Appendicitis, Gallstones, Pelvic Pain
Conditions
Keywords
Gallstones, Appendicitis, Pelvic pain, Peritoneal mass
Brief summary
The is a pilot study to evaluate the safety and efficacy of hybrid transvaginal-transabdominal procedures. Diagnostic peritoneoscopy (visualizing the inside of the abdomen), appendectomy (removal of the appendix), and cholecystectomy (removal of the gallbladder) will be performed through a vaginal incision with an additional small incision in the umbilicus.
Interventions
An incision will be made in the vagina and a flexible surgical camera (endoscope) and instruments will be introduced. The surgical procedure for each given arm will be performed with the aid of an additional surgical instrument inserted through a small incision in the umbilicus.
An incision will be made in the vagina and a flexible surgical camera (endoscope) and instruments will be introduced. The surgical procedure for each given arm will be performed with the aid of an additional surgical instrument inserted through a small incision in the umbilicus
A diagnostic peritoneoscopy with or without biopsy for any indication
Sponsors
Study design
Eligibility
Inclusion criteria
* Chronic or early appendicitis * Symptomatic gallstones * Suspicious abdominal mass/nodule * Female * Age 18-60 years * ASA Class I or II
Exclusion criteria
* Pregnant women * History of previous abdominal, pelvic, or vaginal surgery * History of previous abdominal or pelvic radiation therapy * History of fibroid uterus * History of endometriosis * History of large ovarian cyst * History of unexplained vaginal bleeding or dyspareunia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Technical success | intra-operative |
| Complication | 1 month |
Secondary
| Measure | Time frame |
|---|---|
| Operative time | intra-operative |
| Sexual function | 1 year |
Countries
United States