Natural Orifice Specimen Extraction in Sigmoid Volvulus

Mortality Clinical Trial

Official title:

Natural Orifice Specimen Extraction in Sigmoid Volvulus Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04740619
• Other study ID #: 2020/178
• Status: Completed
• Start date: January 1, 2018
• Est. completion date: January 20, 2021

Study information

• Verified date: February 2021
• Source: Dr. Ersin Arslan Education and Training Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Sigmoid resection can be performed using conventional and laparoscopic methods. There are few publications in the literature reporting specimen removal from the natural hole in patients with a diagnosis of sigmoid volvulus. Here, the investigators aimed to present the literature that transanal specimen removal is a technically feasible method after laparoscopic surgery in patients with sigmoid volvulus.

Description:

Sigmoid resection can be performed using conventional and laparoscopic methods. There are few publications in the literature reporting specimen removal from the natural hole in patients with a diagnosis of sigmoid volvulus. Here, the investigators aimed to present the literature that transanal specimen removal is a technically feasible method after laparoscopic surgery in patients with sigmoid volvulus. The documents of patients who were operated on for sigmoid volvulus between 2018 and 2019 were retrospectively reviewed. Patients who had been used transanal for specimen extraction by elective laparoscopic sigmoid colon resection were included in the study. Patients' gender, age, comorbidity, operation time, operative difficulties, complications, length of stay, and mortality findings were analyzed. Laparoscopic sigmoid resection and transanal specimen removal were performed in eight patients. Specimen extraction surgery from the natural hole is increasingly preferred. the investigators think that natural hole surgery can be performed more easily and reliably in sigmoid volvulus due to the large diameter of the colon.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 8
• Est. completion date: January 20, 2021
• Est. primary completion date: January 15, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• transanal for specimen extraction by elective laparoscopic sigmoid colon resection

Exclusion Criteria:

• emergency surgery

• conventional open sigmoid resection

• conventional laparoscopic sigmoid resection

Related Conditions & MeSH terms

• Intestinal Volvulus
• Morbidity
• Mortality

Intervention

Procedure:
• Natural Orifice Specimen Extraction
Natural Orifice Specimen Extraction via transanal

Locations

Country	Name	City	State
Turkey	Dr. Ersin Arslan Training and Resource Hospital	Gaziantep

Sponsors (2)

Lead Sponsor	Collaborator
Dr. Ersin Arslan Education and Training Hospital	Inonu University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	mortality	mortality after this procedure	1 year
Primary	morbidity	morbidity after this procedure	through study completion, an average of 1 year