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Drainage After Rectal Excision for Rectal Cancer
Sponsor: University Hospital, Bordeaux
Summary
After rectal excision, the rate of anastomotic leak and abscess is higher than after colic surgery. In order to limit and avoid the risk of pelvic sepsis after rectal excision, a prophylactic pelvic drainage is usually used. If current data have confirmed the uselessness of drainage in colic surgery, the question stay in abeyance in rectal surgery. This practice had never been evaluated in patients with rectal excision and low anastomosis (patients with a high risk of pelvic sepsis)
Official title: Randomized Trial Comparing Drainage Versus no Drainage Following Rectal Excision With Low Anastomosis for Rectal Cancer
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
494
Start Date
2011-01
Completion Date
2015-01
Last Updated
2026-05-14
Healthy Volunteers
No
Interventions
Laying and management of the drain (strictly randomized arm with drainage)
At the end of intervention, the surgeon will position an aspiration drain in order to permit a postoperative pelvic drainage. The drain will be positioned forward sacrum, behind anastomosis. The drain will be leaved in place between 3 and 5 days. The criteria of drain ablation are the absence of haemorrhagic liquid and/or un daily debit \< 100ml. Nursing care will be daily with change of bottle for collect pelvic serosity, accounting of quantity of collected liquid and realization of a dried bandage through contact with penetration of the drain.
No pelvic drainage
no aspiration drain at the end of intervention
Locations (22)
CHU d'AMIENS
Amiens, France
CH de BEAUVAIS
Beauvais, France
Service de Chirurgie Digestive - Hôpital Saint-André - CHU de Bordeaux
Bordeaux, France
Service de Chirurgie Générale et Digestive - Hôpital Beaujon
Clichy, France
Service de Chirurgie Digestive - Hôpital A. Michallon
La Tronche, France
APHP-Kremlin Bicetre
Le Kremlin-Bicêtre, France
Département de Chirurgie Oncologique - Centre Oscar Lambret
Lille, France
CHRU Lille
Lille, France
Centre Hospitalier Lyon Sud
Lyon, France
Département de Chirurgie Oncologique - Institut Paoli Calmette
Marseille, France
Service de Chirurgie Digestive et Viscérale - CHU Timone
Marseille, France
Département de Chirurgie Oncologique - CRLC Val d'Aurelle
Montpellier, France
Service de Chirurgie Digestive - CHU de Nantes - Hôtel Dieu
Nantes, France
Service de Chirurgie Générale et Digestive - Hôpital Saint-Antoine
Paris, France
APHP- Saint Joseph
Paris, France
Service de Chirurgie Digestive - Hôpital des Diaconnesses - La Croix Saint-Simon
Paris, France
CHU Poitiers
Poitiers, France
Service de Chirurgie Viscérale - CHU Pontchaillou
Rennes, France
Service de Chirurgie Digestive - CHU Charles Nicolle
Rouen, France
CHRU de Strasbourg
Strasbourg, France
Service de Chirurgie Digestive - Hôpital Purpan - Pavillon Dieulafoy
Toulouse, France
Service de Chirurgie Digestive et Générale - Brabois
Vandœuvre-lès-Nancy, France