Anatomy, Hysterectomy, Laparoscopy, Uterine Artery
Conditions
Brief summary
One of the fundamental surgical steps in patients undergoing laparoscopic hysterectomy is the closure of the uterine artery, this vessel provides the greatest blood supply to the uterus. This step can be done in two ways: the surgeon can choose to interrupt the blood flow by closing the uterine artery in its last part, close to the uterus, or the surgeon can develop the anatomical spaces around the uterus into the deep pelvis, closing it to its origin, maintaining a minimally invasive approach in both cases. Scientific research has tried to establish whether one of the two modalities is the best in reducing intraoperative blood loss and possible complications, but currently there is not enough evidence to recommend an approach rather than another. The investigator has therefore decided to evaluate the results at the end of a laparoscopic hysterectomy in a scientifically rigorous manner.
Interventions
PROCEDUREuterine artery closure
Interruption the uterine blood flow by closing the uterine artery at its cervical-isthmic part or at its origin.
Sponsors
Ospedale degli Infermi di Biella
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* benign disease * elective laparoscopic hysterectomy
Exclusion criteria
* malignant disease * emergency laparoscopic hysterectomy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| estimated blood loss | End of surgical procedure | ml |
Countries
Italy
Outcome results
None listed