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Umbilical vs Paraumbilical Trocar Placement in Patients Undergoing Elective Laparoscopic Cholecystectomy

Umbilical vs Paraumbilical Trocar Placement in Patients Undergoing Elective Laparoscopic Cholecystectomy

Status
UNKNOWN
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04347642
Enrollment
180
Registered
2020-04-15
Start date
2020-07-07
Completion date
2021-09-15
Last updated
2020-07-09

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

Conditions

Incisional Hernia

Brief summary

The aim of this study will be to assess the incisional hernia rate of umbilical or paraumbilical port 12 months after laparoscopic cholecystectomy. Patients will be randomized into 2 groups: * G1: 12mm Umbilical port will be inserted in the umbilical region, with open access and using a Hasson port * G2: 12 mm paraumbilical port will be inserted laterally to the midline, with close access and using and optical port. Incisional hernia at the level of this port insertion will be assessed by physical examination and, in case of doubst, by ultrasonography, 12 months after surgery.

Detailed description

The aim of this study will be to assess the incisional hernia rate of umbilical or paraumbilical port 12 months after laparoscopic cholecystectomy. Patients will be randomized into 2 groups: * G1: 12mm Umbilical port will be inserted in the umbilical region, with open access and using a Hasson port. Pneumoperitoneum will be done by this Hasson port. * G2: 12 mm paraumbilical port will be inserted laterally to the midline, with close access and using and optical port, traversing the rectus abdominal muscle. Pneumoperitoneum will be previously done using a Veress needle. Incisional hernia at the level of this port insertion will be assessed by physical examination and, in case of doubst, by ultrasonography, 12 months after surgery.

Interventions

PROCEDUREUmbilical port placement

The port will be inserted in the midline at the level of the umbilicus.

PROCEDUREParaumbilical port placement

The port will be inserted 3-4cm laterally to the midline at the level of the umbilicus.

Sponsors

Hospital General Universitario Elche
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Elective laparoscopic cholecystectomy * Acceptance to participate in the study and sign of informed consent form

Exclusion criteria

* A gallstone larger than 10mm observed at preoperative ultrasonography * Coexistence of umbilical hernia or previous umbilical hernioplasty * Previous laparotomy involving the umbilical region * Emergency surgery

Design outcomes

Primary

MeasureTime frameDescription
Incisional hernia at the level of the trocar insertion12 months after surgeryThe incisional hernia at the level of the umbilical or paraumbilial trocar insertion will be assessed by physical examination, or with ultrasonography in case of doubts.

Countries

Mexico, Spain

Contacts

Primary ContactJaime Ruiz-Tovar
jruiztovar@gmail.com+34630534808
Backup ContactCarolina LLavero
carolinallavero@gmail.com649593020

Outcome results

None listed

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