Comparison of vNOTES and Laparoscopic Salpingectomy in the Surgical Treatment of Ectopic Pregnancy

Gaziosmanpasa Research and Education Hospital

Status: Enrolling

Conditions: Ectopic Pregnancy

Treatments: Procedure: Laparoscopic Salpingectomy; Procedure: vNOTES Salpingectomy Group.

Study type: Interventional

Funder types: Other

Identifiers

NCT07057115

gopvnotesectopic

Details and patient eligibility

About

This study compares vNOTES salpingectomy and laparoscopic salpingectomy in the treatment of ectopic pregnancy, focusing on outcomes such as operative time, postoperative pain, and recovery.

Full description

This study aims to compare the clinical outcomes of two surgical approaches-vaginal natural orifice transluminal endoscopic surgery (vNOTES) salpingectomy and conventional laparoscopic salpingectomy-in patients diagnosed with ectopic pregnancy. The primary objective is to evaluate and contrast parameters such as operative time, postoperative pain, complication rates, hospital stay duration, and recovery times between the two groups. The goal is to assess the feasibility, safety, and effectiveness of the vNOTES technique as an alternative minimally invasive method for the management of ectopic pregnancy.

Enrollment: 56 estimated patients

Sex: Female

Ages: 18 to 55 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Women diagnosed with ectopic pregnancy Without heterotopic pregnancy Women aged 18-55 years, within reproductive age Patients for whom medical treatment is not appropriate Patients requiring surgical intervention Patients without systemic diseases that may contraindicate surgery Patients who have signed and approved the informed consent form to participate in the study

Exclusion criteria

Ectopic pregnancy cases that can be treated with medical therapy Patients with advanced pelvic infections or pelvic anatomical abnormalities Patients with immunodeficiency or systemic diseases that contraindicate surgery

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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56 participants in 2 patient groups

vNOTES Salpingectomy Group

Experimental group

Description:

Patients undergoing salpingectomy via vaginal natural orifice transluminal endoscopic surgery (vNOTES).

Treatment:

Procedure: vNOTES Salpingectomy Group.

Laparoscopic Salpingectomy Group

Active Comparator group

Description:

Patients undergoing salpingectomy via conventional laparoscopic surgery.

Treatment:

Procedure: Laparoscopic Salpingectomy