Clinical trial · Observational
FloSeal in CRS and HIPEC
Can FloSeal Reduce the Risk of Intra-abdominal Bleeding After Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy Performed for the Treatment of Peritoneal Carcinomatosis ?
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
Introduction Modern treatment of peritoneal carcinomatosis (PC) combines an aggressive cytoreductive surgery (CRS) of all macroscopic disease and hyperthermic intraperitoneal chemotherapy (HIPEC) performed at the time of surgery. It is considered a high risk procedure and post-operative intra-abdominal bleeding is a major issue as it can delay recovery and promote intra-abdominal infections. In most severe cases (10 to 20% of patients), a second surgery to control the bleeding will be necessary. Major causes of bleeding are : radical resection, extensive peritonectomy, length of surgery, massive transfusion and use of HIPEC. To reduce the risk of intra-abdominal hemorrhage, many strategies have been tried and one of these is the liberal use of FloSeal, but there is no data in this particular field of interest. Over the last 18 months, the investigators have started to use FloSeal in all their cases with large PC and they have observed a dramatic reduction in the rate of reoperation for bleeding and probably secondarily, in the use of blood products, but this has not been measured. Hypothesis FloSeal can reduce the risk of bleeding after CRS and HIPEC procedure. Primary objective To evaluate if the use of FloSeal can reduce the risk of reoperation after CRS and HIPEC procedure in the treatment of PC. Secondary objectives * To evaluate if the use of FloSeal can reduce operative blood loss. * To evaluate if the use of FloSeal can reduce the need of blood products after CRS and HIPEC procedure. * To evaluate if the use of FloSeal can have an impact on other common surgical complications (which can be indirectly bleeding related). * To evaluate if the use of FloSeal can have an impact on length of hospital stay.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Peritoneal Carcinomatosis | Peritoneal Carcinomatosis | ONTOLOGY_EXACT | 0.98 |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| FloSeal | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- label
- FloSeal +
- description
- Routine use of Floseal during cytoreductive and HIPEC surgery
- interventionNames
- Other: FloSeal
- label
- FloSeal -
- description
- FloSeal not used during CRS and HIPEC procedure
Primary outcomes (1)
- measure
- Reoperation rate for intra-abdominal bleeding after CRS and HIPEC
- timeFrame
- postoperative day O to hospital discharge (an expected average of 3 weeks after surgery)
Secondary outcomes (5)
- measure
- operative blood loss
- timeFrame
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Male and female patients older than 18 year old * All cases of PC regardless of primary tumour (colorectal carcinoma, peritoneal mesothelioma, appendiceal carcinoma etc.) Exclusion Criteria: * Prophylactic HIPEC * Peritoneal Carcinomatosis Index (PCI) \< 5
References
Publications (0)
Data not yet available