Colorectal and Ileorectal Anastomosis
Conditions
Brief summary
The Cohera Sylys® Surgical Sealant study is a pivotal, prospective, randomized, controlled, multicenter superiority clinical study comparing standard anastomosis closure technique (Control) to standard closure technique plus Sylys® Surgical Sealant (Test) during stapled colorectal and ileorectal anastomosis procedures.
Interventions
Standard closure of stapled anastomosis plus treatment with Sylys Surgical Sealant
Sponsors
Study design
Eligibility
Inclusion criteria
* Be at least 22 years of age * Be scheduled for a stapled colorectal or ileorectal anastomosis procedure with or without diverting stoma * Agree to return for all follow-up evaluations and procedures specified in the protocol * Understand and give informed consent
Exclusion criteria
* Albumin \< 3 * ASA ≥ 4 * Neutropenia ≤ 800 * Pregnancy * The following conditions involving compromised immune system: AIDS (HIV positive not excluded), neutropenia * Known blood clotting disorder requiring treatment * Any condition known to effect wound healing, such as collagen vascular disease * Have known or suspected allergy or sensitivity to any test materials or reagents * Concurrent use of fibrin sealants or other anastomosis care devices * Surgery for emergency abdominal indications * Has undergone a colorectal anastomosis procedure in the previous two months * Has an emergent infection related to a previous colorectal anastomosis procedure * Is scheduled to undergo a Hartmann's procedure * Is scheduled to undergo trans-anal endoscopic microsurgery (TEM) Is participating in another medical device trial related to colorectal anastomosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| A comparison of the incidence of anastomosis-related complications | from day of surgery to week 26 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| A comparison of the proportion of patients who have incidence of sub-clinical or clinical anastomotic leaks | 14 days, 12 weeks, 26 weeks | A comparison of the proportion of patients who have either sub-clinical or clinical anastomotic leaks in each group. |
Countries
Netherlands