Total Extraperitoneal Approach in Orthopedic Surgery

Bakirkoy Dr. Sadi Konuk Research and Training Hospital15 enrolled

Overview

The goal of this retrospective observational study is to evaluate the preliminary clinical and functional outcomes of total extraperitoneal approach (O-TEP) symphysial plating in patients with pubic symphysis diastasis (PSD). The study involved 15 patients (90% male, mean age 40) treated between March 2022 and May 2024. The main questions it aims to answer are: What are the clinical outcomes (e.g., VAS scores, Iowa Pelvic Scores, Majeed scores) following O-TEP symphysial plating? What are the surgical outcomes, including operating time, blood loss, and complications, associated with this minimally invasive technique? Participants underwent: Total extraperitoneal endoscopic symphysial plating, with follow-up assessments including postoperative pain scores, radiographs, and functional outcome evaluations using the Iowa Pelvic and Majeed scores. Researchers will analyze the outcomes to see if this approach offers advantages over traditional open surgery, potentially reducing complications and improving recovery in PSD patients.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Pubic Symphysis Diastasis

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients diagnosed with pubic symphysis diastasis (PSD). * Patients who underwent total extraperitoneal endoscopic symphysial plating (O-TEP) between March 2022 and May 2024. * Patients with a follow-up period of at least 12 months. * Patients who provided informed consent for the surgical procedure and the study. Exclusion Criteria: * Patients who required conversion to open surgery during the procedure (e.g., due to pneumoperitoneum). * Patients with a follow-up period of less than 12 months. * Patients with incomplete clinical or radiological data. * Patients with contraindications to endoscopic surgery. * Patients who did not provide informed consent for the study.

Outcomes

Primary Outcomes

Operating Time

Time taken to complete the surgical procedure.

Time frame: 24 hours (after surgical procedure)

Intraoperative Blood Loss

Amount of blood lost during the surgical procedure.

Time frame: 24 hours (after surgical procedure)

Secondary Outcomes

Postoperative Pain (VAS Scores)

The VAS is scored from 0 to 10, where 0 represents no pain and 10 represents the worst imaginable pain.

Time frame: until the final follow-up (12 to 25 months)

Hospital Stay Duration

The total number of days the patient stays in the hospital from the day of surgery until discharge.

Time frame: From the day of surgery until discharge (typically 2 to 4 days). Unit of Measure: Days

Complications

Any postoperative complications, including infection, implant failure, or the need for revision surgery.

Time frame: From the day of surgery until the final follow-up (12 to 25 months). Unit of Measure: Number of patients with complications.