To investigate if deep neuromucular blockade improves intraabdominal volume compared to no neuromuscular blockade in patients scheduled for gynecologic laparoscopic surgery with pneumoperitoneum 12 mmHg. MedDRA version: 14.1 Level: LLT Classification code 10023692 Term: Laparoscopically assisted hysterectomy System Organ Class: 100000004865 MedDRA version: 14.1 Level: LLT Classification code 10023691 Term: Laparoscopic sterilization System Organ Class: 100000004865
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients > 18 years old Elective gynecologic laparoscopy Can read and understand Danish Informed consent Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 20 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 20
Exclusion criteria
Exclusion criteria: BMI > 30 kg/cm2 Known allergy to medications that are included in the project Severe renal disease, defined by S-creatinine> 0,200 mmol/L, GFR 12 mmHg on the insufflator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Difference in intraabdominal distance from promontorium to the edge of the trocar in umbilicus at 12 mmHg with and without deep neuromuscular blockade (PTC 0-1). ;Secondary Objective: Evaluation of surgical conditions during closure of abdominal fascia on a 4 point rating scale. Difference in intraabdominal distance from promontorium to the edge of the trocar in umbilicus at 8 mmHg with and without deep neuromuscular blockade (PTC 0-1). Incidence of incisional hernia 6 months after surgery in group A and B. ;Primary end point(s): Difference in intraabdominal distance from promontorium to the edge of the trocar in umbilicus at 12 mmHg with and without deep neuromuscular blockade (PTC 0-1). ;Timepoint(s) of evaluation of this end point: During operation | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Evaluation of surgical conditions during closure of abdominal fascia on a 4 point rating scale. Difference in intraabdominal distance from promontorium to the edge of the trocar in umbilicus at 8 mmHg with and without deep neuromuscular blockade (PTC 0-1). Incidence of incisional hernia 6 months after surgery in group A and B. ;Timepoint(s) of evaluation of this end point: During operation and 6 months after operation | — |
Countries
Denmark
Contacts
Department of anesthesiology