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Laparoscopic vs Vaginal Hysterectomy for Benign Gynaecological Disease

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合作者:
信息的提供 (责任方):
Hamdy Bakry Alqenawy,Ain Shams University
September 10, 2018
October 2, 2018
October 2, 2018
October 2018
October 2020   (主要结果测量的最终数据收集日期)
Operative time[ Time Frame: duration of surgical procedure ]
Total operative time (minutes) for LH versus VH; from introduction of the first laparoscopy port or vaginal incision, till suturing the vaginal vault.

与当前相同
  • Blood loss[ Time Frame: intra-operative ]
    Blood loss (mL): by measuring suctioned blood (subtracting irrigation volumes), Weighing sponges (weight difference of soaked and dry surgical gauzes, 1 g ≃ 1 mL), or according to Gross (1983) formula (mL)
  • Blood transfusion[ Time Frame: 24 hours post-operative ]
    Need for blood transfusion
  • Proportion of successful vaginal opportunistic salpingectomy[ Time Frame: intra-operative ]
    Proportion of patients with successful vaginal opportunistic salpingectomy or salpingo-oophorectomy compared to laparoscopic approach, and factors for non completion
  • Surgical complications[ Time Frame: intra-operative ]
    Surgical complications: visceral or vascular injuries, vaginal cuff haematoma or dehiscence
  • Post-operative pain assessed using visual analogue scale for pain intensity[ Time Frame: first 24 hours post-operative ]
    Post-operative pain: assessed using visual analogue scale for pain intensity at 2, 6 and 24 hours post-operative
  • Febrile morbidity[ Time Frame: first 24 hours post-operative ]
    Post-operative fever (temperature assessed in degrees Celsius)
  • Change in serum markers for inflammation[ Time Frame: first 24 hours post-operative ]
    Inflammatory response serum markers compared pre- and 24-h postoperatively (e.g. C-reactive protein or interleukin-6 according to availability)
  • Hospital-stay[ Time Frame: 1 week ]
    Post-operative hospital-stay (hours)
  • Healthcare costs[ Time Frame: 1 week ]
    Healthcare costs (EGP), including consumables, medications, and admission fees.
 
Laparoscopic vs Vaginal Hysterectomy for Benign Gynaecological Disease
Laparoscopic Versus Vaginal Hysterectomy for Benign Gynaecological Disease in Ain Shams University Maternity Hospital: A Randomized Clinical Trial

This study is designed to compare laparoscopic and vaginal hysterectomy in women with benign gynaecological disease in Ain Shams University Maternity Hospital.

Interventional
N/A
分配: Randomized
干预模型: Parallel Assignment
干预模型描述:
盲法: Interventional
盲法描述:
主要目的: Treatment
  • Procedure: LH
    Laparoscopic hysterectomy (TLH or LHa)
  • Procedure: VH
    Vaginal hysterectomy
  • Experimental: Group L
  • Active Comparator: Group V
 
Not yet recruiting
80
与当前相同
October 2020
October 2020   (主要结果测量的最终数据收集日期)
Inclusion Criteria: - Women undergoing hysterectomy for benign gynaecological disease (e.g., dysfunctional uterine bleeding, adenomyosis, fibroids). Exclusion Criteria: Women with: - known tubo-ovarian pathology requiring primary laparotomy, e.g. large adnexal masses - known neoplasia requiring pelvic lymphadenectomy - pelvic organ prolapse requiring additional procedures, e.g., uterine procidentia (complete prolapse), enterocoele - conditions interfering with laparoscopic surgery, e.g. cardio-pulmonary disease, obesity (BMI 30 kg/m2 or more) - large uteri interfering with vaginal hysterectomy (size >16 gestational weeks)
参与研究的性别: Female
最小年龄:N/A ,最大年龄:N/A  
没有
 
研究美国FDA监管的药品: No
研究涉及美国FDA监管的设备产品: No
计划分享 IPD:
Hamdy Bakry Alqenawy,Ain Shams University
Ain Shams University
:
Ain Shams University
September 2018

ICMJE     国际医学期刊编辑委员会和 世界卫生组织 ICTRP 要求的元素
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