A Controlled Study of Improved Javelin Side Recumbent Position and Conventional Postural Placement

Nurse-Patient Relations Clinical Trial

Official title:

Xu Pu, Director, Clinical Researcher

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05551442
• Other study ID #: Xu Pu
• Status: Completed
• Start date: December 12, 2021
• Est. completion date: September 7, 2022

Study information

• Verified date: December 2021
• Source: Guiyang Maternal and Child Health Care Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The Da Vinci surgical robot Xi system assisted laparoscopic pyeloureteroplasty uses the improved javelin side lying position, which can alleviate the unsafe factors of falling from the bed caused by the conventional posture, shorten the time of placing the posture5, prevent the possible pressure injuries and intraoperative complications caused by the conventional posture surgery, and the operation is more simple and convenient. The mechanical arm of the Da Vinci robot will not have the potential risk factors of crushing the head, face and trunk of the patient during the entire operation process, It is safe and reliable, making the whole process of positioning convenient and time-saving. It can not only improve the connection efficiency of each operation, but also ease the work intensity of nurses and reduce the incidence of robot secondary berths. Operator satisfaction. It is safe and reliable to achieve good results, improve the operation safety, effectively avoid intraoperative and postoperative complications, and ensure the operation safety of patients, which is worth promoting.

Description:

To discuss the comparative study of different localization methods in robot-assisted laparoscopic epirenoplasty.

From December 2021 to January 2022, the researchers selected 60 participants to undergo laparoscopic pyroplasty assisted by the Da Vinci Robotic Xi system. Depending on the order of the surgeries, the researchers randomly assigned them， the subjects into three groups: control group A, control group B and observation group C, each with 20 cases. In control group A, we adopted the conventional lateral position, control group B adopted the lumbar bridge cushion lateral position, and observation group C adopted the modified javelin lateral position, The operation time, secondary berth incidence, operation time, intraoperative blood loss and the incidence of intraoperative complications were compared among the three groups.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: September 7, 2022
• Est. primary completion date: January 9, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 2 Months to 5 Years

Eligibility

Selection Criteria:

1. Clinical diagnosis of obstruction at the renal pelvis ureteral junction.

2. Must be able to fit the treatment done under the robot platform

Exclusion Criteria:

1. Patients who can use balloon dilation to achieve the therapeutic purpose

2. Open surgery is required

Related Conditions & MeSH terms

• Nurse-Patient Relations

Intervention

Procedure:
• To explore the comparative study of different positioning methods in robot assisted laparoscopic pyeloplasty.
The incidence of surgical positioning time and secondary berths, surgical time, intraoperative blood loss and intraoperative complications were compared among the three groups.

Device:
• To discuss the comparative study of different position placement methods of renal pelvis ureteroplasty on the Da Vinci robotic Xi platform
To discuss the comparative study of different position placement methods of renal pelvis ureteroplasty on the Da Vinci robotic Xi platform

Locations

Country	Name	City	State
China	GuiyangMaternalChildHCH	Guiyang

Sponsors (1)

Lead Sponsor	Collaborator
Guiyang Maternal and Child Health Care Hospital

Country where clinical trial is conducted

China, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	The da Vinci surgical robot Xi system assists laparoscopic pyeloneuroplasty with an absolute advantage in the modified javelin lateral recumbent position	The use of modified javelin side recumbent position during surgery can alleviate the unsafe factors of falling from the bed caused by conventional positioning, which is safe and reliable, and achieves good results	From December 2021 to January 2022