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Surgery clinical trials

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NCT ID: NCT05086783 Recruiting - Surgery Clinical Trials

Video-based Coaching (VBC) in Gynecologic Surgery

Start date: October 6, 2021
Phase: N/A
Study type: Interventional

This multi-centre, randomized controlled trial aims to assess the role of video-based coaching (VBC) in residency education in gynecologic and gynecologic oncology surgery. It involves a trainee and a surgical coach, who together review a recording of the trainee performing a surgical skill or procedure and coaching is provided for skill improvement. Resident performance will be evaluated using a standardized scoring scale by two experienced surgeons before and after the intervention and compared to the control group receiving the standard surgical teaching curriculum.

NCT ID: NCT05086601 Recruiting - Colorectal Cancer Clinical Trials

A Cohort of Molecular Characteristics and Prognosis of Colorectal Cancer

Start date: December 1, 2020
Phase:
Study type: Observational [Patient Registry]

This study aims to establish a colorectal cancer cohort, collect clinicopathological information, collect biological samples for multi-omics testing, and perform relevant analysis, to predict the prognosis of colorectal cancer, guide the diagnosis and treatment of colorectal cancer and the formulation of health policies.

NCT ID: NCT05080114 Completed - Surgery Clinical Trials

Vaginal Cuff Closure by Modification of the Bakay Technique in Total Laparoscopic Hysterectomy

Start date: November 1, 2018
Phase: N/A
Study type: Interventional

Modified Bakay technique offers a novel colpotomy and cuff closure technique for total laparoscopic hysterectomy (TLH), and consists of placing a single continuous running purse-string suture facilitating the cuff closure before colpotomy. The modified Bakay technique adds a standard apical compartment support and has the potential to facilitate the primary healing of the vaginal cuff. This study aimed to compare the surgical and clinical outcomes of the Modified Bakay technique to conventional standard technique in patients undergoing TLH.

NCT ID: NCT05077397 Not yet recruiting - Surgery Clinical Trials

Is Regional Oxygen Saturation Effective in Predicting Perfusion Parameters and Patient Outcomes in Liver Resection

Start date: October 14, 2021
Phase: N/A
Study type: Interventional

Sudden hypotension, which may develop during liver resection operations performed under general anesthesia, can affect the patient satisfaction at a high rate by causing complications during and after the operation as a result of disrupting the blood supply of the tissues. Although there are standard monitoring methods such as blood pressure, heart rate, and oxygen status that show unwanted hypotension during anesthesia, it is possible to show hypotension in the early period with new generation methods. Although there are many clinical studies proving the effectiveness of these methods, these methods have not yet been included in the standard monitoring methods. Our prediction in this study is that the development of intraoperative and postoperative complications in patients who will undergo liver surgery, in whom tissue blood flow is monitored with the help of devices, will be less than in patients who are followed up with traditional methods. If an individual participate in this study, he will not be subjected to any additional procedures other than routine practice during the participant's operation. Before standard general anesthesia for his surgery, heart rate, oxygenation status, blood pressure parameters will be monitored. After the initiation of general anesthesia, the procedures performed in each liver surgery will be applied. In addition, he will be followed by using a probe that allows monitoring of tissue blood flow and reflects a value to the screen, to which it is attached, by simply sticking to his skin.

NCT ID: NCT05074199 Completed - Surgery Clinical Trials

Comparison of Cosmetic Outcomes of Straight Line and W-plasty Techniques for Linear Wound Closure

Start date: February 26, 2018
Phase: N/A
Study type: Interventional

The purpose of this study is to compare the cosmetic outcome of traditional straight-line (SL) linear closure to that of W plasty (a type of geometric broken-line cutaneous closure technique) for closure of post-auricular wounds resulting from harvest of full thickness skin grafts during Mohs micrographic surgery. The research team will use a split wound model, where half of the wound is repaired with a straight-line cutaneous closure and the other half is repaired with the W-plasty technique. Three-months post-surgery, the scar will be measured via the patient observer scar assessment scale (POSAS), a validated scar instrument. The scar width, and adverse events will also be recorded.

NCT ID: NCT05073757 Recruiting - Surgery Clinical Trials

To Evaluate the Performance and Safety of Personalized Implants in CMF Surgery Indicated for Orthognathic Surgery

Start date: September 17, 2021
Phase:
Study type: Observational

With the digital age, guided surgery and cases of fully computer-assisted surgeries via 3D printing guides and preformed plates are booming. Our project aims to study the performance and safety of personalized implants (personalized guides and plates) in orthognathic surgery in order to obtain specific clinical data on SLS France devices.

NCT ID: NCT05067738 Not yet recruiting - Lung Cancer Clinical Trials

Same Day Discharge

Start date: October 1, 2021
Phase: N/A
Study type: Interventional

Monitoring carefully selected patients to determine if they can be safely discharged the same day of their pulmonary resection

NCT ID: NCT05061407 Not yet recruiting - Surgery Clinical Trials

An African, Multi-centre Evaluation of Patient Care and Clinical Outcomes for Paediatric Patients Undergoing Surgery

ASOS-Paeds
Start date: October 1, 2021
Phase:
Study type: Observational

Access to safe surgery is a basic human right. This is highlighted by the work of the Lancet Commission on Global Surgery. There is a large burden of surgical disease in the paediatric surgical population with a large unmet need. In Africa, children comprise a significant proportion of the population with approximately 50% of the population being ≤19 years old. Limited data from Africa suggests the risk factors for, incidence and outcomes associated with paediatric surgical complications differ from HICs. The African Surgical Outcomes Study (ASOS) has described surgical outcomes in adult patients in Africa. There is a need to determine the burden of the complications in paediatric surgical patients in Africa, and the risk factors for and the type of complications experienced. Once this study is completed, the investigators will be able to target appropriate interventions to improve surgical outcomes for children in Africa. The investigators have the capacity to do this important work, through the African Perioperative Research Group (APORG) group.

NCT ID: NCT05060653 Not yet recruiting - Surgery Clinical Trials

Stereotactic Body Radiotherapy Followed by Surgical Stabilization in Spinal Metastases

BLEND-II
Start date: October 2021
Phase: N/A
Study type: Interventional

The aim of this study is to assess pain response after combining stereotactic body radiotherapy (SBRT) and pedicle screw fixation in a 48-hour window for the treatment of painful unstable metastases of the thoracic and/or lumbar spine.

NCT ID: NCT05057585 Completed - Pain Clinical Trials

The Effects of Bed Exercises on Anxiety, Pain, Early Ambulation and Mobilization in Patients Undergoing Major Surgery

Start date: January 15, 2020
Phase: N/A
Study type: Interventional

In this study, researchers aimed to investigate the effects of bed exercises on anxiety, pain, early ambulation and mobilization in major surgery patients. This study was conducted in the experimental type and in the surgical clinics of a university hospital. 120 patients (60 experimental and 60 control groups) scheduled for major surgery took part in the study. The data were collected using the patient information and surgical care information form, the Surgical Anxiety Questionnaire, and the Numerical Pain Scale with a face-to-face interview technique. Patients in the experimental group were given a 15-minute bed exercise, and the control group was routinely performed in the clinic. The data analysis was done with IBM SPSS Statistics 25.0. The data were evaluated by descriptive statistics, t-test and correlation tests. For the validity and reliability analysis of the scales, Cronbach's alpha coefficient was examined. The results were evaluated at 95% confidence interval and p <0.05 significance level.