UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000018448
Receipt number R000016976
Scientific Title Effect of Subcutaneous Epinephrine/Saline/Local Anesthetic Versus Saline-Only Injection on Split-Thickness Skin Graft Donor Site
Date of disclosure of the study information 2015/08/01
Last modified on 2019/07/31 11:53:55

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Basic information

Public title

Effect of Subcutaneous Epinephrine/Saline/Local Anesthetic Versus Saline-Only Injection on Split-Thickness Skin Graft Donor Site

Acronym

Effect of Tumescent Technique on Split-Thickness Skin Graft Donor Site

Scientific Title

Effect of Subcutaneous Epinephrine/Saline/Local Anesthetic Versus Saline-Only Injection on Split-Thickness Skin Graft Donor Site

Scientific Title:Acronym

Effect of Tumescent Technique on Split-Thickness Skin Graft Donor Site

Region

Japan


Condition

Condition

split-thickness skin graft donor site

Classification by specialty

Plastic surgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Aims of this study is to evaluate the effect of tumescent injection on donor site healing, and pain.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

1.Healing time
2.post operative pain
3.ulcer recurrence
4.existence of hypertrophic scar

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants are blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

No need to know


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Use tumescent technique before harvesting skin graft

Interventions/Control_2

adrenaline application after graft harvesting

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

85 years-old >

Gender

Male and Female

Key inclusion criteria

1.No skin disease in donor sites
2.Can get informed consent
3.Age 20-85
4.Size of the donor sites over 20 cm2

Key exclusion criteria

1.Patients who do not conform inclusion criteria.
2.Decision by researchers

Target sample size

140


Research contact person

Name of lead principal investigator

1st name Shunjiro
Middle name
Last name Yagi

Organization

Tottori university hospital

Division name

Department of plastic and reconstructive surgery

Zip code

6838504

Address

36-1 Nishi-chou, Yonago-shi,Tottori

TEL

0859-38-6711

Email

toprsri@med.tottori-u.ac.jp


Public contact

Name of contact person

1st name Kohei
Middle name
Last name Fukuoka

Organization

Tottori university hospital

Division name

Department of plastic and reconstructive surgery

Zip code

683804

Address

36-1 Nishi-chou, Yonago-shi,Tottori

TEL

0859-38-6711

Homepage URL


Email

kfukuoka@med.tottori-u.ac.jp


Sponsor or person

Institute

Tottori university hospital

Institute

Department

Personal name



Funding Source

Organization

Tottori university hospital Department of plastic and reconstructive surgery

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Tottori university hospital

Address

36-1 Nishi-chou, Yonago-shi,Tottori

Tel

0859-38-7155

Email

toprsri@med.tottori-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2015 Year 08 Month 01 Day


Related information

URL releasing protocol

unpublished

Publication of results

Unpublished


Result

URL related to results and publications

unpublished

Number of participants that the trial has enrolled

49

Results

Donor sites healed within an average of 14.8 days in group1 and 20.4 days in group2.
The number of cases in which the donor sites healed within 14 days was 15 cases in group1 and 9 cases in group2.
Postoperative pain reported on day 1 was an average of 3.46/10 in group1 and 2.84/10 in group2.
During the late follow-up period, ulceration on the healed site occurred in 9 cases in both groups.
One hypertrophic scar formation was seen in group2.

Results date posted

2019 Year 07 Month 31 Day

Results Delayed

Delay expected

Results Delay Reason

now writing

Date of the first journal publication of results


Baseline Characteristics

patients admitted to Tottori university hospital and Shimane Prefectural central hospital between April 2013 and March 2016 with skin defects and planned a split skin graft harvest from thigh.

Participant flow

Before the operative procedure, informed consent was obtained from the study participants using a document showing details of the treatment and the clinical research. Registration numbers were given to each participant. They were randomly assigned to receive either Pre-harvest subcutaneous injection of local anesthetic, adrenaline and saline solution or Post-harvest application of adrenaline solution soaked gauze to the skin graft donor sites as hamostatic procedure. Those receiving pre-harvest subcutaneous injection were categorized as group1, and those receiving post-harvest topical adrenaline administration were categorized as group2.

Adverse events

one wound infection

Outcome measures

Donor site healing, post-operative pain, donor site ulceration, and scar quality were examined as outcome measures.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2014 Year 05 Month 21 Day

Date of IRB

2014 Year 05 Month 21 Day

Anticipated trial start date

2014 Year 05 Month 21 Day

Last follow-up date

2017 Year 07 Month 01 Day

Date of closure to data entry

2017 Year 08 Month 01 Day

Date trial data considered complete

2017 Year 08 Month 01 Day

Date analysis concluded

2017 Year 09 Month 01 Day


Other

Other related information



Management information

Registered date

2015 Year 07 Month 28 Day

Last modified on

2019 Year 07 Month 31 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000016976


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name