At a glance
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A Randomized Clinical Trial of Open Versus Suture Closure in Patients With Rectal Lesions Excised Using Transanal Endoscopic Microsurgery
In Brief
A clinical study evaluating Defect Unsutured and Defect Sutured for Post-operative Pain and Complications. Completed, enrolled 50 participants across 3 sites.
Detailed Summary
Transanal Endoscopic Microsurgery (TEM) is a minimally invasive technique used to remove rectal tumours. After the tumour has been removed from the rectum, the surgeon has a choice to close the defect or leave the defect open and naturally close. Currently, both options are accepted as standard care. Leaving the defect open to close naturally has some possible advantages, including shortened operation time and similar rates of postoperative complications. However, there is some concern that not surgically closing the defect may lead to more postoperative pain and delay in recovery. The study will be a double blind randomized controlled trial and determine whether patients who have rectal wall defect sutured closed have less post-operative pain compared to patients whose defect is left open.
Study Details
Timeline
Interventions
The defect is not sutured after the rectal tumor is removed by TEM.
Defect is sutured after the rectal tumor has been removed by TEM.