Optimization of the Nursing Time After the Use of Tissue Adhesives During the Chest Port Placement on Patients Treated With Chemotherapy Versus Sutures (PAC_COLLE)

Fondation Hôpital Saint-Joseph

Status: Completed

Conditions: Cancer

Treatments: Procedure: Skin Adhesive procedure; Procedure: Standard suture procedure

Study type: Interventional

Funder types: Other

Identifiers

NCT04848389

PAC_COLLE

Details and patient eligibility

About

Skin adhesive (Octyl cyanoacrylate - LIQUID BAND©) is increasingly used instead of suture for sutures on the superficial plane of the skin.

It is frequently used in children, in traumatology and in plastic surgery. Several randomized trials have shown satisfactory results of the glue compared to suture in terms of infections and scar dehiscence, and aesthetics after abdominoplasty and mammoplasty.

In the field of port-a-cath® placement in oncology:

• The use of skin adhesive can save substantial nursing time, which makes it possible to consider the transition of this technique into routine patient management. Potential benefits include nurses managing large numbers of patients in day hospitals, and patients no longer needing a nurse for suture removal.
• Cancer and chemotherapy toxicity can alter patients' body image and view of themselves. The presence of a scar can be traumatic for some patients. The second goal of this study is to test whether the use of glue can improve the appearance of the scar following port-a-cath® placement, an area in which there are divergent results.

Enrollment: 71 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient with age ≥ 18 years
• Patient followed in day hospitalization in Oncology
• Patient requiring a first CP for chemotherapy
• Patient affiliated to a healthcare system
• French-speaking patient
• Patient who has given his free, informed and express oral consent

Exclusion criteria

• Patient followed in the Pneumology department
• Patient treated outside the GHPSJ
• Patient with a CP for another indication than chemotherapy (nutrition, antibiotic therapy)
• Patients with comprehension problems
• Patients with behavior issues
• Pregnant women
• Patients under guardianship or curatorship
• Patients deprived of liberty
• Patients under court protection

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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71 participants in 2 patient groups

Skin adhesive

Experimental group

Description:

The scar is closed in 2 planes. The subcutaneous plane is closed with an absorbable 3/0 vicryl-type thread, the cutaneous plane is closed by applying skin adhesive. A drying time of 25 seconds is necessary to obtain a satisfactory seal.

Treatment:

Procedure: Skin Adhesive procedure

Standard suture

Other group

Description:

The scar is closed in 2 planes. The subcutaneous plane is closed with an absorbable 3/0 vicryl-type thread, the cutaneous plane is closed with the same thread with a subcutaneous stitch.

Treatment:

Procedure: Standard suture procedure