Semi-sitting Versus Supine Position in Endoscopic Skull Base Surgery (PosESS)
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- STATUS
- Recruiting
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- End date
- Aug 20, 2023
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- participants needed
- 54
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- sponsor
- University Hospital, Basel, Switzerland
Summary
This study is to prospectively compare the standard supine (control group) and the semi-sitting position (head elevation of 30°; intervention group) in endoscopic endonasal pituitary surgery.
Description
The endonasal endoscopic approach (EEA) for pituitary surgery is standardly performed with the patient in supine position (SP). The semi-sitting position (SSP) is routinely used for the traditional microscopic transsphenoidal approach and also for posterior fossa surgery. The SSP results in lower intracranial pressure when compared to the supine position due to decreased venous congestion. As a result, intraoperative bleeding may be reduced, potentially leading to decreased surgical morbidity and improved surgical workflow. Studies during endoscopic sinus surgery have shown a significant reduction of blood loss when the patient is placed in a reverse Trendelenburg position with a head elevation of 30°. This study is to prospectively compare the standard supine (control group) and the semi-sitting position (head elevation of 30°; intervention group) in endoscopic endonasal pituitary surgery.
Details
| Condition | Pituitary Adenoma |
|---|---|
| Treatment | Endonasal endoscopic pituitary surgery in semi-sitting position, Endonasal endoscopic pituitary surgery in supine position |
| Clinical Study Identifier | NCT04584866 |
| Sponsor | University Hospital, Basel, Switzerland |
| Last Modified on | 20 April 2022 |
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