Protocol summary

Study aim
Our aim of this study is to evaluate the effect of low-power laser therapy as a complementary treatment to reduce midline laparotomy wound pain.
Design
This clinical trial with parallel control and intervention group, double-blind, randomized groups, after obtaining written consent on 100 patients who are candidates for midline laparotomy for elective surgery ; will start. The online software www.randomizer.org was used for randomization.
Settings and conduct
Laser irradiation will be done for each patient of intervention group for 6 minutes during the first three days after the operation. first dose of radiation will be done after recovery and in the ward, and the next doses will be done at intervals of 24 hours until the third day after the operation in It will be done in hospitalization at Tehran Baqiyatallah hospital. same number of sessions for the control group will also be done with a turned off device.
Participants/Inclusion and exclusion criteria
In this study,100 patients (ASA I-II) with the age range of 30 to 60 years who are candidates for midline laparotomy for elective surgery of the upper and lower gastrointestinal tract were included in the study, and by lack of satisfaction, they will be excluded from the study.
Intervention groups
The first group (control) receives the usual treatments after the operation, including intravenous and oral painkillers in case of pain, in addition to being treated with an OFF low-level laser, and the second group (study) in addition to receiving the treatments of the group First, they are treated with an ON low-level laser.
Main outcome variables
The main outcome variables of this study are evaluation the amount of pain at the midline laparotomy surgery site, the amount of serum inflammatory factors, the amount of local wound complications, in addition to assessment the amount of pain-reducing drugs in both intervention and control groups.

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20221018056225N1
Registration date: 2022-11-27, 1401/09/06
Registration timing: registered_while_recruiting

Last update: 2022-11-27, 1401/09/06
Update count: 0
Registration date
2022-11-27, 1401/09/06
Registrant information
Name
hamed gholizadeh
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 8126 7609
Email address
hamedgholizadeh94@yahoo.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2022-10-22, 1401/07/30
Expected recruitment end date
2023-03-19, 1401/12/28
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Determining the effect of low-power laser therapy on midline laparotomy pain compared to placebo in upper and lower gastrointestinal surgeries
Public title
Efficacy of Low Level Laser Therapy on The Post Midline laparotomy Wound Pain
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Patients who are in the age range of 30 to 60 years. Patients who underwent midline laparotomy were selected for elective upper and lower gastrointestinal surgery.
Exclusion criteria:
Patients who do not agree to participate in the study. Patients who, in addition to surgery, have other serious medical problems (ASA III-VI) or suffer from psychotic disorders or drug addiction.
Age
From 30 years old to 60 years old
Gender
Both
Phase
N/A
Groups that have been masked
  • Participant
  • Investigator
  • Outcome assessor
Sample size
Target sample size: 100
Randomization (investigator's opinion)
Randomized
Randomization description
By Using the online software www.randomizer.org, the patients were divided into two groups of 50 people, control and intervention, in a simple and individual way. Considering that the study is double-blind; The patient and the attending physician as pain evaluators will not know whether the patients belong to the control or intervention groups.
Blinding (investigator's opinion)
Double blinded
Blinding description
Participants and pain evaluators, as well as the researcher of this study, by considering that the randomization of patients is done by the intervention provider, are not aware of which patient received the intervention and which patient received the placebo.
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Research Ethics Committees of Baqiyatallah Hospital
Street address
Baqiyatallah University of Medical Sciences, Baqiyatallah hospital, Department of General Surgery, Azam Ave, South Sheikh Bahai St, Molla Sadra Blvd, Vanak Square, Tehran
City
Tehran
Province
Tehran
Postal code
1435915371
Approval date
2022-06-24, 1401/04/03
Ethics committee reference number
IR.BMSU.BAQ.REC.1401.029

Health conditions studied

1

Description of health condition studied
Patients who have been admitted to the Baqiyatallah educational and therapeutic center and have undergone midline laparotomy for elective upper and lower gastrointestinal surgery will be studied.
ICD-10 code
K42
ICD-10 code description
Umbilical hernia

2

Description of health condition studied
Patients who have been admitted to the Baqiyatallah educational and therapeutic center and have undergone midline laparotomy for elective upper and lower gastrointestinal surgery will be studied.
ICD-10 code
K43
ICD-10 code description
Ventral hernia

3

Description of health condition studied
Patients who have been admitted to the Baqiyatallah educational and therapeutic center and have undergone midline laparotomy for elective upper and lower gastrointestinal surgery will be studied.
ICD-10 code
K46
ICD-10 code description
Unspecified abdominal hernia

4

Description of health condition studied
Patients who have been admitted to the Baqiyatallah educational and therapeutic center and have undergone midline laparotomy for elective upper and lower gastrointestinal surgery will be studied.
ICD-10 code
K31
ICD-10 code description
Other diseases of stomach and duodenum

5

Description of health condition studied
Patients who have been admitted to the Baqiyatallah educational and therapeutic center and have undergone midline laparotomy for elective upper and lower gastrointestinal surgery will be studied.
ICD-10 code
K25
ICD-10 code description
Gastric ulcer

Primary outcomes

1

Description
Midline laparotomy surgery site pain
Timepoint
Before beginning of the intervention, 24, 48, 72 hour's after beginning of the intervention
Method of measurement
visual analogue scale

2

Description
Local complications of the laparotomy site
Timepoint
Before beginning of the intervention, 24, 48, 72 hour's after beginning of the intervention
Method of measurement
Inspection of the operation site

