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NOT YET RECRUITING
NCT07704242

Early Kidney Injury Biomarkers in Gynecologic Laparoscopic Surgery

Sponsor: Medipol University

View on ClinicalTrials.gov

Summary

This prospective observational study aims to evaluate early subclinical acute kidney injury associated with pneumoperitoneum and Trendelenburg positioning during gynecological laparoscopic surgery. Urinary neutrophil gelatinase-associated lipocalin (NGAL) and kidney injury molecule-1 (KIM-1) levels will be measured and normalized to urinary creatinine. Biomarker changes will be compared between patients undergoing surgery in 30° and 45° Trendelenburg positions. The study seeks to determine whether these biomarkers can detect early renal injury before clinically significant changes in serum creatinine occur.

Official title: Comparative Analysis of Urinary NGAL and KIM-1 Levels in Predicting Subclinical Acute Kidney Injury Secondary to Pneumoperitoneum and Deep Trendelenburg Position in Gynecological Laparoscopic Surgery

Key Details

Gender

FEMALE

Age Range

18 Years - Any

Study Type

OBSERVATIONAL

Enrollment

50

Start Date

2026-08-01

Completion Date

2027-03-01

Last Updated

2026-07-15

Healthy Volunteers

No

Interventions

PROCEDURE

Pneumoperitoneum and Trendelenburg Positioning

Standard intraoperative carbon dioxide pneumoperitoneum combined with either 30° or 45° Trendelenburg positioning during laparoscopic surgery

Locations (1)

Medipol Mega University Hospital

Istanbul, Istanbul, Turkey (Türkiye)