Appendicitis Clinical Trial
Official title:
NOTES Transvaginal Cholecystectomy and Appendectomy
Verified date | April 2016 |
Source | Hadassah Medical Organization |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Natural Orifice Translumenal Endoscopic Surgery (NOTES) is considered by many leading expert
surgeons to be the next step in MIS (Minimally Invasive Surgery). This is a rapidly evolving
area of preclinical research and several groups worldwide are developing this surgical
approach together with industry support. In this new surgical technique, abdominal operations
are performed using the oropharynx, rectum, or vagina as the ports of entry to the peritoneal
cavity instead of incisions on the abdominal wall. NOTES offers all the advantages of
minimally invasive surgery (MIS) and also completely eliminates trauma to the abdominal wall
and the numerous complications of abdominal wall incisions. A NOTES procedure eliminates any
visible scar and could also potentially reduce post operative pain due to the elimination of
abdominal wall trauma.
In this trial we intend to operate healthy women who need to undergo cholecystectomy or
appendectomy. The operations will be performed through the vagina as the access port to the
peritoneum and it will be monitored with laparoscopic vision for safety reasons.
Status | Completed |
Enrollment | 6 |
Est. completion date | January 1, 2018 |
Est. primary completion date | January 1, 2018 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 18 Years to 50 Years |
Eligibility |
Inclusion Criteria for group #1 Transvaginal cholecystectomy: 1. Females between the ages of 18 and 50 2. Diagnosis of gallstone disease which requires cholecystectomy 3. ASA class 1 Exclusion Criteria for group #1 Transvaginal cholecystectomy: 1. Pregnant women 2. Morbidly obese patients (BMI > 35) 3. Patients who are taking immunosuppressive medications and/or immunocompromised 4. Patients with severe medical comorbidities will be excluded. 5. Patients with a presumed gallbladder polyps, mass or tumor 6. Patients with a history of prior open abdominal or transvaginal surgery. 7. Patients with a prior history of peritoneal or vaginal trauma 8. Patients with a history of ectopic pregnancy, pelvic inflammatory disease, or severe endometriosis 9. Patients with known common bile duct stones 10. Patients on blood thinners or aspirin or abnormal blood coagulation tests Inclusion Criteria for group #2 Transvaginal appendectomy: 1. Clinical diagnosis of appendicitis 2. Emergency room evaluation within 36 hours of the onset of pain 3. ASA Classification Exclusion Criteria for group #2 Transvaginal appendectomy: 1. pregnant women 2. Morbidly obese patients (BMI >35) 3. Patients who are taking immunosuppressive medications or are immunocompromised 4. Patients with evidence of an abdominal abscess or mass 5. Patients who present with a clinical diagnosis of sepsis or peritonitis 6. Patients who have a history of prior open abdominal surgery or prior transvaginal surgery. 7. Patients who endorse a history of ectopic pregnancy, pelvic inflammatory disease (PID), or severe endometriosis 8. Patients with diffuse peritonitis on clinical exam 9. Previous trauma to the perineal area 10. Patients on blood thinners or aspirin or abnormal blood coagulation tests |
Country | Name | City | State |
---|---|---|---|
Israel | Hadassah Medical Center | Jerusalem | |
Israel | Hadassah Medical Organization | Jerusalem |
Lead Sponsor | Collaborator |
---|---|
Hadassah Medical Organization |
Israel,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | TO ASSESS THE SAFETY AND EFFICACY OF A NOVEL APPROACH TO MINIMALLY INVASIVE SURGICAL TECHNIQUES | continuous | ||
Secondary | TO ASSESS PAIN ASSOCIATED WITH TRANSVAGINAL APPROACH | continuous |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT04529980 -
Probiotics and Antibiotic Associated Diarrhea in Pediatric Complicated Appendicitis
|
N/A | |
Withdrawn |
NCT03528343 -
Narcotic vs. Non-narcotic Pain Regimens After Pediatric Appendectomy
|
Phase 1/Phase 2 | |
Recruiting |
NCT03522233 -
Pediatric Appendicitis Risk Calculator (pARC) in Children With Appendix Ultrasounds
|
||
Recruiting |
NCT03380793 -
A Trial to Assess the Efficacy and Safety of Morinidazole in Patients With Appendicitis
|
Phase 4 | |
Recruiting |
NCT02108340 -
Comparative Study of Microwave Radiometry and Ultrasonography for the Diagnosis of Acute Appendicitis
|
N/A | |
Terminated |
NCT02029781 -
The Laparoscopic Appendicitis Score; a Multicenter Validation Study
|
N/A | |
Completed |
NCT01356641 -
Antibiotic Treatment Alone for Acute Simple Appendicitis in Children
|
N/A | |
Completed |
NCT00913380 -
Diagnosis of Acute Appendicitis: Low-dose Computed Tomography (CT) Versus Standard-dose CT
|
Phase 3 | |
Terminated |
NCT00971438 -
Structured Management of Patients With Suspicion of Appendicitis Using a Clinical Score and Selective Imaging
|
N/A | |
Completed |
NCT01515293 -
Single Incision Versus Conventional Laparoscopic Appendectomy
|
Phase 3 | |
Completed |
NCT00616616 -
Single Incision Laparoscopy
|
N/A | |
Completed |
NCT00530998 -
Minimally Invasive Surgery: Using Natural Orfices
|
||
Completed |
NCT00195351 -
Study Comparing Tigecycline Versus Ceftriaxone Sodium Plus Metronidazole in Complicated Intra-abdominal Infection
|
Phase 4 | |
Completed |
NCT02916134 -
Conservative Versus Operative ManageMent of Acute Uncomplicated Appendicitis
|
N/A | |
Completed |
NCT04614649 -
Right Iliac Fossa Treatment-Turkey Audit
|
||
Completed |
NCT04365491 -
European Society for Trauma and Emergency Surgery (ESTES) Cohort Study Snapshot Audit 2020 - Acute Appendicitis
|
||
Completed |
NCT03770897 -
Laparoscopic Appendectomy Performed by Junior SUrgeonS: Impact of 3D Visualization on Surgical Outcome
|
N/A | |
Completed |
NCT02507674 -
Point of Care 3D Ultrasound for Pediatric Appendicitis: a Pilot Study
|
||
Active, not recruiting |
NCT01718275 -
Non-operative Management of Early Appendicitis in Children
|
||
Terminated |
NCT01575028 -
Transversus Abdominis Plane (TAP) Versus Local Anesthetic for Lap Appendectomies
|
Phase 2 |