Transanal Endoscopic Surgery
Conditions
Keywords
Perianal surgery
Brief summary
This protocol will test a new prototype of a peri-anal access device, with increased flexible length and a captured operative field, for feasibility in patients immediately prior to their scheduled peri-anal procedure.
Detailed description
Research Methods: The insertion of the modified access device in five patients before their planned peri-anal procedure, which will subsequently be performed with standard instruments, will allow us to observe the ease of insertion, the expansion of the blades, and the creation of the operative field achieved. If necessary, we will modify our design based on these findings. When a successful, operating room prototype is established, the device will be suitable for clinical use and the stated benefits thereof.
Interventions
DEVICEPerianal access device
Perianal access device
Sponsors
University of Minnesota
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
BASIC_SCIENCE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
* Age range 18 to 80 * In good health status * Patients scheduled for a transanal procedure other than for anal lesions, e.g., hemorrhoids, fissures, abscesses
Exclusion criteria
* Patients with physical characteristics that distort the rectal sigmoid anatomy, e.g., spinal lesions. * Patients considerable unsuitable for inclusion in the study by their colorectal surgeon. * Patients considered too frail or ill by their physician to undergo a 5-10 minute prolongation of their procedure. * Patients with known rectosigmoid infections. * Patients with known rectosigmoid wall fragility. * Patients with known rectosigmoid perforations.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual assessment of operative field dimensions measured in centimeters | Baseline | The Outcome Measure Title implies the visual measurement that will be used to describe the potential operative field delineated by our experimental perianal access device. The description will, therefore, be primarily a qualitative visual assessment with the addition of estimated dimensions measured in centimeters for the length of the longitudinal and transverse fields encompassed by the blades of the access device. The collected measurement data will be aggregated, the numerical data averaged, and the visual perceptions integrated. The Time Frame for the individual study of each insertion will be two minutes or less. There is no chronic component to this feasibility analysis. |
Countries
United States
Outcome results
None listed