Comparing standard and lower pressure in laparoscopic surgery
Official title: Standard vs. Lower Pressure Pneumoperitoneum in Laparoscopic Gynecologic Surgery: A Randomized Controlled Trial
Run by Cedars-Sinai Medical Center · NCT06338865 · Data updated 2026-11-12
This study is testing if using lower pressure during laparoscopic gynecologic surgery can help reduce post-operative pain while still allowing doctors to see clearly during the procedure.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 294 (estimated) |
| Sponsor | Cedars-Sinai Medical Center Academic / other |
| Locations | 1 site (Los Angeles, California) |
| Status | Recruiting |
| Started | May 3, 2024 |
| Main results expected | April 2027 |
| Study ends | April 2027 |
| Registry record updated | May 10, 2024 |
| Trial ID | NCT06338865 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 and older who are scheduled for laparoscopic gynecologic surgery at Cedars-Sinai Medical Center.
✕Probably not a fit
Patients who are pregnant, undergoing urgent surgery, or have certain allergies or baseline opioid use may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study investigates how different insufflation pressures affect post-operative pain and surgical field visibility in patients undergoing laparoscopic gynecologic surgery. It is a single-center, single-blinded randomized controlled trial that will compare three groups with varying pressures: 15mmHg (standard), 12mmHg, and 10mmHg. Participants will be randomly assigned to one of the three groups, and the study will include both conventional and robotic-assisted laparoscopic procedures. The goal is to determine if lower pressures can reduce pain without compromising the surgical view.
Why it matters
Potential benefit: If successful, this study could lead to reduced post-operative pain for patients undergoing laparoscopic gynecologic surgery.
How similar studies have gone: Other studies have explored varying insufflation pressures in laparoscopic surgery, but this specific approach is novel in its focus on gynecologic procedures.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Provision of signed and dated informed consent form * Stated willingness to comply with all study procedures and availability for the duration of the study * 18 years of age or older * Undergoing laparoscopic surgery at Cedars-Sinai Medical Center with a surgeon in the Minimally Invasive Gynecologic Surgery division. Exclusion Criteria: * Pregnancy * Urgent/non-scheduled surgery * Scheduled for planned or possible concomitant non-gynecologic surgery (e.g., urologic or colorectal procedure) * Baseline opioid use * Allergy or intolerance to bupivacaine (or amide class of anesthetics), oxycodone, acetaminophen, or ibuprofen * Planned post-operative admission
Where it's running
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Cedars-Sinai Medical Center
Los Angeles, California, United States Recruiting
Study contacts
- Principal investigator: Matthew Siedhoff, MD — Cedars-Sinai Medical Center
- Study coordinator: Rebecca Schneyer, MD
- Email: rebecca.schneyer@cshs.org
- Phone: 914-391-2604
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.