Summary

for females ages 18-75 (full criteria)
at UCSD
study started
estimated completion
Santiago Horgan (ucsd)

Description

Summary

This is an observational study of pain and outcomes from females undergoing transvaginal NOTES removal of their appendix or gallbladder. Female subjects who elect to have a transvaginal NOTES removal of their appendix or gallbladder and agree to be in this study (through signature on the informed consent form) will be followed per standard of care, with additional follow-up for data collection including the following: - Subjects will complete a 7 day pain/temperature log after surgery - Subjects will complete a standardized sexual function questionnaire (Female Sexual Function Index) prior to surgery and 6 months after surgery - Subjects will receive a phone call at 6 months and at 1 year after surgery to capture data related to safety, adverse events, hospitalizations and patient satisfaction Additional data related to pain and outcomes will be collected at baseline/screening and at follow-up as necessary.

Official Title

Natural Orifice Translumenal Endoscopic Surgery (NOTES): Laparoscopic Assisted Trans-Vaginal Appendectomy and Cholecystectomy

Keywords

Appendicitis Cholelithiasis Gallstones Cholecystolithiasis Transvaginal Appendectomy Transvaginal Cholecystectomy

Eligibility

You can join if…

Open to females ages 18-75

for transvaginal appendectomy:

  1. Females between the ages of 18-75
  2. Clinical diagnosis of appendicitis
  3. Emergency room evaluation within 36 hours of the onset of pain
  4. ASA Classification 1
  5. Mentally competent to give informed consent
  6. Scheduled to undergo a transvaginal NOTES appendectomy.

You CAN'T join if...

for transvaginal appendectomy:

  1. Pregnant women (need to have negative icon in ER)
  2. Morbidly obese patients (BMI >35)
  3. Patients who are taking immunosuppressive medications or are immunocompromised
  4. Patients with evidence of an abdominal abscess or mass
  5. Patients who present with a clinical diagnosis of sepsis or peritonitis
  6. Patients who have a history of prior transvaginal surgery. Patients with prior laparoscopic surgery will be included.
  7. Patients who endorse a history of ectopic pregnancy, pelvic inflammatory disease (PID), or severe endometriosis
  8. Patients with diffuse peritonitis on clinical exam
  9. Patients on blood thinners or aspirin or abnormal blood coagulation tests

Inclusion criteria for transvaginal cholecystectomy:

  1. Females between the ages of 18 and 75
  2. Diagnosis of gallstone disease which requires cholecystectomy
  3. ASA class 1
  4. Mentally competent to give informed consent
  5. Scheduled to undergo a transvaginal NOTES cholecystectomy

Exclusion criteria for transvaginal cholecystectomy:

  1. Pregnant women
  2. Morbidly obese patients (BMI > 35)
  3. Patients who are taking immunosuppressive medications and/or immunocompromised
  4. Patients with severe medical comorbidities will be excluded.
  5. Patients with a presumed gallbladder polyps, mass or tumor
  6. Patients with a history of prior transvaginal surgery. Patients with prior laparoscopic surgery will be included.
  7. Patients with a history of ectopic pregnancy, pelvic inflammatory disease, or severe endometriosis
  8. Patients with known common bile duct stones
  9. Patients on blood thinners or aspirin or abnormal blood coagulation tests

Location

  • University of California, San Diego accepting new patients
    San Diego California 92103 United States

Lead Scientist

  • Santiago Horgan (ucsd)
    Dr. Santiago Horgan is an internationally recognized expert in robot-assisted surgery and other minimally invasive surgical techniques. Dr. Horgan is among the first surgeons trained to perform the Lap-Band Adjustable Gastric Banding System procedure used for the treatment of obesity.

Details

Status
accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
University of California, San Diego
ID
NCT00530998
Study Type
Observational
Last Updated