Is the Anterior Superior Iliac Spine a Useful Landmark at Laparoscopy?

Anterior Superior Iliac Spine - A Useful Surface Anatomical Landmark for Safe and Symmetric Accessory Laparoscopic Port Entry

Status

UNKNOWN

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT01093430

Enrollment

160

Registered

2010-03-25

Start date

2009-09-30

Completion date

2011-09-30

Last updated

2010-03-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Laparoscopy, Surgical Techniques

Keywords

Gynecological surgery, laparoscopic ports, neuropathy

Brief summary

The purpose of this study is to study port symmetry and the incidence of anterior abdominal wall neuropathy associated with gynaecological surgery.

Detailed description

We plan to study patients undergoing gynaecological laparoscopy. Patients will be randomized to two techniques for determining where to position the right and left lateral laparoscopic ports, and port symmetry will be assessed at the end of surgery. We also plan to study patients undergoing any type of gynaecological surgery to determine the incidence of sensory neuropathy involving the lower abdomen according to the route of surgery.

Interventions

PROCEDUREAnterior superior iliac spine

The position of the right and left laparoscopic port sites will be determined by palpation of the nearby anterior superior iliac spine of the pelvic bone.

PROCEDUREControl

The position of the right and left laparoscopic port sites will be determined by visual inspection of the anterior abdominal wall.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

NONE

Eligibility

Sex/Gender

FEMALE

Age

20 Years to 55 Years

Healthy volunteers

Inclusion criteria

* Due to undergo elective gynaecological surgery, including laparoscopy

Exclusion criteria

* Previous laparoscopy * Junior intern as primary surgeon

Design outcomes

Primary

Measure	Time frame	Description
Symmetry of lateral laparoscopic ports	On the completion of laparoscopy and before the general anaesthetic is reversed	The precise location in the horizontal and vertical planes of the right and left lateral port sites will be measured to assess port symmetry.

Secondary

Measure	Time frame	Description
Neuropathy	Before, immediately after and 2 weeks after gynaecological surgery	Evidence of ilio-hypogastric and ilio-inguinal neuropathy will be sought at the above time frames.

Countries

United Kingdom

Contacts

Primary ContactAdam Magos, MD FRCOG

a.magos@medsch.ucl.ac.uk020 7794 0500

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026