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Today the minimal invasive access is used for a lot of different operations. This technique takes the advantage of less postoperative pain, better cosmetic results, and a lower surgical complication rate (e.g. hernia, wound infection).
Especially patients under immunosuppressive therapy could benefit from this technique. First results in minimally invasive kidney transplantation indicate that it may be performed quickly and safely. Benefits are expectable on postoperative pain, recovery, and surgical complications. Another retrospective study showed lower rates of hernia, abdominal wall relaxations, and a better postoperative cosmetic.
The aim of this study is to compare the classic hockey stick incision with a minimal invasive incision in a randomized clinical trial.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Active Comparator | Short Transverse Incision |
|
| 2 | Active Comparator | Hockey Stick Incision |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Short Transverse Incision | Procedure | Short Transverse Incision for kidney transplantation |
| |
| Measure | Description | Time Frame |
|---|---|---|
| QoR (Quality of Recovery) - Score | preoperative, day 1/3/5/7 postoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of Life by SF (Short Form) 36 | preoperative, day 7, week 4, month 6 postoperative | |
| Operation time | intraoperative | |
| Warm ischemic time |
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Inclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Uta Herden, MD | Insel Gruppe AG, University Hospital Bern | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Inselspital | Bern | Canton of Bern | 3010 | Switzerland |
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| ID | Term |
|---|---|
| D000072836 | Surgical Wound |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
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| Hockey Stick Incision |
| Procedure |
Hockey Stick Incision for kidney transplantation |
|
| intraoperative |
| Postoperative pain measured by VAS (visual analog scale) and amount of analgesia | day 1/2/3/4/5/6/7 postoperative |
| Surgical complications | day 7, week 4, month 6, month 12 postoperative |