Single Versus Conventional Laparoscopy for Benign Adnexal Disease
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Purpose
Keyhole surgery for adnexal disease has traditionally been performed using three or four small incisions. The last years a new operating method has been introduced. This method makes use of only one incision of 2 cm in the umbilicus. This method is less invasive, and it might benefit the patient through less postoperative pain and a higher satisfaction with the cosmetic result. So far, many studies have shown that this new method is feasible for adnexal disease, but its superiority compared to conventional laparoscopy is to be proven. This study aims to show this difference.
The investigators aim to compare experienced postoperative pain and use of analgesics in patients undergoing single port laparoscopy for benign adnexal disease with conventional laparoscopy. The investigators hypothesize that the patients will experience less postoperative pain and use less analgesic in the single port laparoscopy group.
Further, the investigators aim to compare the satisfaction with the cosmetic results in the two groups. In addition, blood loss, operating time, complications and conversion to conventional laparoscopy will be registered in the two groups.
| Condition | Intervention | Phase |
|---|---|---|
|
Ovarian Cyst |
Procedure: Laparoscopic surgery |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Primary Purpose: Treatment |
| Official Title: | Single Port Laparoscopy Versus Conventional Laparoscopy for Benign Adnexal Disease - A Randomized Controlled Trial. |
- Postoperative pain [ Time Frame: 6 hours ] [ Designated as safety issue: No ]Experienced pain over the last six hours measured on a VAS scale.
- Satisfaction with cosmetic result [ Time Frame: 2 months postoperatively ] [ Designated as safety issue: No ]Satisfaction with cosmetic result, self reported and based on the Manchester scar scale.
- Operation time [ Time Frame: 0 hours after the operation ] [ Designated as safety issue: No ]Operating time in minutes.
- Blood loss [ Time Frame: 0 hours after the operation ] [ Designated as safety issue: No ]Estimated blood loss in ml.
- Complications [ Time Frame: Two months ] [ Designated as safety issue: No ]Complications during surgery and late complications.
- Shoulder tip pain [ Time Frame: 24 hours ] [ Designated as safety issue: No ]Experienced shoulder tip pain over the last 24 hours measured on a VAS scale.
- Postoperative pain [ Time Frame: 24 hours ] [ Designated as safety issue: No ]Experienced pain over the last 24 hours measured on a VAS scale.
| Enrollment: | 40 |
| Study Start Date: | January 2011 |
| Study Completion Date: | December 2011 |
| Primary Completion Date: | September 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Single port access laparoscopy
Single port access laparoscopy for benign adnexal disease.
|
Procedure: Laparoscopic surgery
Laparoscopic surgery where adnexectomy or cystectomy is performed.
|
|
Active Comparator: Conventional laparoscopy
Conventional laparoscopy for benign adnexal disease.
|
Procedure: Laparoscopic surgery
Laparoscopic surgery where adnexectomy or cystectomy is performed.
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Women ≥ 18 years.
- ASA score 1 or 2.
- Presumed benign ovarian disease or a hereditary cancer risk.
- Ovarian cyst ≤ 6 cm.
Exclusion Criteria:
- Ovarian cyst > 6 cm.
- Endometrioma.
- Endometriosis.
- History of chronic pelvic pain.
- Known severe intra abdominal adhesions.
- Daily use of analgesics.
- Inability to understand Norwegian or English.
Contacts and Locations
More Information
No publications provided by Sorlandet Hospital HF
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Sorlandet Hospital HF |
| ClinicalTrials.gov Identifier: | NCT01288599 History of Changes |
| Other Study ID Numbers: | Laparoscopy SSK |
| Study First Received: | November 18, 2010 |
| Last Updated: | June 29, 2012 |
| Health Authority: | Norway: Regional Ethics Commitee |
Keywords provided by Sorlandet Hospital HF:
|
Laparoscopy Randomized Single port access Adnexal disease LESS |
Additional relevant MeSH terms:
|
Adnexal Diseases Ovarian Cysts Genital Diseases, Female Cysts |
Neoplasms Ovarian Diseases Gonadal Disorders Endocrine System Diseases |
ClinicalTrials.gov processed this record on June 18, 2013