Obstetric Outcomes After Transvaginal Specimen Extraction in Gynecological Laparoscopy

Study Overview
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Brief Summary
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One of the most important downsides of endoscopic surgery is the need to remove surgical specimens of different sizes through very small incisions. This step should ensure the complete retrieval of the surgical specimen with concomitant preservation of its integrity (if possible) in order to avoid intraabdominal contamination of potentially infected or malignant tissues. Possibilities for specimen extraction during laparoscopy include minilaparotomy, enlargement of an ancillary port, transumbilical extraction, and transvaginal extraction through posterior colpotomy. Although recent evidence has already suggested that transvaginal extraction through posterior colpotomy is a safe and feasible option, to date there are no published data about obstetric outcomes after this procedure. For this reason, the current study aims to evaluate obstetric outcomes between women that underwent transvaginal specimen extraction through posterior colpotomy and women who did not.

Official Title
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Evaluation of Obstetric Outcomes After Transvaginal Specimen Extraction in Gynecological Laparoscopy

Conditions
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Pregnancy Complications, Delivery;Abnormal;Stillbirth

Intervention / Treatment
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* Procedure: Transvaginal specimen extraction


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Pregnancy Exclusion Criteria: Any pre-existent cause of high risk for adverse obstetric outcomes.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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Female

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Transvaginal specimen extraction (cases)<br>Pregnant women that underwent previous laparoscopic myomectomy or ovarian cystectomy with transvaginal specimen extraction. | Procedure: Transvaginal specimen extraction<br>* Previous transvaginal specimen extraction through posterior colpotomy.<br>|
| Controls<br>Pregnant women that did not undergo previous laparoscopic myomectomy or ovarian cystectomy with transvaginal specimen extraction. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cesarean sections | Percentage of cesarean sections | During the whole study period (2 years). | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Operative deliveries | Percentage of operative deliveries | During the whole study period (2 years). | 
| Gestational age at deliveries | Gestational age at the moment of delivery. | During the whole study period (2 years). | 
| Pregnancy complications | Percentages of complications occurring during pregnancies. | During the whole study period (2 years). | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Obstetric outcomes, Transvaginal specimen extraction, Gynecological laparoscopy