Perioperative Outcome of Infraumbilical Versus a Modified Intraumbilical Direct Trocar Insertion

Assiut University110 enrolled

Overview

Laparoscopic surgery is now a well-established alternative to open surgery for many gynecological disorders owing to its faster wound healing, shorter hospital stay, less postoperative pain, and better cosmetic results. Postoperative scar cosmoses is a critical issue for women, especially for young women. These scars may have negative impacts, such as psychological consequences. The symptoms associated with the wound, such as pain, tenderness, and itching, can be induced by the scars

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

110

Conditions

Gynecologic Disease

Interventions

infraumbilical transverse incisionPROCEDURE

a 10 mm infraumbilical transverse incision will be done to allow trocar to be inserted without undue resistance from the skin so that the trocar will pass through the fascia and the peritoneum with ease

intraumbilical incisionPROCEDURE

right sided curved longitudinal intraumbilical incision will be performed for initial intraperitoneal access

Eligibility

Sex: FEMALE

Medical Language ↔ Plain English

Inclusion Criteria: * All women subjected to direct trocar application as a part of any gynecologic procedure performed Exclusion Criteria: * Verres needle insertion. * Patients with previous abdominal surgery and scar, * umbilical hernia, * previous laparoscopy or previous umbilical surgery, * burns in the umbilical region; * who have hyperpigmented skins.

Locations (1)

Ahmed Abbas

Assiut, Cairo Governorate, Egypt

RECRUITING

Outcomes

Primary Outcomes

the mean difference in the duration of surgery

calculated from the onset of surgery till the end

Time frame: 30 minutes

Data from ClinicalTrials.gov

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