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Head and Neck NeoplasmsNCT03971760

Ideal Drainage Output of Post-operative Neck Suction Drain

A study testing Suction drain removal in people with Head and Neck Neoplasms and Drain Site Complication, run by Centre hospitalier de l'Université de Montréal (CHUM).

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

A precautionary measure that is frequently used after a neck surgery is the usage of suction drains, which allow the evacuation or air and fluids accumulated at the site of the surgery using negative pressure. Theoretically this helps promote better healing of the wound. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Suction drain removal
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
No sites listed yet
Study dates
Nov 2021to Jun 2022
Phase
Interventional
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 18 years and older of age
  • Patient having undergone neck surgery at the CHUM
  • Patient operated by an Ear Nose and Throat - Head and Neck surgeon at the CHUM
  • Patient with at least one suction drain left post-operatively

Who cannot join

  • Non-suction drain (e.g. capillarity)
  • Free-flap reconstruction cases
  • Patient with past surgical history of neck dissection
  • Patient with pas medical history of radiation therapy in the head and neck

About this study

Official title: Ideal Drainage Output of Post-operative Neck Suction Drain: a Randomized Controlled Trial

A precautionary measure that is frequently used after a neck surgery is the usage of suction drains, which allow the evacuation or air and fluids accumulated at the site of the surgery using negative pressure. Theoretically this helps promote better healing of the wound. Usage of suction drains, however, requires keeping some patients hospitalized after surgery for drain surveillance while they could have otherwise been discharged to safely begin their convalescence at home. In other cases, patient hospitalisation can be prolonged by the usage of suction drains, because surgeons wait for the output of the drain to fall below a certain quantity before removing them. This of course results in additional costs to the health system. The quantity below which the drain output should fall before drain removal is however not something agreed upon in the medical literature and is generally based on a surgeon's personal experience or that of the institution in which they practice. It would be important to better define this value, since prolonged usage of suction drains is not risk-free. Indeed, they constitute, among other things, an access for bacteria to cause an infection to develop inside the neck, which compromises wound healing and may result in more pronounced scarring. This study aims to compare a frequently used output value (30 mL per 24 hours) with a more permissive one of 50 mL per 24 hours. The investigators will look more specifically at wound complications, length of hospitalisation and cost-effectiveness for the health system. This study will recruit patients undergoing neck surgery at the Centre Hospitalier de l'Université de Montréal to compare both of these suction drain output values.

Being tested
Suction drain removal
Medical subject headings
Head and Neck Neoplasms

What participants receive

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

  • Suction drain removalOther

    Removal of negative pressure suction drain left in place to drain the surgical space after a neck surgery

Study groups in NCT03971760
Study groupRoleWhat they receive
Group 1: 30cc/24hActive comparatorThis group represents the currently used value of drain output used to determine the timing of drain removal
Receives: Other: Suction drain removal
Group 2: 50cc/24hExperimentalThis group represents the experimental value of drain output used to determine the timing of drain removal
Receives: Other: Suction drain removal

What is being measured

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

  1. Duration of drainage

    The length of time during which the suction drain is left in place, from the time of the surgery to the time of drain removal

    Measured: At the time of patient discharge from the ward, usually up to 1 week

Secondary outcomes (1)
  1. Seroma rate

    The rate of seroma as wound complication, defined as an accumulation of serous fluid in the surgical space

    Measured: Up to 6 weeks following surgery

Timeline

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

  1. First posted3 Jun 2019
  2. Study startNov 2021 (estimated)
  3. Primary completionMar 2022 (estimated)
  4. Study completionJun 2022 (estimated)

Why it stopped: COVID pandemic

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03971760
Sponsor's protocol ID
18.300
Status last verified
Dec 2022
First submitted
22 May 2019
Last updated
8 Dec 2022
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Suction drain removal in people with Head and Neck Neoplasms and Drain Site Complication, run by Centre hospitalier de l'Université de Montréal (CHUM).

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 4 inclusion and 4 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: withdrawn, as of the sponsor's last update on 8 Dec 2022. Status can change between updates, so confirm with the study contact before making plans.

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?

The study was withdrawn before enrolling participants, so there are no results.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Duration of drainage (time frame: At the time of patient discharge from the ward, usually up to 1 week). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 8 Dec 2022.

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