Clinical trial Recruiting at 1 site Observational Women only

Feasibility of paired non-invasive blood flow and tissue oxygen monitoring to detect limb ischemia during lithotomy-position surgeries

Official title: Feasibility and Clinical Utility of Paired Non-Invasive Hemodynamic and Tissue Oximetry Monitoring to Detect Limb Ischemia in Lithotomy-Positioned Surgeries

Run by The University of Texas Health Science Center, Houston · NCT07387653 · Data updated 2026-11-12

This study tests whether using combined non-invasive blood flow monitoring and tissue oxygen sensors during long lithotomy surgeries can help detect early limb ischemia in adults.

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Quick facts

Study typeObservational
SexWomen only
Enrollment30 (estimated)
SponsorThe University of Texas Health Science Center, Houston
Academic / other
Locations2 sites (Houston, Texas and 1 other locations)
StatusRecruiting
StartedJanuary 29, 2026
Main results expectedJune 30, 2026
Study endsDecember 2026
Registry record updatedMay 14, 2026
Trial IDNCT07387653 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults undergoing prolonged minimally invasive pelvic surgery in lithotomy position, with expected duration over 2 hours.

Probably not a fit

Patients whose limb perfusion remains adequate during surgery or who do not develop ischemic changes may not derive a direct benefit from monitoring.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a prospective, observational pilot study enrolling about 30 adults undergoing minimally invasive pelvic surgeries in lithotomy position for at least 2 hours. The study uses two non-invasive devices to continuously monitor hemodynamics and tissue oxygenation in the lower limbs to see how often and how long tissue desaturation occurs and how those events relate to later limb pain, sensation, and motor function. It is non-interventional with minimal risk, aiming to generate preliminary data to guide future prevention and detection strategies for limb ischemia and well-leg syndrome. The primary outcome is desaturation frequency and duration; secondary outcomes explore associations with postoperative limb outcomes. Data will inform whether this monitoring approach can enhance early identification of limb ischemia during surgery.

Why it matters

Potential benefit: If successful, this approach could allow earlier detection of limb ischemia during surgery and inform prevention strategies to reduce postoperative limb complications.

How similar studies have gone: Previous non-invasive monitoring methods have shown potential in correlating tissue oxygenation with ischemia in other settings, but this specific paired approach in lithotomy-position surgeries is exploratory.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Adult patients
2. Undergoing minimally invasive pelvic surgery (such as hysterectomy, myomectomy, or endometriosis surgery)
3. Surgery performed in lithotomy position
4. Expected surgical duration \> 2 hours as determined by the primary surgeon

Exclusion Criteria:

1. Pregnant patients
2. Procedures expected to last \< 2 hours
3. Open surgical approaches
4. Minor procedures
5. Known allergy or sensitivity to adhesives used for monitoring sensors
6. Vulnerable populations (incarcerated, elderly or pregnant)

Where it's running

  • Memorial Hermann Hospital
    Houston, Texas, United States
    Recruiting
  • Memorial Hermann Medical Center
    Houston, Texas, United States
    Not yet recruiting

Study contacts

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.