vNOTES versus laparoscopic salpingectomy for ectopic pregnancy
Official title: Comparison of vNOTES (Vaginal Natural Orifice Transluminal Endoscopic Surgery) Salpingectomy and Laparoscopic Salpingectomy Performed for Ectopic Pregnancy
Run by Gaziosmanpasa Research and Education Hospital · NCT07057115 · Data updated 2026-11-12
This trial tests whether vNOTES or conventional laparoscopic salpingectomy gives faster recovery, less postoperative pain, and similar safety for women aged 18–55 who need surgery for ectopic pregnancy.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 55 Years |
| Sex | Women only |
| Enrollment | 56 (estimated) |
| Sponsor | Gaziosmanpasa Research and Education Hospital Government |
| Locations | 1 site (Istanbul) |
| Status | Recruiting |
| Started | July 1, 2025 |
| Main results expected | January 1, 2026 |
| Study ends | June 1, 2026 |
| Registry record updated | August 5, 2025 |
| Trial ID | NCT07057115 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Women aged 18–55 diagnosed with ectopic pregnancy who are not candidates for medical treatment and who are medically fit for surgery without contraindicating systemic disease would be appropriate participants.
✕Probably not a fit
People whose ectopic pregnancy can be treated medically, or who have advanced pelvic infection, significant pelvic anatomical abnormalities, immunodeficiency, or other systemic conditions that make surgery unsafe, are unlikely to benefit from this trial.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The trial compares two surgical approaches—vaginal natural orifice transluminal endoscopic surgery (vNOTES) salpingectomy and conventional laparoscopic salpingectomy—in women diagnosed with ectopic pregnancy who require operative management. Eligible and consenting participants will undergo one of the two procedures and be followed for outcomes such as operative time, postoperative pain scores, complication rates, hospital stay length, and time to recovery. The study is designed to test the feasibility, safety, and effectiveness of vNOTES as an alternative minimally invasive technique to standard laparoscopy. Standardized perioperative care and outcome measures will be used to enable direct comparison between the groups.
Why it matters
Potential benefit: If successful, vNOTES could reduce postoperative pain and shorten hospital stay and recovery time compared with standard laparoscopy.
How similar studies have gone: vNOTES has shown promising results in other gynecologic procedures for reduced pain and quicker recovery, but randomized data specifically for ectopic pregnancy are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Women diagnosed with ectopic pregnancy Without heterotopic pregnancy Women aged 18-55 years, within reproductive age Patients for whom medical treatment is not appropriate Patients requiring surgical intervention Patients without systemic diseases that may contraindicate surgery Patients who have signed and approved the informed consent form to participate in the study Exclusion Criteria: Ectopic pregnancy cases that can be treated with medical therapy Patients with advanced pelvic infections or pelvic anatomical abnormalities Patients with immunodeficiency or systemic diseases that contraindicate surgery
Where it's running
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Gaziosmanpaşa Training and Research Hospital
Istanbul, Turkey (Türkiye) Recruiting
Study contacts
- Principal investigator: havva betül bacak, md — Gaziosmanpaşa training and research hospital
- Study coordinator: yağmur aciyiyen, md
- Email: yagmuraciyiyen@gmail.com
- Phone: +90 5425669593
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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PTSD after ectopic pregnancy
This project will test how common PTSD symptoms are in women who have had an ectopic pregnancy by asking them to complete brief questionnaires.
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Methotrexate for ectopic pregnancy in patients with relative contraindications
This review will see if methotrexate worked safely and effectively for women with ectopic pregnancy who had conditions that make the drug relatively risky.
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This trial tests if using a secure connected health app for remote follow-up improves satisfaction and clinical outcomes for women aged 18–60 after emergency gynecological visits.
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Using Letrozole to Treat Ectopic Pregnancy
This study is testing if a daily pill called letrozole can effectively treat early ectopic pregnancies just as well as the usual shot of methotrexate.
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.