Laparoscopic surgery

Displaying 12 studies

  • A Study to Evaluate Pathologic Diagnosis of Endometriosis Compared to Gross Visualization Scottsdale/Phoenix, AZ

    The purpose of this study is to evaluate the diagnosis of endometriosis by gross visualization and compare to histologic evaluation during laparoscopic resection. By better understanding the polymorphic appearance of endometriosis, it will improve our diagnostic potential without having to rely on pathology. With this knowledge, it will improve patient centered care and possibly expedite treatment.

  • Laparoscopy vs. Robotic Surgery for Endometriosis (LAROSE): A Prospective Randomized Controlled Trial Scottsdale/Phoenix, AZ

    The objective of this study is to conduct a prospective randomized controlled trial of robotic-assisted versus conventional laparoscopy for the treatment of endometriosis.

  • Nicotine Administration and Post-operative Opioid Use With Bariatric Surgery Rochester, MN

    Though nicotine is known to be a mild analgesic, its use in the peri-operative period to reduce postoperative opioid requirements has only recently been investigated. In nonsmokers it has been shown to reduce postoperative pain and opioid requirements in both female patients undergoing uterine surgery and male patients undergoing prostatectomy. We have recently confirmed these findings in women undergoing uterine surgery by open, laparoscopic and vaginal approaches. In this study we found a 30% mean reduction of 24 hour postoperative opioid requirements following the administration of a 3 mg dose of nicotine nasal spray. Two previous studies with perioperative transdermal ...

  • A Study to Analyze the Microbiome and Immunology of the Lower and Upper Female Reproductive Tract in Women with Endometriosis Rochester, MN

    The purpose of this study is to map the female reproductive tract microbiome in patients with and without endometriosis to seek correlations of the microbiome to endometriosis, to determine if lower reproductive tract microbiome is predictive of upper reproductive tract changes by comparing composition of the microbiome in the lower and upper reproductive tracts, to explore immunologic differences in patients with and without endometriosis, compare presence of immunologic factors and cells between ectopic and eutopic endometrium, and to compare systemic immune system characteristics in patients with and without endometriosis using mass cytometry of peripheral blood samples.

  • Early Feasibility Study Of HyperQureTM RDN System, Laparoscopic Renal Denervation Therapy, In Patients With Resistant Hypertension Rochester, MN

    The purpose of this study is to evaluate initial safety and device design concept of "HyperQureTM RDN System", laparoscopic renal denervation therapy, in patients with resistant hypertension on three(3) or more antihypertensive medications

  • Abdominal Ice Packs for Pain Control and Reduction of Narcotic Use Following Laparoscopic Hysterectomy Rochester, MN

    The purpose of this study is to evaluate the effect of using ice packs on the abdomen immediately after laparoscopic hysterectomy surgery on pain control and narcotic pain medication use.

  • A Study of Perioperative Intravenous Lidocaine Infusion for Patients Undergoing Laparoscopic and Open Pancreatectomies Jacksonville, FL

    The purpose of this study is to evaluate if a lidocaine infusion during surgery will provide benefit to pancreatectomy patients in regards to analgesia and return of bowel function.

  • Return to Baseline Functional Status in Elderly Women Undergoing Pelvic Organ Prolapse Surgery Scottsdale/Phoenix, AZ

    Our primary aim is to determine the rate of return to baseline functional status 3 months post-operative pelvic organ prolapse surgery in women 65 years or older.  Our secondary aim is to identify preoperative factors that predict failure of return to baseline functional status.

  • A Study Of EMG Vs AMG In Robotic/Laparoscopic Surgery Jacksonville, FL

    The purpose of this study is to compare the mean cumulative weight-based/time-corrected rocuronium dose administered in patients undergoing robotic- or laparoscopic- assisted surgery using either acceleromyography or electromyography.

  • EPAD Monitoring of Patients Undergoing Robotic Assisted Laparoscopic Genitourinary Surgery Jacksonville, FL

    Participants to be enrolled in this study will have been scheduled to have laparoscopic genitourinary surgery and EPAD monitoring as part of their clinical care intraoperatively. Patients scheduled for genitourinary surgery are often at risk for developing nerve injuries due to intraoperative positioning. Somatosensory evoked potential devices (SSEP) are commonly used to detect pending injury to peripheral nerves. The purpose of the present study is to use SSEP monitoring to determine the incidence and potential causes of significant changes in SSEP waveforms and correlate these changes with neurologic status of the brachial plexus after robotic surgery.

  • A Study to Assess Outcomes Based on Different Surgical Approaches to Minimally-invasive Gallbladder Surgery Rochester, MN

    The purpose of this study is to compare the outcomes of patients who had standard laparoscopic port placement compared to non-standard port placement to determine any difference in occurrence of post-operative hernia and operative complications.

     

     

     

     

  • Perioperative Ketamine for Pain With Gastric Bypass Scottsdale/Phoenix, AZ

    Opioid medications such as morphine, hydrocodone and oxycodone are standard for treating pain after surgery, however there are disadvantages. Because of the way opioids work, gastric bypass patients may have an increased risk of having sedation or problems with breathing. In patients with sleep apnea, opioids may increase the risk of severe apnea. Ketamine is an alternative pain medicine that can be used to treat pain after surgery and may have fewer effects on breathing. Using ketamine as part of the regimen may be a better choice for laparoscopic gastric bypass patients. This study is being done to find out ...

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