3

Description
serum Inflammatory factors
Timepoint
Before beginning of the intervention, 24, 48, 72 hour's after beginning of the intervention
Method of measurement
Taking daily blood tests

Secondary outcomes

1

Description
The amount of painkillers
Timepoint
Before beginning of the intervention, 24, 48, 72 hour's after the start of the intervention
Method of measurement
check the patient's medical record

Intervention groups

1

Description
Intervention group: In addition to receiving the treatments of the first group, the intervention group is also treated with low-power laser. The distance of 2 cm from the wound after removing the surgical dressing will be 0.5 J/cm2 radiation dose. Considering that the radiation cross-section was considered to be 30 square centimeters; According to the formula t = (D. A) / P, the radiation time was calculated for 6 minutes each time. In total, the laser radiation will be done during the first three days after the operation for each patient, and its sequence will be such that the first dose of radiation It will be done after recovery and in the ward, and the next doses will be done at 24-hour intervals until the third day after the operation while in the hospital.
Category
Treatment - Devices

2

Description
Control group: The first group (control) after the operation receive the usual treatments, including intravenous and oral pain relievers in case of pain, in addition to being treated with a low-power silent laser (Placebo). In total, during the first three days after After the operation, each patient will be treated with placebo three times, and the sequence will be such that the first time will be done after recovery and in the ward, and the next times will be done at intervals of 24 hours until the third day after the operation while in the hospital. will be done.
Category
Placebo

Recruitment centers

1

Recruitment center
Name of recruitment center
Baqiyatallah Hospital
Full name of responsible person
Hosein Samadinia
Street address
Baqiyatallah University of Medical Sciences, Baqiatallah hospital, Department of General Surgery, Azam Ave, South Sheikh Bahai St, Mollasadra Blvd, Vanak Square, Tehran
City
Tehran
Province
Tehran
Postal code
1435915371
Phone
+98 21 8126 7609
Fax
+98 21 8803 3539
Email
Hamedgholizadeh94@yahoo.com
Web page address
http://baq.bmsu.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Bagheiat-allah University of Medical Sciences
Full name of responsible person
Abbas Ali Imanifooladi
Street address
Baqiyatallah University of Medical Sciences, Department of General Surgery, Azam Ave, South Sheikh Bahai St, Mollasadra Blvd, Vanak Square, Tehran
City
Tehran
Province
Tehran
Postal code
1435916471
Phone
+98 21 8755 5250
Fax
+98 21 8755 5253
Email
R.bmsu@yahoo.com
Web page address
https://research.bmsu.ac.ir/portal/home/
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Bagheiat-allah University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Bagheiat-allah University of Medical Sciences
Full name of responsible person
Mohammad Madadi Emamchai
Position
Resident
Latest degree
Medical doctor
Other areas of specialty/work
General Surgery
Street address
Baqiyatallah University of Medical Sciences, Department of General Surgery, Azam Ave, South Sheikh Bahai St, Mollasadra Blvd, Vanak Square, Tehran
City
Tehran
Province
Tehran
Postal code
1435915371
Phone
+98 21 8126 7609
Email
Geniusman68@yahoo.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Bagheiat-allah University of Medical Sciences
Full name of responsible person
Mohammad Madadi Emamchai
Position
Resident
Latest degree
Medical doctor
Other areas of specialty/work
General Surgery
Street address
Baqiyatallah University of Medical Sciences, Department of General Surgery, Azam Ave, South Sheikh Bahai St, Mollasadra Blvd, Vanak Square, Tehran
City
Tehran
Province
Tehran
Postal code
1435915371
Phone
+98 21 8126 7609
Email
Geniusman68@yahoo.com

Person responsible for updating data

Contact
Name of organization / entity
Bagheiat-allah University of Medical Sciences
Full name of responsible person
Mohammad Madadi Emamchai
Position
Resident
Latest degree
Medical doctor
Other areas of specialty/work
General Surgery
Street address
Baqiyatallah University of Medical Sciences, Department of General Surgery, Azam Ave, South Sheikh Bahai St, Mollasadra Blvd, Vanak Square, Tehran
City
Tehran
Province
Tehran
Postal code
1435915371
Phone
+98 21 8126 7609
Email
Geniusman68@yahoo.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
All data of this study according to the plan and after the completion of the data analysis so that the patients under study are not identifiable can be received by contacting the person in charge of scientific accountability in case of decision to publish the article in the ICMJE-related journals.
When the data will become available and for how long
The access period starts 6 months after the publication of the article in ICMJE-related journals.
To whom data/document is available
All researchers of university institutes who have published articles in ICMJE-related journals will be able to access the information of this study.
Under which criteria data/document could be used
The data and analysis results of this study can only be used for inclusion in review studies.
From where data/document is obtainable
To receive the data or the results of the analysis of this study, please refer to the person responsible for the scientific response of this study, Mr. Dr. Mohammad Madadi Imamchai, with the following contact information. Address:Baqiyatallah University of Medical Sciences, Department of General Surgery, Azam Ave, South Sheikh Bahai St, Molla Sadra Blvd, Vanak Square, Tehran. Mobile number: 00989104009204 Workplace phone number: 00982181267609 Fax number: 00982188033539 Email: geniusman68@yahoo.com Postal code: 1435915371
What processes are involved for a request to access data/document
The request of receive information can be processed in a period of less than one week after checking the mentioned necessary conditions.
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