Surgical Evacuation of Abortion Under Ultrasonographic Guide

Surgical Evacuation of First Trimester Missed Miscarriage With or Without Use of Transabdominal Ultrasound

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT02580175

Enrollment

200

Registered

2015-10-20

Start date

2014-05-31

Completion date

2015-05-31

Last updated

2024-07-31

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Abortion

Brief summary

Abortion is considered the most common cause of fetal demise all over the world. The majority of cases occur in the first trimester. The termination of abortion may be by medical or surgical methods, however; the surgical methods represent the greater part of termination. Therefore, the safety of this procedure is a worldwide public health concern. Many clinical studies have reported the safety of surgical evacuation in the first trimester. The suction-aspiration or vacuum aspiration is the most common surgical method of induced abortion. This consists of removing the fetus, embryo, placenta, and membranes by suction using a manual syringe or electric pump. However; these techniques always need cervical dilation before aspiration. The menstrual extraction does not require cervical dilation and can be used in very early pregnancy.

Interventions

PROCEDUREBlinded evacuation

Ring evacuation was performed in the conventional way without use of ultrasound followed by sharp gentle curettage until complete evacuation.

PROCEDUREEvacuation under ultrasound guidance

Ring evacuation was performed under ultrasound guidance followed by sharp gentle curettage until complete evacuation. The surgery was considered complete when the endometrial cavity appeared as a regular echogenic line.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

PREVENTION

Masking

SINGLE (Subject)

Eligibility

Sex/Gender

FEMALE

Age

20 Years to 40 Years

Healthy volunteers

Inclusion criteria

* women with non-viable first trimester intrauterine pregnancy * no contraindication to surgical evacuation under general anesthesia

Exclusion criteria

* gestational age more than 13 weeks * hemodynamically unstable * suspicion of an ectopic pregnancy

Design outcomes

Primary

Measure	Time frame
Measurement of endometrial thickness by ultrasound (mm)	1 month

Secondary

Measure	Time frame
Measurement of blood loss (mL)	1 month
measurement of operative time (minutes)	1 month
measurement of Hemoglobin level(g/ml)	1 month

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026