Laparoscopic Myomectomy
Conditions
Brief summary
the purpose of this study is to examine how Umbilico-uterine trunk occlusion reduces surgery-associated blood loss in Laparoscopic Myomectomy.
Interventions
PROCEDUREumbilico-uterine trunk occlusion
participants will undergo umbilico-uterine trunk occlusion during laparoscopic myomectomy
PROCEDURElocal epinephrine infiltration
participants will undergo local injections of epinephrine into the serosal and/or myometrium, covering the myoma before the uterine incision during laparoscopic myomectomy
Sponsors
Minia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
19 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Age between 19 and 45 * Symptoms of menorrhagia, pelvic pain, or infertility * Plan to have a laparoscopic myomectomy * Number of myomas ≤ 4, with the largest myoma measuring ≤ 9 cm
Exclusion criteria
* Postmenopausal status * Dominant pedunculated subserosal FIGO classification (6-7) * Submucosal type of myoma FIGO classification (0-2) * Suspicion of malignant uterine or adnexal diseases * Major medical comorbidities or psychiatric illnesses that could affect follow-up and/or compliance * Refusal to participate or provide consent to the procedures.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Operative Blood Loss | during operation | The difference between the total amount of irrigation and suction will be used to compute operational blood loss |
| Hemoglobin drop | 24 hours postoperative | The difference between the preoperative and postoperative hemoglobin levels will be used to define the hemoglobin change. |
Countries
Egypt
Contacts
Primary ContactMohamed abdelghfar, Lecturer
Outcome results
None listed