Patients undergoing right hemicolectomy MedDRA version: 21.1 Level: LLT Classification code 10039153 Term: Right hemicolectomy System Organ Class: 100000004865
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients older than 18 years with surgical indication of right hemicolectomy who do not present any exclusion criteria. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 90 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 18
Exclusion criteria
Exclusion criteria: 1. Patients under 18 years. 2. Urgent colorectal resections. 3. Patients presenting an occlusive or sub-occlusive condition at the time of surgery. 4. Patient who does not meet the inclusion criteria in the intensified recovery program based on the RICA route (Intensified Recovery in Abdominal Surgery) 5. Patients undergoing colonic resection that involve a location other than the right colon. 6. Patients affected by intra-abdominal or distant infection prior to surgery. 7. Patients who have been given antibiotics for any other indication during the two weeks prior to the intervention. 8. Patient with inflammatory bowel disease. 9. Pregnant or breastfeeding patient. 10. Patients with immunity disorders or receiving immunosuppressive treatment or with synchronous neoplasms of other organs at the time of surgery. 11. Previous history of allergy to erythromycin, neomycin or derivatives, as well as Citrafleet®.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Determine the efficacy in terms of surgical site infection reduction for the use of oral and intravenous antibiotic prophylaxis associated with mechanical preparation of the colon, compared with the use of antibiotic only intravenously or the association of antibiotic therapy oral and intravenous without mechanical preparation, in the surgical procedure of right hemicolectomy.; Secondary Objective: Assess differences between the three groups in relation to anastomotic dehiscence rate Assess differences between the three groups in relation to post-surgical hospital stay Assess differences between the three groups in relation to global complications in the immediate postoperative period ; Primary end point(s): Temperature Appearance of surgical wound Abdominal examination C-reactive protein Surgical wound culture ;Timepoint(s) of evaluation of this end point: daily up to 30 days after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Timepoint(s) of evaluation of this end point: For 30 days after surgery; Secondary end point(s): Anastomotic dehiscence rate Duration of the post-surgical hospital stay Global Complication Rate | — |
Countries
Spain
Contacts
Fundación Instituto de Investigación Sanitaria Aragón