Endometriosis Clinical Trial
Official title:
Suspension of the Pelvic and Abdominal Organs During Minimally Invasive Surgery
NCT number | NCT06187558 |
Other study ID # | LPS SUSPENSION |
Secondary ID | |
Status | Completed |
Phase | |
First received | |
Last updated | |
Start date | March 1, 2019 |
Est. completion date | May 30, 2021 |
Verified date | December 2023 |
Source | University of Cagliari |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
The goal of this retrospective observational study is to evaluate the efficacy, safety, and practicality of an organ suspension technique with adjustable tension suture in facilitating minimally invasive gynecologic surgeries at the University Hospital of Cagliari, Italy. The main questions it aims to answer are: - Is the organ suspension technique using adjustable tension suture both cost-effective and practical for minimally invasive gynecologic surgeries? - How safe, effective, and feasible is this suspension technique when applied to patients with benign or malignant gynecological diseases undergoing laparoscopic surgery? Participants in this study underwent laparoscopic surgery involving the organ suspension technique, which includes: - The use of a modified Foley catheter and Polyglactin suture for organ suspension. - The collection of preoperative and postoperative data, such as operation times, blood loss, hospital stay duration, and short-term postoperative complications. This study does not include a comparison group, focusing instead on the direct outcomes and experiences of the participants who underwent the specified surgical technique.
Status | Completed |
Enrollment | 330 |
Est. completion date | May 30, 2021 |
Est. primary completion date | May 30, 2021 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | N/A and older |
Eligibility | Inclusion Criteria: - Patients who underwent multiport or single-site-port laparoscopic surgery with at least one transient pelvic organ suspension. - Surgeries performed between March 2019 and May 2021. - Surgeries conducted in the specified tertiary referral hospital. - Patients who provided written informed consent for the surgical procedure and for the use of their personal data in scientific research. - Availability of medical records and videos of surgeries for data collection. - Patients who underwent surgery for one of the following conditions: - Deep infiltrating endometriosis (DIE) - Endometrial Cancer - Pelvic prolapse treated by laparoscopic surgical procedure - Single-port access laparoscopy for benign gynecological diseases - Surgeries performed by either senior surgeon (S.A.) or junior surgeon (M.N.D). Exclusion Criteria: - Surgeries conducted outside the timeframe of March 2019 to May 2021. - Surgeries not involving multiport or single-site-port laparoscopic surgery with pelvic organ suspension. - Patients who did not provide written informed consent. - Absence of medical records or surgery videos for data collection. - Surgeries not performed in the mentioned tertiary referral hospital. - Surgeries not primarily conducted for the specified indications (i.e., DIE, oncological disease, pelvic prolapse). - Surgeries not performed by the listed surgeons (S.A. or M.N.D). |
Country | Name | City | State |
---|---|---|---|
Italy | Division of Gynecology and Obstetrics Department of Surgical Sciences, University of Cagliari, Cagliari, Italy | Monserrato | Cagliari |
Lead Sponsor | Collaborator |
---|---|
University of Cagliari |
Italy,
Abuzeid OM, Hebert J, Ashraf M, Mitwally M, Diamond MP, Abuzeid MI. Safety and efficacy of two techniques of temporary ovarian suspension to the anterior abdominal wall after operative laparoscopy. Facts Views Vis Obgyn. 2018 Jun;10(2):71-79. — View Citation
Angioni S. New insights on endometriosis. Minerva Ginecol. 2017 Oct;69(5):438-439. doi: 10.23736/S0026-4784.17.04089-8. Epub 2017 May 25. No abstract available. — View Citation
Chaichian S, Saadat Mostafavi SR, Mehdizadehkashi A, Najmi Z, Tahermanesh K, Ahmadi Pishkuhi M, Jesmi F, Moazzami B. Hyaluronic acid gel application versus ovarian suspension for prevention of ovarian adhesions during laparoscopic surgery on endometrioma: a double-blind randomized clinical trial. BMC Womens Health. 2022 Feb 11;22(1):33. doi: 10.1186/s12905-022-01607-2. — View Citation
Chatzipapas I, Kathopoulis N, Kypriotis K, Samartzis K, Siemou P, Protopapas A. A simple technique for suspension and stabilization of retrieval bag and adnexa by anchoring to the abdominal wall. Clin Case Rep. 2021 Nov 19;9(11):e05056. doi: 10.1002/ccr3.5056. eCollection 2021 Nov. — View Citation
Thompson R, Cesta M, Pasic R. Improved Exposure in Minimally Invasive Excision of Endometriosis with Temporary Ovarian Suspension Using Carter-Thomason CloseSure System, a Novel Technique. J Minim Invasive Gynecol. 2021 Oct;28(10):1678. doi: 10.1016/j.jmig.2021.05.004. Epub 2021 May 17. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Safety of the Organ Suspension (OS)Technique | Incidence of OS-Related Complications: Measurement of the rate of organ-specific complications and injuries during the Organ Suspension (OS) technique. | during the procedure | |
Primary | Efficacy of the Organ Suspension (Os) Tecnique | Time required to achieve transient organ suspension, with comparison across organ types, surgeon experience levels, and patient BMI categories. Unit of Measure: Minutes to achieve suspension. | During the procedure | |
Primary | Rate of Laparotomy Conversion During OS Technique | This measure assesses the frequency of conversion from the Organ Suspension (OS) technique to open laparotomy during surgery. The focus is to quantify how often the intended OS procedure is converted to a traditional laparotomy, indicating challenges or complications with the OS technique. Unit of Measure: Percentage of surgeries converted to laparotomy (%) | during the procedure | |
Secondary | Average Total Blood Loss in OS Technique | Measurement of the average total blood loss during surgery using the OS technique. Unit of Measure: Milliliters (ml) | during surgery | |
Secondary | Postoperative Analgesic Requirement | Postoperative analgesic drug management in patients undergoing OS technique. Unit of Measure: Analgesic dosage (mg) and frequency of administration | immediately after surgery | |
Secondary | Mean Duration of Hospital Stay Post-OS Technique | Evaluation of the mean duration of hospital stay post-surgery, with significant differences highlighted based on the indication for surgery. Unit of Measure: Days | immediately after surgery |
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