ClinicalTrials.gg
CompletedNCT04661969Updated Dec 11, 2020

"Outcomes of Surgical Removal of Foreign Body Granulomas"

An observational study in Foreign Body Granuloma, Surgery and Complication, sponsored by Hospital Angeles del Pedregal. Completed at 1 site in Mexico. Open to female participants aged 24 Years to 64 Years. Per ClinicalTrials.gov, last updated 2020-12-11.

Sponsored by Hospital Angeles del Pedregal · Observational

Study type
Observational
Model
Case-only
Time perspective
Retrospective
Enrollment
35
Ages
24 Years to 64 Years
Sex
Female
01

Study summary

Illicit subcutaneous injection of high-viscosity fluids for restoration and improvement of body contour is a growing trend all around the world. Many local and systemic complications have been described. Local complications include deformity at the site of injection, granulomas and several skin changes like erythema, induration, and plaques (well-circumscribed, elevated, superficial, solid lesion).

The investigator designed a single-center, cross-sectional, retrospective, consecutive case series study and evaluated 49 surgeries performed in 35 patients with the history of foreign substances injection for cosmetic purposes and developed local complications. Investigators divided 4 groups accordingly to localization of foreign substances (FS). Group 1) FS disseminated to both lower extremities and buttocks; group 2) FS isolated to buttocks with moderate to severe skin changes, Group 3) FS isolated to lower legs with mild skin changes and superficial ulcerations and 4) FS isolated to lower legs with moderate to severe skin changes and/or ulceration. The investigators treated all patients surgically, which consisted of isolate ultrasonic liposuction for extraction of the material from the affected region (group 1) In-bloc excision and primary closure (group 2), Resection plus Vacuum assisted closure (VAC) and split thickness skin graft (STSG) (group 3) and In-bloc excision and microsurgical reconstruction (group 4). Statistical analysis was performed to find relations between type of surgery with complications, reactivation of symptoms, time for reactivation and a disease-free survival test (kaplan meier) was done.

02

Conditions studied

  • Foreign Body Granuloma
  • Surgery
  • Complication

Keywords

  • disease-free
  • autoimmune/inflammatory syndrome induced by adjuvants (ASIA)
  • adjuvant disease
03

In context

Lead sponsor

Hospital Angeles del Pedregal is the lead sponsor of 6 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
24 Years to 64 Years
Sexes eligible
Female
Sampling method
Non-probability sample

Study population

patients previously injected with foreign substances (FS) such as polymers for cosmetic soft tissue augmentation and the diagnosis of ASIA presented with mild to severe skin changes and treated surgically from January 2014 to March 2020 all in a private practice setting (Hospital Angeles Pedregal, Mexico city, MEXICO) and treated all by plastic surgeon senior author (JLM)

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • History of injection of foreign substances for cosmetic purposes
  • Develop symptoms of syndrome induced by adjuvants
  • Mild to severe skin changes

Exclusion criteria

Exclusion Criteria:

  • Refuse to participate in the analysis
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Observational model
Case-only
Time perspective
Retrospective
Enrollment
35 participants (actual)
Patient registry
No

Groups and cohorts

  • 1

    Foreign Substance disseminated to both lower extremities and buttocks

    Procedure: Surgery

  • 2

    Foreign Substance isolated to buttocks with moderate to severe skin changes

    Procedure: Surgery

  • 3

    Foreign substance isolated to lower legs with mild skin changes and superficial ulcerations

    Procedure: Surgery

  • 4

    Foreign substance isolated to lower legs with moderate to severe skin changes and/or ulceration

    Procedure: Surgery

Interventions

  • ProcedureSurgery

    (group 1) In-bloc excision and primary closure (group 2), Resection plus Vacuum assisted closure (VAC) and split thickness skin graft (STSG) (group 3) and In-bloc excision and microsurgical reconstruction (group 4).

06

What researchers measure

Primary outcomes

  1. Complications

    Describe if patients have or not postoperative complications

    Time frame: 30 days

Secondary outcomes

  1. Reactivation of symptoms

    Relapse of symptoms or new local complications

    Time frame: 9 to 76 months

  2. Time for reactivation of symptoms

    Account the number of months for reactivation of symptoms

    Time frame: 9 to 76 months

07

Study locations

1 site
  • Hospital Angeles Pedregal
    Mexico city, Cdmx 01330, Mexico
08

References and documents

Individual participant data

Plan to share: Undecided — Share complications table, kaplan-meier test.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 11, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04661969
Lead sponsor
Hospital Angeles del Pedregal
Responsible party
javier lopez (Principal investigator, Plastic and reconstructive surgeon staff, MBA, FACS, Hospital Angeles del Pedregal) — Principal investigator
First posted
Dec 10, 2020
Start date
Jan 2014
Primary completion
Nov 2020
Completion
Nov 30, 2020
Last update
Dec 11, 2020

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2020. You cannot join it, but the record below documents what was studied.

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