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Serra-Aracil X, Hidalgo JM, Dominguez A, Vallverdu H, Millan M, Caro-Tarragó A, Delgado S, Gomez C, Llorach N, Mora-Lopez L. Multicentre, prospective, randomized control non-inferiority trial of bladder catheter management in colon surgery. Colorectal Dis 2023; 25:1506-1511. [PMID: 37874041 DOI: 10.1111/codi.16593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Revised: 10/17/2022] [Accepted: 04/01/2023] [Indexed: 10/25/2023]
Abstract
AIM Perioperative bladder catheterization is a controversial issue. Most current recommendations are based on data from open surgery extrapolated to enhanced recovery after surgery or fast-track programmes ranging between 24 and 48 h. The aim of this study is to provide a rationale for reducing catheterization time while at the same time avoiding acute urine retention (AUR), in patients undergoing scheduled laparoscopic colon surgery. METHOD This is a multicentre, prospective, controlled, randomized non-inferiority study of bladder catheter management in patients undergoing scheduled laparoscopic colon surgery, randomized into two groups: experimental (with catheter removal immediately after surgery) and control (with catheter removal 24 h post-surgery). The main outcome will be the development of AUR, and secondary outcomes the development of urinary infection within the first 30 days and hospital stay. Demographic, surgical and pathological variables will also be evaluated, especially the development of adverse effects assessed according to the Clavien scale and the Comprehensive Complication Index. Following the literature, we assume an incidence of AUR of 11% and a margin of non-inferiority (delta) of 8% and estimate that a sample size of 208 patients per group will be required (with an estimated 10% of losses per group). CONCLUSIONS In this study we try to demonstrate that the bladder catheter can be removed immediately after scheduled laparoscopic colon surgery, without increasing acute urine retention. This measure would offers the benefits of earlier mobilization and reduces catheter-related morbidity.
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Affiliation(s)
- Xavier Serra-Aracil
- Coloproctology Unit, General and Digestive Surgery Department, Parc Tauli University Hospital, Institut d'investigació i innovació Parc Tauli I3PT, Universitat Autònoma de Barcelona, Sabadell, Spain
| | - Jose M Hidalgo
- Coloproctology Unit, General and Digestive Surgery Department, Parc Tauli University Hospital, Institut d'investigació i innovació Parc Tauli I3PT, Universitat Autònoma de Barcelona, Sabadell, Spain
| | - Arturo Dominguez
- Urology Department, Parc Tauli University Hospital, Sabadell, Spain
| | - Helena Vallverdu
- Coloproctology Unit, General and Digestive Surgery Department, Vic University Hospital, Barcelona, Spain
| | - Monica Millan
- Coloproctology Unit, General and Digestive Surgery Department, La Fe University Hospital, Valencia, Spain
| | - Aleidis Caro-Tarragó
- Coloproctology Unit, General and Digestive Surgery Department, Joan XXIII University Hospital, Tarragona, Spain
| | - Salvadora Delgado
- Coloproctology Unit, General and Digestive Surgery Department, Mutua de Terrassa University Hospital, Terrassa, Spain
| | - C Gomez
- Coloproctology Unit, Coloproctología, Cirugía General y del Ap. Digestivo, ALTHAIA, Xarxa Assistencial Universitària de Manresa - Sant Joan de Déu Hospital, Manresa, Spain
| | - Nuria Llorach
- Coloproctology Unit, General and Digestive Surgery Department, Parc Tauli University Hospital, Institut d'investigació i innovació Parc Tauli I3PT, Universitat Autònoma de Barcelona, Sabadell, Spain
| | - Laura Mora-Lopez
- Coloproctology Unit, General and Digestive Surgery Department, Parc Tauli University Hospital, Institut d'investigació i innovació Parc Tauli I3PT, Universitat Autònoma de Barcelona, Sabadell, Spain
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Correa J, Jimeno J, Vallverdu H, Bizzoca C, Collado-Roura F, Estalella L, Hermoso J, Silva N, Sanchez-Pradell C, Parés D. Correlation Between Intraoperative Surgical Diagnosis of Complicated Acute Appendicitis and the Pathology Report: Clinical Implications. Surg Infect (Larchmt) 2015; 16:41-4. [PMID: 25761079 DOI: 10.1089/sur.2013.155] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Jessica Correa
- Department of General and Digestive Surgery, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Sant Boi de Llobregat, Barcelona, Spain
| | - Jaime Jimeno
- Department of General and Digestive Surgery, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Sant Boi de Llobregat, Barcelona, Spain
| | - Helena Vallverdu
- Department of General and Digestive Surgery, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Sant Boi de Llobregat, Barcelona, Spain
| | - Cinzia Bizzoca
- Department of General and Digestive Surgery, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Sant Boi de Llobregat, Barcelona, Spain
| | - Francesc Collado-Roura
- Department of General and Digestive Surgery, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Sant Boi de Llobregat, Barcelona, Spain
| | - Laia Estalella
- Department of General and Digestive Surgery, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Sant Boi de Llobregat, Barcelona, Spain
| | - Judith Hermoso
- Department of General and Digestive Surgery, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Sant Boi de Llobregat, Barcelona, Spain
| | - Natalia Silva
- Department of General and Digestive Surgery, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Sant Boi de Llobregat, Barcelona, Spain
| | - Cristina Sanchez-Pradell
- Department of General and Digestive Surgery, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Sant Boi de Llobregat, Barcelona, Spain
| | - David Parés
- Department of General and Digestive Surgery, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Sant Boi de Llobregat, Barcelona, Spain
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