Natural Orifice Specimen Extraction in Sigmoid Volvulus

Natural Orifice Specimen Extraction in Sigmoid Volvulus Patients

Sigmoid resection can be performed using conventional and laparoscopic methods. There are few publications in the literature reporting specimen removal from the natural hole in patients with a diagnosis of sigmoid volvulus. Here, the investigators aimed to present the literature that transanal specimen removal is a technically feasible method after laparoscopic surgery in patients with sigmoid volvulus.

Study Overview

• Status: Completed
• Conditions: Mortality; Morbidity
• Intervention / Treatment: Procedure: Natural Orifice Specimen Extraction

Detailed Description

Sigmoid resection can be performed using conventional and laparoscopic methods. There are few publications in the literature reporting specimen removal from the natural hole in patients with a diagnosis of sigmoid volvulus. Here, the investigators aimed to present the literature that transanal specimen removal is a technically feasible method after laparoscopic surgery in patients with sigmoid volvulus. The documents of patients who were operated on for sigmoid volvulus between 2018 and 2019 were retrospectively reviewed. Patients who had been used transanal for specimen extraction by elective laparoscopic sigmoid colon resection were included in the study. Patients' gender, age, comorbidity, operation time, operative difficulties, complications, length of stay, and mortality findings were analyzed. Laparoscopic sigmoid resection and transanal specimen removal were performed in eight patients. Specimen extraction surgery from the natural hole is increasingly preferred. the investigators think that natural hole surgery can be performed more easily and reliably in sigmoid volvulus due to the large diameter of the colon.

• Study Type: Observational
• Enrollment (Actual): 8

Contacts and Locations

Study Locations

• Turkey
  • Gaziantep, Turkey
    • Dr. Ersin Arslan Training and Resource Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

sigmoid volvulus patients

Description

Inclusion Criteria:

• transanal for specimen extraction by elective laparoscopic sigmoid colon resection

Exclusion Criteria:

• emergency surgery
• conventional open sigmoid resection
• conventional laparoscopic sigmoid resection

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
mortality	mortality after this procedure	1 year
morbidity	morbidity after this procedure	through study completion, an average of 1 year

Collaborators and Investigators

• Sponsor: Dr. Ersin Arslan Education and Training Hospital
• Collaborators: Inonu University

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2018
• Primary Completion (Actual): January 15, 2020
• Study Completion (Actual): January 20, 2021

Study Registration Dates

• First Submitted: February 1, 2021
• First Submitted That Met QC Criteria: February 4, 2021
• First Posted (Actual): February 5, 2021

Study Record Updates

• Last Update Posted (Actual): February 5, 2021
• Last Update Submitted That Met QC Criteria: February 4, 2021
• Last Verified: February 1, 2021

More Information

Terms related to this study

• Keywords: laparoscopy; colon; volvulus; sigmoid; natural orifice
• Additional Relevant MeSH Terms: Digestive System Diseases; Gastrointestinal Diseases; Intestinal Diseases; Pathological Conditions, Anatomical; Intestinal Obstruction; Torsion Abnormality; Intestinal Volvulus
• Other Study ID Numbers: 2020/178

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No