Clinical trial Recruiting at 1 site Interventional Ages 18 to 55 Women only

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 typeInterventional
Ages18 Years to 55 Years
SexWomen only
Enrollment56 (estimated)
SponsorGaziosmanpasa Research and Education Hospital
Government
Locations1 site (Istanbul)
StatusRecruiting
StartedJuly 1, 2025
Main results expectedJanuary 1, 2026
Study endsJune 1, 2026
Registry record updatedAugust 5, 2025
Trial IDNCT07057115 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

  • 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

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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.