<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20231019059765N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2024-07-20</date_registration>
      <primary_sponsor>Combined Military Hospital (CMH) Lahore Medical College</primary_sponsor>
      <public_title>Removal of Neck Drain in patients undergoing supraomohyoid lareral Neck Dissection by Comparing the Threshold values of the output volume of the neck drain.</public_title>
      <acronym></acronym>
      <scientific_title>Removal of Neck Drain in patients undergoing supraomohyoid lareral Neck Dissection by Comparing the Threshold values of the output volume of the neck drain.</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2024-01-03</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>82</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/77958</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Method: Simple Randomization
Unit: Individual Stratified randomization
Computer randomization using software
TWO parallel groups (control group and intervention group)
Allocation will be concealed from the patient and principal investigator (assessor) but not from the primary surgeon (single Blind), Blinding description: After taking patient consent, they'd be randomly sampled using computer software and handed a sealed envelope the receptionist. The patient shall be blind to whether he has been placed in intervention or control group. Patient will handover the sealed envelope to the surgeon and his team in Operation Theatre who won't be blind to the random sampling, they'd open the sealed envelope and as per serial number, would know if the patient is in intervention group or control group. The assessor may be present in the OT operation theater. Assessor and the Operating Surgeon will remain in ward where the patient shall be transferred and remain admitted after surgery, the assessor will analyze
the data. Surgeon shall visit ward daily to ensure patients are stable.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Oral cancer.</hc_freetext>
      <i_freetext>Intervention 1: Control group: In this group the neck drain shall be removed when it is at 24ml in 24 hrs. or less (as is the standard procedure in most centers) after Supraomohyoid Neck dissections (SOND) in patients with oral cancers. Intervention 2: Intervention group: In this group the neck drain shall be removed when it is at 100ml in 24 hrs.(to reduce hospital stay and see if it reduces chances of infection, seroma formation and costs) after Supraomohyoid Neck dissections (SOND) in patients with oral cancers.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is Privacy patient laws of Combined Military Hospital Lahore</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Muhammad Azhar Imran</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>House Address Flat 57-F, Second Floor, Askari 1, Sarfaraz Rafique Road, Lahore cantt</address>
        <city>Lahore Cantonment</city>
        <country1>Pakistan</country1>
        <zip>54810</zip>
        <telephone>+92 321 4267505</telephone>
        <email>azhar.imran1993@gmail.com</email>
        <affiliation>Oral &amp; Maxillofacial Surgery Dept., CMH Lahore Medical College and Institute of Dentistry</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Muhammad Azhar Imran</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>House Address Flat 57-F, Second Floor, Askari 1, Sarfaraz Rafique Road, Lahore cantt</address>
        <city>Lahore Cantonment</city>
        <country1>Pakistan</country1>
        <zip>54810</zip>
        <telephone>+92 321 4267505</telephone>
        <email>azhar.imran1993@gmail.com</email>
        <affiliation>CMH Lahore Medical College and Institute of Dentistry</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Pakistan</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patients 30 years of age or older upto 65 years of age, and need neck dissection due to oral, head and neck cancers.
Patients who agree to participate willingly under going supraomohyoid neck dissection</inclusion_criteria>
      <agemin>30 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Hypertensive patient
Bleeding Disorders
Renal disorders
Hepatic disorders
Any Cardiac/Heart related disease or illness
History of thromboembolic disorders or DVT
Anemic patients
Obesity with BMI 30.0 and Above
Paralyzed patients who can not walk
Patient requiring free flap surgeries</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>C14</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Prevention</i_code>
      <i_code>Prevention</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Control group: In this group the neck drain shall be removed when it is at 24ml in 24 hrs. or less (as is the standard procedure in most centers) after Supraomohyoid Neck dissections (SOND) in patients with oral cancers.</i_keyword>
      <i_keyword>Intervention group: In this group the neck drain shall be removed when it is at 100ml in 24 hrs.(to reduce hospital stay and see if it reduces chances of infection, seroma formation and costs) after Supraomohyoid Neck dissections (SOND) in patients with oral cancers.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Time for which the neck drain will remain in place, neck drain in milliliters, length of hospital stay, infection, seroma formation. Timepoint: Post-operatively day 1, 2, 3, 4, 5, 6, and 7. Method of measurement: Collection of neck drain amount in closed suction drain bottle in millimeters. Redness, swelling, pus discharge, number of days for hospital stay.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>All six authors of this Randomized Controlled Clinical Trial, self-financed this trial, they worked hard and tirelessly with their own abilities and funding for the success and completion of this Randomized Controlled Clinical Trial; their names are as fo</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-10-27</approval_date>
        <contact_name>Ethical Review Committee, CMH Lahore Medical College and Institute of Dentistry</contact_name>
        <contact_address>Abdur Rehman Road, Lahore Cantt Lahore Punjab Pakistan</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
