---
title: Evaluation of Cerebral Venous Return With Internal Jugular Vein Blood Flow in Gynecological Laparoscopic Surgery
nct_id: NCT04922060
overall_status: UNKNOWN
sponsor: Selcuk University
study_type: OBSERVATIONAL
primary_condition: Internal Jugular Vein (IJV) Blood Flow in Gynecological Laparoscopic Surgery
canonical_url: "https://parkinsonspathways.com/agent/trials/NCT04922060.md"
clinicaltrials_gov: "https://clinicaltrials.gov/study/NCT04922060"
ct_last_update_post_date: 2021-06-15
last_seen_at: "2026-05-12T06:09:31.885Z"
source: ClinicalTrials.gov (mirrored, no enrichment)
---
# Evaluation of Cerebral Venous Return With Internal Jugular Vein Blood Flow in Gynecological Laparoscopic Surgery

**NCT ID:** [NCT04922060](https://clinicaltrials.gov/study/NCT04922060)

## Key Facts

- **Status:** UNKNOWN
- **Study Type:** OBSERVATIONAL
- **Target Enrollment:** 20
- **Lead Sponsor:** Selcuk University
- **Conditions:** Internal Jugular Vein (IJV) Blood Flow in Gynecological Laparoscopic Surgery
- **Start Date:** 2021-06-08
- **Completion Date:** 2021-06-30
- **CT.gov Last Update:** 2021-06-15

## Brief Summary

The steep Trendelenburg position (STP) provides an advantage in laparoscopic procedures as it optimizes the surgical image. In laparoscopic operations, the need for CO2 pneumoperitoneum (PP), together with this non-physiological position, raises concerns about the patient's physiological homeostasis. Although most patients seem to tolerate the combination of STP and PP, this method carries risks of ICP (intracranial pressure) and brain perfusion. The head-down position increases arterial pressure as well as CVP, thereby disrupting cerebral venous drainage and increasing hydrostatic pressures in the cerebral vascular system. This increases cerebrovascular resistance and decreases cerebral blood flow by increasing ICP and cerebral edema. Systemic CO2 absorption from pneumoperitoneum causes hypercarbia. Hypercarbia can increase cerebral blood flow through cerebral vasodilation.

Seventy-four percent to 95% of cerebral venous drainage in the supine position is provided by IJVs. Studies have shown that IJVs, which are responsible for most cerebral venous drainage, exhibit changes in diameter and blood flow due to TP. These studies were generally conducted on moderate TP and on healthy volunteers. In this study, we aim to evaluate the effects of a steep Trendelenburg position (25°) and pneumoperitoneum on IJV blood flow in patients undergoing operation under general anesthesia

## Eligibility

- **Minimum age:** 18 Years
- **Maximum age:** 65 Years
- **Sex:** FEMALE
- **Healthy Volunteers:** No

```
Inclusion Criteria:

ASA I-II physical status age between 18 and 65 years planned gynecological laparoscopic surgery. -

Exclusion Criteria:

history of head and neck surgery history of cerebrovascular disease ASA III-IV physical status

\-
```

## Primary Outcomes

- **Change in internal jugular vein blood flow in laparoscopic gynecological cases** _(time frame: 90 minute)_ — to evaluate the effects of the pneumoperitoneum (PP) and steep Trendelenburg position (STP) on cerebral venous return with internal jugular vein (IJV) blood flow in gynecological laparoscopic surgery

## Recent Field Changes (last 30 days)

- `sponsor.lead` — added _(2026-05-12)_
- `results.hasResults` — added _(2026-05-12)_
- `status.overallStatus` — added _(2026-05-12)_
- `status.primaryCompletionDate` — added _(2026-05-12)_
- `status.completionDate` — added _(2026-05-12)_
- `status.lastUpdatePostDate` — added _(2026-05-12)_
- `design.enrollmentCount` — added _(2026-05-12)_
- `eligibility.criteria` — added _(2026-05-12)_
- `eligibility.minAge` — added _(2026-05-12)_
- `eligibility.maxAge` — added _(2026-05-12)_
- `eligibility.sex` — added _(2026-05-12)_
- `outcomes.primary` — added _(2026-05-12)_

---

*Canonical: https://parkinsonspathways.com/agent/trials/NCT04922060.md*  
*Source data (authoritative): https://clinicaltrials.gov/study/NCT04922060*  
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