disease of uterus
Conditions
Interventions
vNOTES:trans-vaginal natural orifice transluminal endoscopic total hysterectomy
TU-LESS:trans-umbilical laparoendoscopic single site surgery
conventional laparoscopic surgery:conventional laparoscopy
Sponsors
Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University
Eligibility
Sex/Gender
Female
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: 1.18-60 year old female; 2. Indications for total hysterectomy (hysteromyoma, adenomyosis, cervical precancerous lesions, endometrial atypical hyperplasia, cervical adenocarcinoma in situ), and total hysterectomy is planned; 3. The patients participating in the study recognized three surgical routes and were willing to accept any one of the three at random; 4. Sign the operation consent voluntarily; 5. The score of ECOG function is greater than 1 point.
Exclusion criteria
Exclusion criteria: 1. Asexual life; 2. The cyst should be removed at the same time or combined with other vulva, vagina, appendix and other diseases, and surgical intervention is required at the same time; 3. Malignant tumor or highly suspicious malignant tumor; 4. History of two or more pelvic operations, severe pelvic adhesions (suspected of rectal endometriosis, or poor uterine activity); 5. History of peritoneal dialysis, pelvic radiotherapy, and previous history of pelvic laparoscopic tuberculosis; 6. Uterus > 3 months of pregnancy (ultrasound indicates that the maximum diameter of the uterus is greater than 12 cm); 7. diabetes with poor blood sugar control; 8.BMI>30Kg/m2 9. Patients with poor compliance or far distance from enough follow-up.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Enhanced recovery index achievement rate after surgery within 24 hours; | — |
Secondary
| Measure | Time frame |
|---|---|
| operative time;estimated blood loss;conversion;postoperative passing flatus;postoperative activity time;postoperative urination time;postoperative fluid intake time;time of postoperative VAS score=3;intraoperative and postoperative complication;postoperative VAS score at 12h and 24h;Postoperative analgesics usage;postoperative readmission rate within 3 month;cosmetic satisfaction;Sexual satisfaction; | — |
Countries
China
Contacts
Public ContactYing Zheng
Department of Obstetrics and Gynecology, West China Second Hospital, Sichuan University
Outcome results
None listed