Impact of Reverse Trendelenburg on ONSD in Obesity Surgery
NCT07639502 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 90
Last updated 2026-07-14
Summary
This prospective randomized controlled trial aims to investigate the effect of reverse Trendelenburg positioning applied before pneumoperitoneum on optic nerve sheath diameter (ONSD) and, consequently, intracranial pressure during laparoscopic bariatric surgery. Patients will be randomly assigned to two groups, and perioperative changes in ONSD will be compared between the groups. The primary hypothesis of the study is that applying the reverse Trendelenburg position before pneumoperitoneum may attenuate ONSD enlargement and thereby help prevent increases in intracranial pressure.
Conditions
- Morbid Obesity
Interventions
- OTHER
-
Pre-pneumoperitoneum Reverse Trendelenburg Group
Patients are placed in the reverse Trendelenburg position before carbon dioxide insufflation and establishment of pneumoperitoneum.
Sponsors & Collaborators
-
Bagcilar Training and Research Hospital
lead OTHER_GOV
Principal Investigators
-
SEZEN KUMAS SOLAK, MD · Bagcılar Training Research Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2026-01-01
- Primary Completion
- 2026-04-15
- Completion
- 2026-06-01
Countries
- Turkey (Türkiye)
Study Locations
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