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The study aims to evaluate the effect of the hemostatic matrix with fibrinogen and thrombin (TachoSil®) on vena cava inferior anastomoses during liver transplantation from a deceased donor.
The research comprises two groups: an experimental cohort with patients receiving a hemostatic matrix of fibrinogen and thrombin on the anastomotic line of the inferior vena cava, and a control cohort utilizing hemostasis without matrix sealent. The study involves a total of 170 participants, evenly distributed with 85 patients in each group.
Studies have shown that materials containing fibrin shorten the time to hemostasis in the case of planned liver resection, but did not show a significant effect on the occurrence of postoperative bleeding. The aim of the study is to supplement knowledge about hemostatic matrices in liver transplantation, which will be used for the inferior vena cava anastomosis.
The study aims to evaluate the effect of the hemostatic matrix with fibrinogen and thrombin (TachoSil®) on vena cava inferior anastomoses during liver transplantation from a deceased donor.
The research comprises two groups: an experimental cohort with patients receiving a hemostatic matrix of fibrinogen and thrombin on the anastomotic line of the inferior vena cava, and a control cohort utilizing hemostasis without matrix sealent. The study involves a total of 170 participants, evenly distributed with 85 patients in each group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tachosil® used in Vena Cava Inferior anastomosis | Experimental | Tachosil® used in Vena Cava Inferior anastomosis. |
|
| Control | No Intervention | Standard haemostatic treatment in HPB surgery. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TachoSil | Drug | TachoSil used in Vena Cava Inferior anastomosis during liver transplantation. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Significant postoperative bleeding | occurrence of significant postoperative bleeding within 10 days after surgery, defined as the occurrence of one of the following:
| 10 days |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative complication | Occurance of complication assesed in Clavien-Dindo scale | 10 days |
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Inclusion Criteria:
Exclusion Criteria:
-decision to use packing during liver transplantation (bail out strategy)
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Paweł Rykowski, MD | Contact | +48 22 599 2359 | pawel.rykowski@wum.edu.pl |
| Name | Affiliation | Role |
|---|---|---|
| Paweł Rykowski, MD | Medical University of Warsaw | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of General Transplant and Liver Surgery | Recruiting | Warsaw | Mazovian Voivodeship | 02-097 | Poland |
Anonimized IPD would be shared after personal contact, after PI approval
5 years after study finish
scintific puropse only
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| ID | Term |
|---|---|
| C518955 | TachoSil |
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Randomized controlled trial
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