Evaluation of Microbial Colonisation and Contamination Caused by the Transvaginal and Transabdominal Access for Cholecystectomy (NOBACT)
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Purpose
Transvaginal hybrid procedures are of interest as an available NOTES procedure for the clinical routine. The gynaecologists` experiences and the available studies report on low morbidity related to the transvaginal access. However, little is known about the vaginal and intraabdominal microbial contamination due to the transvaginal approach.
The aim of this cohort study is to evaluate the microbial colonisation and contamination in patients with transvaginal hybrid and conventional laparoscopic cholecystectomy.
Therefore, pre- and intraoperative microbiological evaluations will be performed in patients with transvaginal hybrid cholecystectomy and laparoscopic cholecystectomy.
| Condition | Intervention |
|---|---|
|
Cholecystectomy |
Procedure: Smear test vaginally, intraabdominally |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
- Microbial colonisation and contamination vaginally and intraabdominally [ Time Frame: 1 day ] [ Designated as safety issue: No ]
- Morbidity (wound, vaginal and intraabdominal infection) two weeks and six weeks postoperatively [ Time Frame: 6 weeks ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 30 |
| Study Start Date: | February 2010 |
| Study Completion Date: | November 2010 |
| Primary Completion Date: | November 2010 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
| transvaginal hybrid cholecystectomy |
Procedure: Smear test vaginally, intraabdominally
Pre- and intraoperative smear tests of the vagina and douglas are performed.
|
| laparoscopic cholecystectomy |
Procedure: Smear test vaginally, intraabdominally
Pre- and intraoperative smear tests of the vagina and douglas are performed.
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Female patients with symptomatic cholecystolithiasis and given informed consent for laparoscopic cholecystectomy or transvaginal hybrid cholecystectomy
Inclusion Criteria:
- indication for elective cholecystectomy
- informed consent for laparoscopic cholecystectomy or transvaginal hybrid cholecystectomy
Exclusion Criteria:
- cholecystitis
- intraabdominal infection
- existing antibiotic therapy
- adnexitis
- pelvic inflammatory disease
- infection (CRP > 10 mg /l; Lc > 11 G/l)
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Andreas Zerz, MD, Cantonal Hospital St.Gallen, Departement of Surgery |
| ClinicalTrials.gov Identifier: | NCT01078025 History of Changes |
| Other Study ID Numbers: | EKSG09/150/1B |
| Study First Received: | March 1, 2010 |
| Last Updated: | December 9, 2010 |
| Health Authority: | Switzerland: Ethikkommission |
Keywords provided by Cantonal Hospital of St. Gallen:
|
transvaginal access for cholecystectomy |
ClinicalTrials.gov processed this record on May 23, 2013