Benign Gynecological Pathology
Conditions
Keywords
laparoscopy, trocars, veress, open, direct
Brief summary
The study compares the Veress needle technique, the Direct trocar insertion and the Open technique with each other, in terms of minor complications, in elective laparoscopic procedures for benign pathologies.
Interventions
PROCEDURElaparoscopy
Trocar access in laparoscopy
PROCEDURELaparoscopy
The angle of the Veress needle insertion is 45 for non-obese women. After insertion of the needle, tests to determinate its correct positioning are: the double click test, the aspiration test, the handing drop test, serial intrabdominal gas pressure measurements. The volume of CO2 inserted with the Veress needle depends on the intra-abdominal pressure. Adequate pneumoperitoneum should is determined by a pressure of 20 to 30 mm Hg and not by predetermined CO2 volume.
Sponsors
Campus Bio-Medico University
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* not-obese adult patients referred for scheduled laparoscopic and gynecologic procedures, * benign pathology * no previous abdominal surgery * Age range was 18-70 years
Exclusion criteria
* obesity, defined as a body mass index (BMI) \> 30 kg/m2 * previous abdominal surgery by laparoscopy or laparotomy * history of PID * irritable Bowel Syndrome * suspicion of malignancy or malignancy at the histological examination
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| minor complications | 1 year | feasibility of the techniques and the incidence of Veress needle, Direct technique insertion and Open technique related minor complications |
Outcome results
None listed