Is the Anterior Superior Iliac Spine a Useful Landmark at Laparoscopy?

Royal Free Hampstead NHS Trust

Status: Unknown

Conditions: Laparoscopy; Surgical Techniques

Treatments: Procedure: Control; Procedure: Anterior superior iliac spine

Study type: Interventional

Funder types: Other

Identifiers

NCT01093430

AM2009/1

Details and patient eligibility

About

The purpose of this study is to study port symmetry and the incidence of anterior abdominal wall neuropathy associated with gynaecological surgery.

Full description

We plan to study patients undergoing gynaecological laparoscopy. Patients will be randomized to two techniques for determining where to position the right and left lateral laparoscopic ports, and port symmetry will be assessed at the end of surgery. We also plan to study patients undergoing any type of gynaecological surgery to determine the incidence of sensory neuropathy involving the lower abdomen according to the route of surgery.

Enrollment: 160 estimated patients

Sex: Female

Ages: 20 to 55 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Due to undergo elective gynaecological surgery, including laparoscopy

Exclusion criteria

• Previous laparoscopy
• Junior intern as primary surgeon

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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160 participants in 2 patient groups

Anterior superior iliac spine

Experimental group

Description:

The position of the right and left laparoscopic port sites will be determined by palpation of the nearby anterior superior iliac spine of the pelvic bone.

Treatment:

Procedure: Anterior superior iliac spine

Control

Active Comparator group

Description:

The position of the right and left laparoscopic port sites will be determined by visual inspection of the anterior abdominal wall.

Treatment:

Procedure: Control