Direct Trocar Entry Versus Veress Needle Entry in Laparoscopic Gynecological Surgery

NCT ID: NCT01955798

Last Updated: 2020-02-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2015-01-31

Study Completion Date

2017-10-31

Brief Summary

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The Veress needle is the laparoscopic entry technique most commonly used among gynecologists. Direct trocar entry is another method to gain entry to the abdomen that is uncommon to gynecologists.

This prospective and randomized study will compare the two entry techniques with regard to:

* Complications related to the entry technique and previous surgeries
* Time taken to enter the abdomen
* The number of attempts taken to enter the abdomen

Detailed Description

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Patients of Dexeus Universitary Institute that are having a laparoscopic surgery for gynecological purposes will participate in the study. Patients with previous middle laparotomies or 3 or more abdominal suregeries will be excluded from the study. A patient information sheet will be provided and written consent will be obtained. Patients who give written consent will be randomized into the two arms of the trial. All patient information will be confidential and only be available to researches involved in the study.

Only three expert surgeons of the Gynecological Department of Dexeus Universitary Institute will participate in the study.

300 women will be recruited over a two year period and the data will be analysed by a statistician.

Conditions

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Laparoscopic Gynecological Surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Trocar

Pyramidal tip reusable 11mm trocar

Group Type EXPERIMENTAL

Laparoscopic direct entry Trocar

Intervention Type PROCEDURE

Laparoscopic direct entry with trocar

Trocar

Intervention Type DEVICE

Veress needle

Veress needle

Group Type ACTIVE_COMPARATOR

Laparoscopic entry Veress needle

Intervention Type PROCEDURE

Laparoscopic entry with Veress needle

Veress needle

Intervention Type DEVICE

Interventions

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Laparoscopic direct entry Trocar

Laparoscopic direct entry with trocar

Intervention Type PROCEDURE

Laparoscopic entry Veress needle

Laparoscopic entry with Veress needle

Intervention Type PROCEDURE

Trocar

Intervention Type DEVICE

Veress needle

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Any woman suitable for laparoscopic gyneacological surgery

Exclusion Criteria

* Previus supra-infra umbilical laparotomy
* three or more previous abdominal surgeries
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Fundacion Dexeus

OTHER

Sponsor Role lead

Responsible Party

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Ignacio Rodriguez MSc

Epidemilolgy

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Alberto Vazquez, MD

Role: PRINCIPAL_INVESTIGATOR

Salut de la Mujer Dexeus

Locations

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Hospital Quiron Dexeus

Barcelona, , Spain

Site Status

Countries

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Spain

References

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Ahmad G, O'Flynn H, Duffy JM, Phillips K, Watson A. Laparoscopic entry techniques. Cochrane Database Syst Rev. 2012 Feb 15;(2):CD006583. doi: 10.1002/14651858.CD006583.pub3.

Reference Type BACKGROUND
PMID: 22336819 (View on PubMed)

Tinelli A, Malvasi A, Guido M, Tsin DA, Hudelist G, Stark M, Mettler L. Laparoscopy entry in patients with previous abdominal and pelvic surgery. Surg Innov. 2011 Sep;18(3):201-5. doi: 10.1177/1553350610393989. Epub 2011 Jan 18.

Reference Type BACKGROUND
PMID: 21245070 (View on PubMed)

Related Links

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Other Identifiers

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DEX2013001

Identifier Type: -

Identifier Source: org_study_id

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