About: A collagen-fibrin patch (Tachosil (R)) for the prevention of symptomatic lymphoceles after pelvic lymphadenectomy in women with gynecologic malignancies: a randomized clinical trial     Goto   Sponge   NotDistinct   Permalink

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Description
  • Background: Lymphoceles are a common complication after pelvic lymphadenectomy in women with gynecologic malignancies. Although typically asymptomatic, lymphoceles can superinfect requiring medical or surgical intervention. A single center randomized controlled trial provided first evidence, that a collagen-fibrin patch (Tachosil (R)) is effective in the prevention of symptomatic lymphoceles after pelvic lymphadenectomy. Methods/Design: We will perform a multicentre, blinded, randomized, controlled trial comprising 140 women with gynecologic malignancies undergoing pelvic lymphadenectomy. Women will be randomly allocated to Tachosil (R) application or no application. Primary outcome is efficacy, defined as lymphocele CTCAE 4.03 grade }= 2 within four weeks after surgery. Secondary outcomes are asymptomatic lymphocele verified by ultrasound, medical or surgical intervention. Assuming a two-sided 5% significance level, a power of 80%, and a drop out rate of 10%, a sample size of 68 patients per group was calculated to detect a 66% absolute decrease in symptomatic lymphoceles. Discussion: We aim to provide further evidence for the efficacy of a collagen-fibrin patch in the prevention of symptomatic lymphoceles in women with gynecological malignancies undergoing pelvic lymphadenectomy.
  • Background: Lymphoceles are a common complication after pelvic lymphadenectomy in women with gynecologic malignancies. Although typically asymptomatic, lymphoceles can superinfect requiring medical or surgical intervention. A single center randomized controlled trial provided first evidence, that a collagen-fibrin patch (Tachosil (R)) is effective in the prevention of symptomatic lymphoceles after pelvic lymphadenectomy. Methods/Design: We will perform a multicentre, blinded, randomized, controlled trial comprising 140 women with gynecologic malignancies undergoing pelvic lymphadenectomy. Women will be randomly allocated to Tachosil (R) application or no application. Primary outcome is efficacy, defined as lymphocele CTCAE 4.03 grade }= 2 within four weeks after surgery. Secondary outcomes are asymptomatic lymphocele verified by ultrasound, medical or surgical intervention. Assuming a two-sided 5% significance level, a power of 80%, and a drop out rate of 10%, a sample size of 68 patients per group was calculated to detect a 66% absolute decrease in symptomatic lymphoceles. Discussion: We aim to provide further evidence for the efficacy of a collagen-fibrin patch in the prevention of symptomatic lymphoceles in women with gynecological malignancies undergoing pelvic lymphadenectomy. (en)
Title
  • A collagen-fibrin patch (Tachosil (R)) for the prevention of symptomatic lymphoceles after pelvic lymphadenectomy in women with gynecologic malignancies: a randomized clinical trial
  • A collagen-fibrin patch (Tachosil (R)) for the prevention of symptomatic lymphoceles after pelvic lymphadenectomy in women with gynecologic malignancies: a randomized clinical trial (en)
skos:prefLabel
  • A collagen-fibrin patch (Tachosil (R)) for the prevention of symptomatic lymphoceles after pelvic lymphadenectomy in women with gynecologic malignancies: a randomized clinical trial
  • A collagen-fibrin patch (Tachosil (R)) for the prevention of symptomatic lymphoceles after pelvic lymphadenectomy in women with gynecologic malignancies: a randomized clinical trial (en)
skos:notation
  • RIV/00216208:11110/14:10284450!RIV15-MSM-11110___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • N
http://linked.open...iv/cisloPeriodika
  • 1
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
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http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 581
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11110/14:10284450
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Gynecological malignancy; Pelvic lymphadenectomy; Lymphocele; Tachosil; Collagen-fibrin patch (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • GB - Spojené království Velké Británie a Severního Irska
http://linked.open...ontrolniKodProRIV
  • [9F933326FA2E]
http://linked.open...i/riv/nazevZdroje
  • BMC Cancer
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 14
http://linked.open...iv/tvurceVysledku
  • Cibula, David
  • Zikán, Michal
  • Grimm, Christoph
  • Helmy, Samir
  • Polterauer, Stephan
  • Reinthaller, Alexander
  • Tempfer, Clemens
http://linked.open...ain/vavai/riv/wos
  • 000341197500001
issn
  • 1471-2407
number of pages
http://bibframe.org/vocab/doi
  • 10.1186/1471-2407-14-635
http://localhost/t...ganizacniJednotka
  • 11110
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