Actively Recruiting
Assessment of Leakage Rate of Ileo-colic Sutured Anastomoses Using Polydioxanone Suture After Right Hemicolectomy for Cancer
Led by Aesculap AG · Updated on 2026-03-27
249
Participants Needed
3
Research Sites
34 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are studying patients with right colon cancer who are undergoing elective right hemicolectomy surgery to remove part of the colon. The study aims to evaluate the leakage rate of the ileo-colic anastomosis, which is the connection made between the ileum and colon after surgery. The goal is to see if using MonoPlus ae suture material for this connection results in a leakage rate that is not worse than rates reported for other hand-sewn or stapled anastomosis techniques. Anastomosis leakage is an important complication that can cause further health problems in these patients. The study involves patients who receive a primary anastomosis without a protective stoma during either open or laparoscopic right hemicolectomy or extended hemicolectomy surgery. The ileo-colic anastomosis is constructed using MonoPlus ae suture material, either fully hand-sewn or partially sutured combined with stapling. The surgery may be performed by open, laparoscopic, or converted approaches. This device-based observational study monitors how well the suture material handles during surgery and tracks patient outcomes after the procedure. Participants will be followed for up to one year after surgery. Researchers will assess anastomosis leakage rates within the first 30 days after surgery as the primary outcome. Secondary outcomes include complication rates at discharge, 30 days, and 1 year postoperatively; mortality rates; surgical site infections; hospital stay length; patient satisfaction; quality of life; bowel function; and hernia rates. Various clinical assessments, questionnaires, and observations will be performed to collect this data, providing a comprehensive view of patient recovery and safety over time.
CONDITIONS
Brief Title
Leakage Rate of Ileo-COlic Sutured Anastomosis After Right Hemicolectomy
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patients undergoing a primary, elective open or laparoscopic right hemicolectomy or extended right hemicolectomy for malignancy with ileo-colic anastomosis
- Complete hand-sewn or partial sutured anastomosis (including stapling and suturing)
- Surgery may be open, laparoscopic, or conversion between methods
- No peritoneal carcinomatosis
- No vascular, nervous, or bone infiltration
- Age 18 years or older
- Written informed consent provided
You will not qualify if you...
- Left hemicolectomy, left extended hemicolectomy, or sigma resection
- Presence of inflammatory bowel disease such as Crohn's disease
- Emergency surgery
- Previous abdominal surgery involving bowel resection
- Re-operation or revision surgery of an anastomosis
- Need for stoma creation
- Patient non-compliance
- Participation in another interventional randomized controlled trial
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Hospital stay until discharge
Participants undergo elective right hemicolectomy with ileo-colic anastomosis using Monoplus suture material, followed by immediate post-operative care.
Approximately 1 hospital stay period
Duration - Up to 12 months postoperatively
Participants are monitored for anastomosis leakage, complications, surgical site infections, mortality, bowel function, and quality of life up to 12 months after surgery.
Visits at discharge, 30 days postoperatively, and 12 months postoperatively
Trial Site Locations
Total: 3 locations
1
Alb-Fils-Klinikum Göppingen, Dept. General Surgery
Göppingen, Baden-Wurttemberg, Germany, 73035
Actively Recruiting
2
Diakonie-Klinikum Landkreis Schwäbisch Hall, Dept. General Surgery
Schwäbisch Hall, Baden-Wurttemberg, Germany, 74523
Actively Recruiting
3
Städtisches Klinikum Lüneburg, Dept. General Surgery
Lüneburg, Lower Saxony, Germany, 21339
Actively Recruiting
Research Team
P
Petra Baumann, Dr.
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
0
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