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The Percutaneous drainage of symptomatic intra-abdominal collection (primary or secondary to surgery)is the treatment of choice in the absence of peritonitis signs. In critically ill patients, this procedure allows to avoid or postpone surgery. In these settings, the percutaneous drain can be either in Active Vacuum Pressure or in Free drainage. However, no prospective trials has assessed the efficiency of these two modalities of drainage in cases of infected intra-abdominal collections. The investigators aimed then to prospectively analyzed the efficiency (in term of infectious control) of drainage under active vacuum pressure vs. free drainage for the treatment of infected intra-abdominal collections.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active vacuum pressure drainage |
| ||
| Free drainage |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Percutaneous drainage of intra-abdominal collection | Procedure | Percutaneous drainage of infected intra-abdominal collection Under computed tomography or ultrasound guidance. Procedures perform by a board certified interventional radiologist |
| Measure | Description | Time Frame |
|---|---|---|
| time of drainage | 90 days after drianage |
| Measure | Description | Time Frame |
|---|---|---|
| Control of infection | up to 7 days after drainage | |
| Timing of antibiotherapy | up to 15 days after drainage | |
| Hospital stay |
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Inclusion Criteria:
Exclusion Criteria:
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In-hospital patients with infected intra-abdominal collection (primary or secondary to surgery)
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Nicolas Demartines, M.D. | Contact | +41 21 314 24 00 | nicolas.demartines@chuv.ch | |
| Emmanuel Melloul, M.D. | Contact | +41 21 314 24 00 | emmanuel.melloul@chuv.ch |
| Name | Affiliation | Role |
|---|---|---|
| Emmanuel Melloul, M.D. | Department of Visceral surgery (CHUV) | Principal Investigator |
| Nicolas Demartines, M.D. | Department of Visceral surgery (CHUV) | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Visceral surgery, CHUV | Recruiting | Lausanne | Canton of Vaud | 1011 | Switzerland |
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| ID | Term |
|---|---|
| D010195 | Pancreatitis |
| D004238 | Diverticulitis |
| D001064 | Appendicitis |
| ID | Term |
|---|---|
| D010182 | Pancreatic Diseases |
| D004066 | Digestive System Diseases |
| D000076385 | Diverticular Diseases |
| D005759 | Gastroenteritis |
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|
| up to 90 days after drainage |
| Morbidity related to the procedure | up to 90 days after drainage |
| in-hospital mortality | up to 90 days after the drainage |
| Alban Denys, M.D. |
| Department of Interventional radiology (CHUV) |
| Study Chair |
| D005767 |
| Gastrointestinal Diseases |
| D059413 | Intraabdominal Infections |
| D007239 | Infections |
| D002429 | Cecal Diseases |
| D007410 | Intestinal Diseases |