Clinical trial · Observational
Suspension of the Pelvic and Abdominal Organs During Minimally Invasive Surgery
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
The goal of this retrospective observational study is to evaluate the efficacy, safety, and practicality of an organ suspension technique with adjustable tension suture in facilitating minimally invasive gynecologic surgeries at the University Hospital of Cagliari, Italy. The main questions it aims to answer are: * Is the organ suspension technique using adjustable tension suture both cost-effective and practical for minimally invasive gynecologic surgeries? * How safe, effective, and feasible is this suspension technique when applied to patients with benign or malignant gynecological diseases undergoing laparoscopic surgery? Participants in this study underwent laparoscopic surgery involving the organ suspension technique, which includes: * The use of a modified Foley catheter and Polyglactin suture for organ suspension. * The collection of preoperative and postoperative data, such as operation times, blood loss, hospital stay duration, and short-term postoperative complications. This study does not include a comparison group, focusing instead on the direct outcomes and experiences of the participants who underwent the specified surgical technique.
Conditions
Conditions (3)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Endometriosis | — | UNRESOLVED | — |
| Endometrium Cancer | — | UNRESOLVED | — |
| Pelvic Prolapse | — | UNRESOLVED | — |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Pelvic and abdominal organ suspension technique | Procedure | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- label
- Pelvic Organ Suspension Patients
- description
- This group comprises patients who have undergone multiport or single-port access laparoscopic surgery (SPAL) at the Tertiary referral University Hospital of Cagliari, Italy. These patients suffer from benign (like endometriosis, pelvic prolapse) or malignant (like endometrial cancer) gynecological diseases. During their surgery, they have experienced at least one instance of the described pelvic organ suspension technique using an adjustable tension suture tied to a Foley catheter fragment for organ suspension.
- interventionNames
- Procedure: Pelvic and abdominal organ suspension technique
Primary outcomes (3)
- measure
- Safety of the Organ Suspension (OS)Technique
- timeFrame
- during the procedure
- description
- Incidence of OS-Related Complications: Measurement of the rate of organ-specific complications and injuries during the Organ Suspension (OS) technique.
- measure
- Efficacy of the Organ Suspension (Os) Tecnique
- timeFrame
Eligibility
Eligibility (as posted)
- Sex
- Female
Show eligibility criteria text
Inclusion Criteria: * Patients who underwent multiport or single-site-port laparoscopic surgery with at least one transient pelvic organ suspension. * Surgeries performed between March 2019 and May 2021. * Surgeries conducted in the specified tertiary referral hospital. * Patients who provided written informed consent for the surgical procedure and for the use of their personal data in scientific research. * Availability of medical records and videos of surgeries for data collection. * Patients who underwent surgery for one of the following conditions: * Deep infiltrating endometriosis (DIE) * Endometrial Cancer * Pelvic prolapse treated by laparoscopic surgical procedure * Single-port access laparoscopy for benign gynecological diseases * Surgeries performed by either senior surgeon (S.A.) or junior surgeon (M.N.D). Exclusion Criteria: * Surgeries conducted outside the timeframe of March 2019 to May 2021. * Surgeries not involving multiport or single-site-port laparoscopic surgery with pelvic organ suspension. * Patients who did not provide written informed consent. * Absence of medical records or surgery videos for data collection. * Surgeries not performed in the mentioned tertiary referral hospital. * Surgeries not primarily conducted for the specified indications (i.e., DIE, oncological disease, pelvic prolapse). * Surgeries not performed by the listed surgeons (S.A. or M.N.D).
References
Publications (5)
- BACKGROUNDAngioni S. New insights on endometriosis. Minerva Ginecol. 2017 Oct;69(5):438-439. doi: 10.23736/S0026-4784.17.04089-8. Epub 2017 May 25. No abstract available. PMID 28545294
- BACKGROUNDChaichian S, Saadat Mostafavi SR, Mehdizadehkashi A, Najmi Z, Tahermanesh K, Ahmadi Pishkuhi M, Jesmi F, Moazzami B. Hyaluronic acid gel application versus ovarian suspension for prevention of ovarian adhesions during laparoscopic surgery on endometrioma: a double-blind randomized clinical trial. BMC Womens Health. 2022 Feb 11;22(1):33. doi: 10.1186/s12905-022-01607-2. PMID 35148732
- BACKGROUNDChatzipapas I, Kathopoulis N, Kypriotis K, Samartzis K, Siemou P, Protopapas A. A simple technique for suspension and stabilization of retrieval bag and adnexa by anchoring to the abdominal wall. Clin Case Rep. 2021 Nov 19;9(11):e05056. doi: 10.1002/ccr3.5056. eCollection 2021 Nov. PMID 34840798
- BACKGROUNDThompson R, Cesta M, Pasic R. Improved Exposure in Minimally Invasive Excision of Endometriosis with Temporary Ovarian Suspension Using Carter-Thomason CloseSure System, a Novel Technique. J Minim Invasive Gynecol. 2021 Oct;28(10):1678. doi: 10.1016/j.jmig.2021.05.004. Epub 2021 May 17. PMID 34015526
- BACKGROUNDAbuzeid OM, Hebert J, Ashraf M, Mitwally M, Diamond MP, Abuzeid MI. Safety and efficacy of two techniques of temporary ovarian suspension to the anterior abdominal wall after operative laparoscopy. Facts Views Vis Obgyn. 2018 Jun;10(2):71-79. PMID 31110645