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This RCT aims at assessing the effects of a pelvic drain after total mesorectal excision for mid-low rectal cancer on the rates of pelvic sepsis and anastomotic leaks.
This is a 2-arm, non-inferiority RCT. Patients undergoing total mesorectal excision for mid-low rectal cancer will be randomly assigned into two groups:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pelvic drain | Active Comparator | Placement of a pelvic drain |
|
| No pelvic drain | Experimental | No pelvic drain placed |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pelvic drain | Procedure | A pelvic drain is placed |
| |
| No pelvic drain is placed |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with pelvic sepsis | anastomotic leak or pelvic collections clinically or radiologically detected | 0-30 days postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Management of pelvic sepsis | Type of management (medical, rediological, surgical) | 0-30 days postoperatively |
| Postoperative complications | Overall postoperative complications |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Eloy EspĂn-Basany | Contact | 932746000 | 6587 | eespin@vhebron.net |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital General Universitario Vall d´Hebron | Recruiting | Barcelona | Barcelona, Spain | 08035 | Spain |
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| ID | Term |
|---|---|
| D012004 | Rectal Neoplasms |
| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
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The assessor will not know whether the patient received a drain or not
| Other |
A pelvic drain is not placed |
|
| 0-30 days postoperatively |
| CT scan or imaging needed | Necessity of performing unscheduled imaging tests | 0-30 days postoperatively |
| Number of participants with postoperative ileus | Postoperative ileus | 0-30 days postoperatively |
| Diagnostic delay for a leak | Days between surgery and leak detection | 0-30 days postoperatively |
| Length of postperative stay | Days of stay after surgery | 0-30 days postoperatively or until discharge |
| Time to flatus and bowel movement | Days between surgery and flatus/faeces | 0-30 days postoperatively |
| Stoma presence at 1-year follow-up | Necessity of maintaining the diverting ileostomy at 1-year follow-up | 12 months after surgery |
| Late pelvic collections | Presence of pelvic collections detected at longer follow-up intervals | up to 60 days after surgery |
| Small bowel obstruction | Mechanical small bowel obstruction | up to 60 days after surgery |
| Quality of life associated with a drain | Visual Analogue Scale 0-10 (higher score means better outcome) score of postoperative pain and wound complaints | 30 days postoperatively |
| Any complications associated with drain removal after surgery | Safety of drain removal after surgery | up to 60 days after surgery |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |