Gynecologic Surgeries
Conditions
Keywords
Laparoscopy, Trocar, MiniLap, surgery, gynecology, pain, scars, scars
Brief summary
During laparoscopy, trocars are essential: they allow the passage of instruments through the wall. In gynecology, with exception, trocars 5mm (used for the passage of endo-scissors and forceps) and 10 to 12mm are used (especially for optics). Trocars are responsible for complications, such as vascular wounds, digestive wounds, pain, infections or postoperative hernias, or aesthetic sequelae, and should be chosen with caution: most complications of laparoscopy are essentially due to their placement, and the complications at the introduction of the first trocar are the most frequent. The MiniLap® system developed by Teleflex does not require trocars in the case of a single forceps, or a single 5mm trocar with the necessary forceps change (this is the Percuvance® system). The aim of the latter is to make minimally invasive surgery even less invasive, thanks to a reduction in the number of trocars used (in many cases, elimination of two trocars), smaller incisions (percutaneous use of instruments, with a diameter of 2,4mm) thus reducing the complications
Interventions
DEVICElaparoscopic gynecologic surgery with the MiniLap System.
Subjects participating in the study will undergo laparoscopic gynecologic surgery as planned in the routine care, but using the MiniLap System instead of the conventional single-use trocars used usually.
DEVICElaparoscopic gynecologic surgery with the conventional single-use trocars.
Subjects participating in the study will undergo laparoscopic gynecologic surgery as planned in the routine care using the conventional single-use trocars used usually.
Sponsors
Teleflex
University Hospital, Lille
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* BMI \<35kg / m2 * No history of multiple abdominopelvic surgery * Without absolute contraindication to laparoscopy * In the context of ambulatory surgery * With precise laparoscopy of indication: * Exploratory or diagnostic * Exploration of infertility * Performing a tubal permeability test * Performing a salpingectomy * Realization of a tubal sterilization * Realization of a tubal plasty * Performing an ovariectomy * Performing a simple ovarian cystectomy * Patient have been informed during her preoperative consultation and have signed the consent in a free and informed manner upon admission to hospital
Exclusion criteria
* Performing an emergency surgery * Carcinological surgery * Performing a benign but complex surgery such as: * Hysterectomy * Prolapse cure * promontofixation * Complex surgery of endometriosis * Removal of large cyst from the ovary. * Person unable to receive informed information and / or give consent. Person deprived of liberty. * Pregnant or nursing woman.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The time required to validate the Marshall and Chung criteria authorizing outpatient discharge when using the Minilap® system in comparison to the use of conventional trocars. | at the end of surgery, an average 3 hours |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Aesthetic scars using a scale of 0 to 10 | postoperative visit (6 weeks ± 1 after surgery). | subjective evaluation of the patient and the surgeon by means of a 0 to 10 scale |
| Pain using the Visual Analog Scale (VAS) | at immediate postoperative (baseline,1 hour and 3 hours) and postoperative visit (6 weeks ± 1 after surgery). | subjective evaluation of pain of the patient by 0 to 10 scale |
| number of complication per operative | At immediate postoperative (baseline,1 hour and 3 hours) | collection of the complications per operating by means of a questionnaire to be filled(performed) by the surgeon at the end of intervention |
| of the intraoperative use of the trocar system using a questionnaire to be completed by the surgeon | At immediate postoperative (baseline,1 hour and 3 hours) | — |
| post-operative complications at the level of the trocar apertures using a questionnaire | at immediate postoperative (baseline,1 hour and 3 hours) and postoperative visit (6 weeks ± 1 after surgery). | — |
Countries
France
Outcome results
None listed