Wound Closure After Port Catheter Implantation
Conditions
Keywords
Skin Adhesive, Suture, Port Incisions
Brief summary
Port Wound Closure compares synthetic tissue adhesives with seam for cutaneous wound closure to port plant in terms of cosmetic results and time savings at comparable risk for wound infection.
Detailed description
Study patients who undergo a subcutaneous venous port implant procedure are randomized into control group (conventional sutures) or into interventional group (synthetic tissue adhesive). The intervention time is documented. Follow-up visit is performed 8 weeks after port implantation. It includes a photo documentation, quality of life questionnaire (EQ5D) and pain scala questionnaire (POSAS) by patient and by 3 independent observers as well as the documentation of complications.
Interventions
Skin incision closure with standard subcuticular technique
Skin incision closure with topic skin adhesive Histoacryl® Flexible (n-Butyl-2-Cyanoacrylate Monomer)
Sponsors
Study design
Eligibility
Inclusion criteria
* Medical indication for port catheter implantation because of chemotherapy or parenteral nutrition
Exclusion criteria
* Children and adolescents \< 18 years * Thrombocytes \< 50/nl * PTT \<50% * INR \>1.5 * Systemic or local infection of the interventional location * Known allergy to used material * Known allergy to Histoacryl, Cyanoacrylate, D&C Violett or Formaldehyd * General contraindication of port catheter implantation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cosmetic outcome after wound healing | 8 weeks | Wound assessment by 3 independent evaluators (surgeons) and patient himself based on photo documentation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Infection rate | 8 weeks | Assessment of adverse events through AE documentation based on the adverse impact of surgical site infections (German: CDC Kriterien) |
| Economy of time for wound closure | 10 minutes | Time measurement by stopwatch and exact documentation of intervention time of subcutaneous suture and skin closure time |
Countries
Germany