LAZMAR Scoring , Hysteroscopic Myomectomy
Conditions
Brief summary
This study aims to evaluate the applicability of the LASMAR scoring system, derived from hysteroscopy, in predicting surgical outcomes in patients undergoing hysteroscopic myomectomy for submucous fibroids.
Detailed description
This study aims to evaluate the applicability of LASMAR scoring in predicting surgical outcomes for cases of hysteroscopic myomectomy. By applying the LASMAR scoring system to patient , the study seeks to determine if the scoring can accurately predict operative time, completeness of resection, and complication rates.
Interventions
Hysteroscopic myomectomy is a minimally invasive surgical procedure used to remove fibroids that are located inside the uterine cavity (submucosal fibroids).
Sponsors
Study design
Eligibility
Inclusion criteria
* Women aged 18-45 years * Type 0,1,2 Fibroids according to Figo classification. * Symptomatic submucous fibroids: Symptoms include abnormal uterine bleeding, pelvic pain or pressure symptoms, infertility or recurrent pregnancy loss. * Fibroids size ≤ 5 cm in diameter * Confirmed diagnosis of leiomyoma by ultrasound . * Hemodynamically Stable Patients: Patients with no significant anemia.
Exclusion criteria
* Contraindications to hysteroscopy (e.g., Pregnancy, pyometra, active infection) * Individuals with significant comorbidities (e.g., severe cardiovascular or respiratory diseases, bleeding diathesis). * Cases requiring concurrent procedures (e.g., Laparoscopic surgeries). * Fibroid Size\>5 cm.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Correlation between preoperative parameters assessed using the Lasmar score and operative parameters, including operative time, number of sessions needed for complete resection, fluid deficit and intraoperative complications. | 2 years | Correlation between preoperative parameters assessed using the Lasmar score and operative parameters, including operative time, number of sessions needed for complete resection, fluid deficit and intraoperative complications |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative Complications: Including infection, adhesions, volume overload. | 2 years | Postoperative Complications: Including infection, adhesions, volume overload. |
| Need for Further Interventions: Incidence of additional treatments like hormonal therapy | 2 years | Need for Further Interventions: Incidence of additional treatments like hormonal therapy |