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Trial Review
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Trial registered on ANZCTR
Registration number
ACTRN12608000109303
Ethics application status
Approved
Date submitted
19/02/2008
Date registered
27/02/2008
Date last updated
27/02/2008
Type of registration
Retrospectively registered
Titles & IDs
Public title
A comparative, single-blind, randomised trial of pain and ultrasound estimation of residual pelvic fluid associated with suction or non-suction drains following gynaecological laparoscopy
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Scientific title
A comparative, single-blind, randomised trial of pain and ultrasound estimation of residual pelvic fluid associated with suction or non-suction drains following gynaecological laparoscopy
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Gynaecological laparoscopic procedure for resection of stage I-IV endometriosis, hysterectomy, myomectomy, salpingectomy, oophorectomy, cystectomy, urethropexy, adhesiolysis or any combination of these surgeries who would require postoperative drainage
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Condition category
Condition code
Surgery
2979
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0
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Surgical techniques
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants who are determined to require post-operative drainage will be allocated to receive either a suction or non-suction #14FC Bellovac drain (AstraTech, Sweden). Drains are inserted at the end of the procedure through the left-lateral port site. The drain is removed by nursing staff following medical review by the surgical team. The duration the drain is left in situ is dependent upon medical review.
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
There will be two groups, suction and non-suction drainage, both groups will receive a drain. The vacuum pack of the Bellovac drain will be compressed in patients randomised to suction and will be left open in the non-suction group
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Control group
Active
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Outcomes
Primary outcome [1]
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Pain associated with wearing of drain via visual analogue scale (VAS) and verbal descriptor scale (VDS)
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Assessment method [1]
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Timepoint [1]
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Immediately prior to drain removal
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Primary outcome [2]
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Pain associated with removal of drain via VAS and VDS
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Assessment method [2]
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Timepoint [2]
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During drain removal
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Primary outcome [3]
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Pain following removal of drain via VAS and VDS
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Assessment method [3]
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Timepoint [3]
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Immediately after drain removal
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Secondary outcome [1]
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Nausea associated with wearing and removal of pelvic drains and following drain removal
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Assessment method [1]
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Timepoint [1]
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Immediately prior, during and immediately after drain removal
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Secondary outcome [2]
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Transvaginal ultrasound estimation of residual pelvic fluid
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Assessment method [2]
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Timepoint [2]
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When considered medically appropriate to remove the drain, a transvaginal ultrasound will be performed
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Eligibility
Key inclusion criteria
Women undergoing a laparoscopic procedure for resection of stage I-IV endometriosis, hysterectomy, myomectomy, salpingectomy, oophorectomy, cystectomy, urethropexy, adhesiolysis or any combination of these surgeries who would possibly require post-operative drainage were approached for inclusion in the study; female aged 18-80; fluent in spoken and written English, able to understand implications of their involvement in the study and those who consent to involvement in the study.
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Exclusion criteria include patients who may become distressed due to involvement in the study, intercurrent conditions precluding participation, known or suspected pregnancy and known or suspected gynecological malignancy. Women who have not been previously sexually active will be excluded from transvaginal ultrasound assessment
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Subjects will be approached at pre-operative clinical visits and will be provided with a Patient Information Sheet and Consent Form. The aims, procedure and risks of the study will be explained by the investigator and patients will be provided with the opportunity to discuss concerns before informed consent is obtained.
All subjects who are determined to require post-operative drainage will be allocated to suction or non-suction drainage.
All subjects who are determined to require post-operative drainage will be allocated to suction or non-suction drainage. Randomisation slips will be placed in sequential opaque envelopes displaying only the randomisation number. Envelopes will remain unopened until the surgeon makes the decision to use a drain. Envelopes will then be opened sequentially and the surgeon will be provided with the subjects’ group allocation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Allocations were provided using computer-generated randomisation blocks to ensure complete randomisation across demographic fields and to provide a balanced data pool across both groups throughout the trial.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
A subset of approximately 40 women were approached from 1/06/2007 to undergo transvaginal assessment.
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/08/2006
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
180
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
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2031
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Funding & Sponsors
Funding source category [1]
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Other Collaborative groups
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Name [1]
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Department of Endo-Gynaecology
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Address [1]
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Royal Hospital for Women
Barker St, Randwick, NSW
Australia, 2031
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Country [1]
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
Department of Endo-Gynaecology
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Address
Royal Hospital for Women
Barker St, Randwick, NSW
Australia, 2031
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of New South Wales Human Research Ethics Committee
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Ethics committee address [1]
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University of New South Wales Randwick, 2031
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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15/08/2006
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Ethics approval number [1]
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Ethics committee name [2]
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South Eastern Sydney Area Health Service Human Research Ethics Committee ? Eastern Section
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Ethics committee address [2]
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
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Approval date [2]
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29/08/2006
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Ethics approval number [2]
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06/150
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Summary
Brief summary
The aim of this trial is to estimate the difference in pain associated with the wearing or removal of suction or non-suction drains following gynaecological laparoscopic surgery.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Jason Abbott
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Address
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Royal Hospital for Women
Barker St, Randwick, NSW
Australia, 2031
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Country
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Australia
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Phone
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02 93826733
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Jason Abbott
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Address
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Royal Hospital for Women
Barker St, Randwick, NSW
Australia, 2031
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Country
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Australia
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Phone
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02 93826733
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
Type
Is Peer Reviewed?
DOI
Citations or Other Details
Attachment
Plain language summary
No
Of those who completed the study and who responded...
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Documents added automatically
No additional documents have been identified.
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