The Effect of Mechanical Bowel Preparation Prior to Gynaecological Laparoscopic Surgeries on the Surgical Conditions

  • STATUS
    Recruiting
  • participants needed
    160
  • sponsor
    Martyr Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital
Updated on 19 February 2024

Summary

This RCT aims to investigate the real surgical effects of MBP prior to the gynecological laparoscopic surgeries. Those effects include lowest pneumoperitoneum pressure, lowest Trendelenburg inclination angle, the ease of the surgical view and the preferences of the patients with objective measures.

Description

Mechanical bowel preparation (MBP) has been routinely used prior to minimally invasive gynaecologic procedures (MIGP) hypothetically to improve intraoperative bowel handling and visualization of the surgical field, and also to reduce faecal contamination in the setting of bowel injury and/or resection.

The studies investigating the effect of MBP on MIGP are limited and most of existing data are extrapolated from the reports of colorectal and urological surgery studies.

Besides, evaluation of the surgical workspace visualization and intraoperative bowel handling are far from being objective since they were mostly measured by a 4/5/10-point Likert scales or rated verbally on scales of excellent to poor by the operating surgeons.

In contrary, it is planned to use objective visualize index, and objective surgical conditions to measure whether MBP has any effect or not.

Details
Condition Patient Preference, Patient Safety
Age 18years - 100years
Treatment Mechanical Bowel Preparation, Low fibre diet, MBP plus low-fibre diet
Clinical Study IdentifierNCT04400669
SponsorMartyr Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

Aged 18 years and older
Able to provide informed consent
Undergo laparoscopic gynecological surgery for a benign condition

Exclusion Criteria

History of previous abdominal surgery
Clinically significant present or past systemic diseases
Inability to perform mechanical bowel preparation
Suspicion of malignancy
Association with non-gynaecological surgical pathologies
Severe endometriosis (stage III according to the classification of the American Society for Reproductive Medicine)
Psychiatric disorders precluding consent
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