Improved Intra-operative Safety From Optimal Selection of Anti-slip Surface
| Status: | Recruiting |
|---|---|
| Conditions: | Hospital |
| Therapuetic Areas: | Other |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/4/2019 |
| Start Date: | June 15, 2018 |
| End Date: | December 31, 2019 |
| Contact: | John Nakayama, MD |
| Email: | cancer@case.edu |
| Phone: | 800-641-2422 |
To identify the best surface to minimize the risk of intra-operative slipping when placed in
Trendelenburg position. The outcomes of interest are to minimize the amount of movement from
predefined anatomic landmarks and maximize the ease of performing the intended surgery. The
study consists of performing a randomized trial comparing 3 common anti-slip surfaces to
determine which surface provides the best result in terms of safety and cost.
Trendelenburg position. The outcomes of interest are to minimize the amount of movement from
predefined anatomic landmarks and maximize the ease of performing the intended surgery. The
study consists of performing a randomized trial comparing 3 common anti-slip surfaces to
determine which surface provides the best result in terms of safety and cost.
Laparoscopic surgery has become increasingly important in the drive to reduce patient
morbidity. The introduction of robotic surgery has only served to accelerate this trend by
allowing more complex surgeries to be performed using a minimally invasive technique. A key
requirement of any minimally invasive gynecologic procedure is adequate visualization of the
pelvis. This necessitates moving the bowel into the upper abdomen which is facilitated by
placing patients in the Trendelenburg position. Steep Trendelenburg in the range of 30-40
degrees has historically been referenced as necessary for adequate visualization, but modern
studies have found 16-28 degrees to be adequate. In practice, most physicians obtain the
maximum Trendelenburg available as increasingly complex surgeries are attempted using
minimally invasive techniques.
morbidity. The introduction of robotic surgery has only served to accelerate this trend by
allowing more complex surgeries to be performed using a minimally invasive technique. A key
requirement of any minimally invasive gynecologic procedure is adequate visualization of the
pelvis. This necessitates moving the bowel into the upper abdomen which is facilitated by
placing patients in the Trendelenburg position. Steep Trendelenburg in the range of 30-40
degrees has historically been referenced as necessary for adequate visualization, but modern
studies have found 16-28 degrees to be adequate. In practice, most physicians obtain the
maximum Trendelenburg available as increasingly complex surgeries are attempted using
minimally invasive techniques.
Inclusion Criteria:
- Patients scheduled to undergo major laparoscopic or vaginal surgery by participating
physicians at University Hospital Cleveland Medical Center
- Patients must not be pregnant
Exclusion Criteria:
- Pregnancy
- Patients unable to give consent
We found this trial at
1
site
11100 Euclid Avenue
Cleveland, Ohio 44106
Cleveland, Ohio 44106
Phone: 216-844-3954
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