Fertility-female
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients aged 18-45 years, undergoing abdominal myomectomy. Patients with uterine fibroids without adhesive complcations. Patients fibroid undergoing myomectomy for the first time.
Exclusion criteria
Exclusion criteria: History of coagulopathy, or heart disease, or myocardial infarction, or hypertension, or diabetes, or sickle cell disease, or kidney disease Pre-operative PCV <30%. Patients with thromboembolic disease, or on anticoagulants' History of allergy to tranexamic acid or vasopressin or ergometrine. History of previous myomectomy or previous extensive pelvic surgery or features suggestive of pelvic adhesions. Patients who would not accept blood transfusion. History or imaging features suspicious of malignancy. Entirely subserosal fibroids or entirely submucous fibroids that do not involve intramural incisions and fibroid enucleation. Laparoscopic, hysteroscopic or combinations of either with abdominal myomectomy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measure is operative blood loss from abdominal myomectomy. | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of abdominal myomectomy in minutes;Postoperative pain;Intraperitoneal drain placement | — |
Countries
Nigeria
Contacts
Senior Registrar and Chief resident Babcock University Teaching Hospital