Laparoscopic Transvaginal Hybrid Anterior Resection: a Prospective Data Collection
Summary
Transvaginal hybrid procedures are of interest as an available NOTES-Procedure for the clinical routine. Few authors have demonstrated the feasibility and safety of such procedures (e.g. cholecystectomy) in selected patient collectives. In 2008 Lacy at al. published the experience with a transvaginal sigmoidectomy as a first in human report. The aim of this prospective data collection is to evaluate the feasibility and safety of the transvaginal hybrid anterior resection in the clinical routine.
Therefore all patients giving the informed consent to the transvaginal hybrid anterior resection will be included and assessed concerning feasibility to perform the transvaginal approach and complete the operation transvaginally.
Study Design
Observational Model: Cohort, Time Perspective: Prospective
Conditions
Sigmoid Diverticulitis (Hinchey I and II)
Intervention
Laparoscopic transvaginal hybrid anterior resection
Location
Department of surgery
St. Gallen
Switzerland
9007
Status
Recruiting
Source
Cantonal Hospital of St. Gallen
Results (where available)
Links
- Source: http://clinicaltrials.gov/show/NCT01043731
- Information obtained from ClinicalTrials.gov on July 15, 2010
Medical and Biotech [MESH] Definitions
Sigmoid Neoplasms
Tumors or cancer of the SIGMOID COLON.
Two-hybrid System Techniques
Screening techniques first developed in yeast to identify genes encoding interacting proteins. Variations are used to evaluate interplay between proteins and other molecules. Two-hybrid techniques refer to analysis for protein-protein interactions, one-hybrid for DNA-protein interactions, three-hybrid interactions for RNA-protein interactions or ligand-based interactions. Reverse n-hybrid techniques refer to analysis for mutations or other small molecules that dissociate known interactions.
Sigmoid Diseases
Pathological processes in the SIGMOID COLON region of the large intestine (INTESTINE, LARGE).
Diverticulitis
Inflammation of a DIVERTICULUM or diverticula.
Diverticulitis, Colonic
Inflammation of the COLONIC DIVERTICULA, generally with abscess formation and subsequent perforation.
Clinical Trials
Laparoscopic Transvaginal Hybrid Cholecystectomy: a Prospective Data Collection.
Transvaginal hybrid procedures especially the transvaginal hybrid cholecystectomy are of interest as an available NOTES-Procedure for the clinical routine. Few authors have demonstrated th...
Transvaginal hybrid procedures are of interest as an available NOTES procedure for the clinical routine. The gynaecologists` experiences and the available studies report on low morbidity r...
The purpose of this study is to compare the efficacy (by assessing the clinical success of treatment) of intravenous antibiotic therapy with ertapenem in patients with acute attacks of sig...
Scandinavian Diverticulitis Trial
The purpose of this study is to determine whether laparoscopic lavage changes the rate of severe complications in patients with acute perforated diverticulitis who traditionally are treate...
Transvaginal Diagnostic Study in Women With Pelvic Pain
We propose a phase I study of laparoscopic assisted, transvaginal peritoneoscopy by using flexible endoscopy in female patients with pelvic pain. It is designed as a hybrid procedure with...
PubMed Articles
BACKGROUND: In laparoscopic anterior resection, minilaparotomy still is required. Recently, transvaginal hybrid natural orifice transluminal endoscopic surgery (NOTES) techniques for cholecystectomy h...
BACKGROUND: Elective laparoscopic sigmoid resection for diverticulitis has proven short-term benefits, but little data are available from prospective randomized trials regarding long-term outcome, qua...
BACKGROUND: Laparoscopic sigmoid resection is a feasible and frequent operation for patients who suffer from recurrent diverticulitis. There is still an ongoing debate about the optimal timing for sur...
PURPOSE: Side-to-end anastomosis using the descending colon has been proved to be as effective as J pouch in alleviating low anterior resection syndrome. However, using the sigmo...
Outcomes of Laparoscopic Versus Open Colectomy in Elective Surgery for Diverticulitis.
BACKGROUND: The role of laparoscopy in the management of diverticular disease is evolving. Concerns were raised in the past because laparoscopic resection for diverticulitis is often difficult and occ...
