Sarcoma, Wound Infection
Conditions
Keywords
sarcoma, infection, negative pressure
Brief summary
This randomised controlled trial aims to evaluate the difference in surgical site infection following excision of soft tissue sarcomas. The intervention is a negative wound pressure therapy dressing for 120 hours, the control is standard absorbent dressings
Detailed description
Hypothesis: The application of a negative pressure wound therapy (NPWT) dressing will reduce rates of wound breakdown in patients with resection of soft tissue sarcomas which are primarily closed. Patients will be randomised into either NPWT or standard absorbent dressings with primary outcome measure of surgical site infection according to the Health Protection Agency guidance. Secondary outcomes are; time to wound dryness, delayed discharge from hospital, adverse events, cost estimation
Interventions
Current absorbent dressing is 'tegaderm with absorbent pad' (3M)
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults undergoing primary soft tissue sarcoma excision which is primarily closed.
Exclusion criteria
* Unable to consent * Children * Post radiation sarcomas or sarcoma in presence of active infection * Multiple metastatic disease * Presence of Endoprosthesis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Surgical Site Infection (proportion) | 30 days | As diagnosed by independent observer according to the Healthcare Protection Agency (UK) guidelines |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to wound dryness (nominal scale) | 30 days | Time to the nearest 12 hour period by which there is no further wound exudate (e.g. staining on dressing) |
| Delay to discharge form hospital (nominal scale) | 30 days | Number of additional hospital stays attributable to wound issues |
| Adverse events (count) | 30 days | Number of unanticipated events |
| Cost analysis (comparative nominal scale in £) | 30 days | Cost analysis to evaluate potential offset of costs for NPWT |
Countries
United Kingdom