato H, Nishioka N, Fujieda Y, Kobayashi R, Ibukiyama C. Early occurrence of respiratory muscle deoxygenation assessed by near-infrared spectroscopy during leg exercise in patients with chronic heart failure. Jpn Circ J. 1999 Feb;63(2):97-103. doi: 10.1253/jcj.63.97.

    PubMed 10084371
  • Legrand R, Marles A, Prieur F, Lazzari S, Blondel N, Mucci P. Related trends in locomotor and respiratory muscle oxygenation during exercise. Med Sci Sports Exerc. 2007 Jan;39(1):91-100. doi: 10.1249/01.mss.0000241638.90348.67.

    PubMed 17218889
  • Legrand R, Prieur F, Marles A, Nourry C, Lazzari S, Blondel N, Mucci P. Respiratory muscle oxygenation kinetics: relationships with breathing pattern during exercise. Int J Sports Med. 2007 Feb;28(2):91-9. doi: 10.1055/s-2006-924056. Epub 2006 Jul 12.

    PubMed 16838222
  • Lomax M, Tasker L, Bostanci O. An electromyographic evaluation of dual role breathing and upper body muscles in response to front crawl swimming. Scand J Med Sci Sports. 2015 Oct;25(5):e472-8. doi: 10.1111/sms.12354. Epub 2014 Dec 30.

    PubMed 25640018
  • Machado de Sousa O, Costacurta L. Electromyographic study of the M. serratus anterior during respiration. Electromyogr Clin Neurophysiol. 1984 Nov-Dec;24(7):547-59. No abstract available.

    PubMed 6510353
  • Mancini DM, Ferraro N, Nazzaro D, Chance B, Wilson JR. Respiratory muscle deoxygenation during exercise in patients with heart failure demonstrated with near-infrared spectroscopy. J Am Coll Cardiol. 1991 Aug;18(2):492-8. doi: 10.1016/0735-1097(91)90605-9.

    PubMed 1856417
  • Matusiewicz AK, Carter AE, Landes RD, Yi R. Statistical equivalence and test-retest reliability of delay and probability discounting using real and hypothetical rewards. Behav Processes. 2013 Nov;100:116-22. doi: 10.1016/j.beproc.2013.07.019. Epub 2013 Aug 14.

    PubMed 23954833
  • Moalla W, Dupont G, Berthoin S, Ahmaidi S. Respiratory muscle deoxygenation and ventilatory threshold assessments using near infrared spectroscopy in children. Int J Sports Med. 2005 Sep;26(7):576-82. doi: 10.1055/s-2004-830332.

    PubMed 16195992
  • Ogata H, Arimitsu T, Matsuura R, Yunoki T, Horiuchi M, Yano T. Relationship between oxygenation in inactive biceps brachii muscle and hyperventilation during leg cycling. Physiol Res. 2007;56(1):57-65. doi: 10.33549/physiolres.930888. Epub 2006 Feb 23.

    PubMed 16497096
  • Ogata H, Reyihan A, Yano T. Kinetics of oxygenation in inactive forearm muscle during ramp leg cycling. J Physiol Anthropol Appl Human Sci. 2004 Jan;23(1):7-17. doi: 10.2114/jpa.23.7.

    PubMed 14757996
  • Reid DC, Bowden J, Lynne-Davies P. Role of selected muscles of respiration as influenced by posture and tidal volume. Chest. 1976 Nov;70(5):636-40. doi: 10.1378/chest.70.5.636.

    PubMed 975981
  • TOKIZANE T, KAWAMATA K, TOKIZANE H. Electromyographic studies on the human respiratory muscles; studies on the activity pattern of neuromuscular units. Jpn J Physiol. 1952 Feb;2(3):232-47. doi: 10.2170/jjphysiol.2.232. No abstract available.

    PubMed 14927261
  • Tsoi B, Ziolkowski NI, Thoma A, Campbell K, O'Reilly D, Goeree R. Systematic review on the patient-reported outcomes of tissue-expander/implant vs autologous abdominal tissue breast reconstruction in postmastectomy breast cancer patients. J Am Coll Surg. 2014 May;218(5):1038-48. doi: 10.1016/j.jamcollsurg.2014.02.011. Epub 2014 Feb 19. No abstract available.

    PubMed 24745568
  • Wang L, Yoshikawa T, Hara T, Nakao H, Suzuki T, Fujimoto S. Which common NIRS variable reflects muscle estimated lactate threshold most closely? Appl Physiol Nutr Metab. 2006 Oct;31(5):612-20. doi: 10.1139/h06-069.

    PubMed 17111016
  • Cannon DT, Grout SL, May CA, Strom SD, Wyckoff KG, Cipriani DJ, Buono MJ. Recruitment of the serratus anterior as an accessory muscle of ventilation during graded exercise. J Physiol Sci. 2007 Apr;57(2):127-31. doi: 10.2170/physiolsci.RP001807. Epub 2007 Apr 6.

    PubMed 17408533

Questions about this trial

What is this clinical trial studying?

An observational study of Respiratory Function and Breast Reconstruction, run by Yaron Har-Shai at 1 site in Israel.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 15 Jul 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Israel. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Yaron Har-Shai, Proffesor (0507866206, yaron07@yahoo.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Forced vital capacity -FVC (time frame: a month prior to surgery). The study lists 24 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02491762, which also lists 22 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Jul 2015.

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