Clinical Trial Details
— Status: Not yet recruiting
Administrative data
NCT number |
NCT06398769 |
Other study ID # |
uterinemanipulator-1 |
Secondary ID |
|
Status |
Not yet recruiting |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
May 2024 |
Est. completion date |
May 2024 |
Study information
Verified date |
May 2024 |
Source |
Dr. Lutfi Kirdar Kartal Training and Research Hospital |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
Hysterectomy, the most commonly performed gynecological operation, can be carried out through
various methods using a wide array of instruments and energy techniques. Minimally invasive
procedures such as robotic or laparoscopic approaches are linked to lower perioperative
complications and quicker recovery when compared to abdominal hysterectomy. Furthermore,
recent advancements in surgical tools and methodologies have facilitated endoscopic
surgeries. Uterine manipulation plays a crucial role in laparoscopic hysterectomy by
facilitating bladder dissection, positioning the ureters, and exposing the anterior and
posterior vaginal fornices. It also prevents pneumoperitoneum loss by closing off the vaginal
space. Despite these apparent benefits, there is no existing report comparing different types
of uterine manipulators. Therefore, the purpose of this study was to compare the Vcare and
SecuFix uterine manipulators used in laparoscopic hysterectomy based on operative time,
length of hospital stay, estimated blood loss, perioperative complications, and subjective
performance.
Description:
Introduction Hysterectomy is the most commonly performed gynecological operation and can be
carried out through various methods using a wide array of instruments and energy techniques.
Although the methods have advantages and disadvantages over each other, minimally invasive
procedures are associated with less morbidity and perioperative recovery. Recent advancements
in surgical tools and methodologies have facilitated endoscopic surgeries. Uterine
manipulation is crucial in laparoscopic hysterectomy as it facilitates bladder dissection,
positioning the ureters, and exposing the anterior and posterior vaginal fornices. It also
maintains pneumoperitoneum. Currently, many uterine manipulators are available, but the
evidence for their efficacy and safety is still unclear. The purpose of utilizing a uterine
manipulator is to enhance surgical outcomes and reduce intraoperative complications,
particularly concerning the bladder and ureter. It is important to visualize the anterior and
posterior fornices and ensure maintenance of the pneumoperitoneum. Therefore, uterine
manipulators play a crucial role in laparoscopic hysterectomy. However, none of the
manipulators currently available possess all the characteristics of an ideal manipulator.
Therefore, the investigators aimed to compare the Vcare and SecuFix uterine manipulators used
in laparoscopic hysterectomy with regard to operative time, length of hospital stay,
estimated blood loss, and perioperative complications.