Myomectomy
Conditions
Brief summary
the aim of the present study is to compare safety and efficacy of intravenous tranexamic acid versus IV carbetocin in reducing blood loss during abdominal myomectomy: a randomized controlled trial
Interventions
The tranexamic acid (TXA) group will receive a single bolus IV injection of 15 mg/kg of TXA 20 minutes before surgical incision
The carbetocin group will receive a single bolus IV injection of 100 mcg of carbetocin 20 minutes before surgical incision
the placebo group will be given a normal saline IV bolus 20 minutes before surgical incision
Sponsors
Study design
Eligibility
Inclusion criteria
* women with symptomatic fibroids candidate for abdominal myomectomy with staging of myoma from (3 to 6) according to FIGO staging
Exclusion criteria
* women with Myoma FIGO staging (1,2,7 and 8) candidate for laparoscopic or hysteroscopic myomectomy, women with allergy or contraindications to carbetocin or tranexamic acid
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| intraoperative blood loss | one hour | the intraoperative blood loss in ml will be estimated during the procedure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| need for blood transfusion | 24 hours | need for intraoperative or postoperative blood transfusion |