Hysterectomy, Laparoscopy, Large Uteri, Uterine Bisection
Conditions
Brief summary
Large uteri present a challenge during Total lap.hysterectomy and its extraction is another challenge. This study addressees and compare 2 methods of retrieval of large uteri
Detailed description
Despite a number of publications about TLH for large uterus, few surgeons have compared the results of their technique of TLH through the vagina or abdominal bisection. The aim of this study was to compare the clinical results of TLH for large uterus through transvaginal or abdominal bisection approaches after strict preoperative assessment.
Interventions
PROCEDUREVaginal bisection
Uterine bisection vaginally by scalpel 24
PROCEDUREAbdominal bisection
Uterine bisection by endokinfe
Sponsors
Tanta University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
Closed envelopes containing allocations
Intervention model description
2 groups parallel allocation
Eligibility
Sex/Gender
FEMALE
Age
30 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* large uterus ≥ 12weeks, * benign pathology, * mobile uterus * BMI less than 30kg/m2
Exclusion criteria
* unfit for laparoscopy, * Extensive pelvic adhesions, * Extensive endometriosis * malignancy * virgin cases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Retrieval time of uterus | 6 months | Time from end of colpotomy to extraction of uterus |
| Blood loss | 6 months | Amount of blood in suction |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Injury of other organs | 6 months | Number of cases with intraoperative injuries |
Countries
Egypt
Outcome results
None listed