Endometriosis
Conditions
Keywords
Endometriosis, Laparoscopy, Barbed sutures
Brief summary
The aim of this randomized controlled trial is to compare operative data and early postoperative outcomes of laparoscopic excision of endometrioma using barbed sutures with those of laparoscopic excision of endometrioma using conventional sutures.
Detailed description
Several authors reported the use of barbed sutures in myomectomy , hysterectomy and closure of vaginal vault. A recent meta-analysis comparing the efficacy of laparoscopic suturing using barbed suture or conventional sutures in myomectomy or hysterectomy revealed that suturing with barbed sutures was associated with less suturing time and operative time. Although numerous studies revealed the advantages of using barbed sutures , no studies have yet evaluated the use of barbed sutures in laparoscopic excision of endometrioma. The aim of this randomized controlled trial is to compare operative data and early postoperative outcomes of laparoscopic excision of endometrioma using barbed sutures with those of laparoscopic excision of endometrioma using conventional sutures.
Interventions
PROCEDURECystectomy using barbed sutures
A sharp transverse cortical incision was made over the endometroma using unipolar hook and a cleavage plane was developed by sharp dissection. After the identification of the cleavage plane, the entire cyst will be enucleated by means of adequate traction with a strong grasper and counter-traction maneuvers with another grasping forceps . The ovarian edges will be re-approximated by using V-Loc (Covidien, Mansfield, MA).
PROCEDURECystectomy using conventional sutures
A sharp transverse cortical incision was made over the endometroma using unipolar hook and a cleavage plane was developed by sharp dissection. After the identification of the cleavage plane, the entire cyst will be enucleated by means of adequate traction with a strong grasper and counter-traction maneuvers with another grasping forceps . The ovarian edges will be re-approximated by using polyglactin 910 suture(VICRYL™.; Ethicon Inc, Sommerville, NJ) .
DEVICEV-Loc (Covidien, Mansfield, MA)
DEVICEpolyglactin 910 suture(VICRYL™, Ethicon Inc, Sommerville, NJ)
Sponsors
Aljazeera Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
* Unilateral endometrioma more than 3 cm in mean diameter
Exclusion criteria
* Bilateral endometriomata * Conversion of laparoscopy to laparotomy * Contraindications for general anesthesia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Suturing time of endometrioma bed | During cystectomy operation |
Secondary
| Measure | Time frame |
|---|---|
| Operative time | During cystectomy operation |
Countries
Egypt
Contacts
Primary ContactUsama M Fouda, M.D,PhD
Outcome results
None listed